Evidence map›Paper›PMID 36349436›Full record

ArticleBirth defects research2023

Developmental toxicity of remdesivir, an anti-COVID-19 drug, is implicated by in vitro assays using morphogenetic embryoid bodies of mouse and human pluripotent stem cells.

Lauren Kirkwood-Johnson, Yusuke Marikawa

Open access · hybridAbstract read
In one paragraph

Article in Birth defects research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Lauren Kirkwood-JohnsonDevelopmental and Reproductive Biology Graduate Program, Institute for Biogenesis Research, Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, USA.
Yusuke MarikawaDevelopmental and Reproductive Biology Graduate Program, Institute for Biogenesis Research, Department of Anatomy, Biochemistry and Physiology, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, Hawaii, USA.ORCID https://orcid.org/0000-0001-5720-5806
University of Hawaiʻi at Mānoa · US

Funding

Translational Pilot Project ProgramP30GM131944 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI WARD, WILLIAM S · 2019 to 2023
$5.9M
Teratogenicity assessment of new antiviral drugs using 3D morphogenesis modelsR03HD110743 · NICHD · UNIVERSITY OF HAWAII AT MANOA · PI MARIKAWA, YUSUKE · 2023 to 2023
$157k
Human pluripotent stem cell-based assessment of dolutegravir teratogenicityR03HD102502 · NICHD · UNIVERSITY OF HAWAII AT MANOA · PI MARIKAWA, YUSUKE · 2020 to 2021
$156k
In vitro molecular interrogation of SSRI antidepressants for teratogenic potentialR03HD101735 · NICHD · UNIVERSITY OF HAWAII AT MANOA · PI MARIKAWA, YUSUKE · 2020 to 2021
$155k
Alternatives Research and Development FoundationNICHD NIH HHS R03 HD101735NICHD NIH HHS R03 HD102502NICHD NIH HHS R03 HD110743NIGMS NIH HHS P30 GM131944
6 · The paper itself

Abstract

backgroundRemdesivir is an antiviral drug approved for the treatment of COVID-19, whose developmental toxicity remains unclear. More information about the safety of remdesivir is urgently needed for people of childbearing potential, who are affected by the ongoing pandemic. Morphogenetic embryoid bodies (MEBs) are three-dimensional (3D) aggregates of pluripotent stem cells that recapitulate embryonic body patterning in vitro, and have been used as effective embryo models to detect the developmental toxicity of chemical exposures specifically and sensitively.

methodsMEBs were generated from mouse P19C5 and human H9 pluripotent stem cells, and used to examine the effects of remdesivir. The morphological effects were assessed by analyzing the morphometric parameters of MEBs after exposure to varying concentrations of remdesivir. The molecular impact of remdesivir was evaluated by measuring the transcript levels of developmental regulator genes.

resultsThe mouse MEB morphogenesis was impaired by remdesivir at 1-8 μM. Remdesivir affected MEBs in a manner dependent on metabolic conversion, and its potency was higher than GS-441524 and GS-621763, presumptive anti-COVID-19 drugs that act similarly to remdesivir. The expressions of developmental regulator genes, particularly those involved in axial and somite patterning, were dysregulated by remdesivir. The early stage of MEB development was more vulnerable to remdesivir exposure than the later stage. The morphogenesis and gene expression profiles of human MEBs were also impaired by remdesivir at 1-8 μM.

conclusionsRemdesivir impaired mouse and human MEBs at concentrations that are comparable to the therapeutic plasma levels in humans, urging further investigation into the potential impact of remdesivir on developing embryos.

Indexed as

COVID-19Pluripotent Stem CellsAdenosineAdenosine MonophosphateAlanineCOVID-19 Drug TreatmentEmbryoid BodiesHumansMorphogenesisAdenosineAdenosine MonophosphateAlanineGS-621763remdesivirCOVID-19developmental toxicityembryogastruloidpluripotent stem cellpregnancyremdesivir

Identifiers

PMID36349436
PMCPMC9877128
OpenAlexW4308635982

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.