Evidence map›Paper›PMID 36434021›Full record

ArticleScientific reports2022

Succinate prodrugs in combination with atropine and pralidoxime protect cerebral mitochondrial function in a rodent model of acute organophosphate poisoning.

Sarah Piel, Joanna I Janowska, J Laurenson Ward, Meagan J McManus, Joshua S Jose, Jonathan Starr, Malkah Sheldon, Carly L Clayman, Eskil Elmér, Magnus J Hansson and 4 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Blood Cells as a Cellular Biomarker for Mitochondrial Function in a Experimental Model of Acute Carbon Monoxide Poisoning with Treatment.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
  4. Redirecting Intermediary Metabolism to Counteract Cyanide Poisoning.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Review
  5. Review
  6. Current Trends in Clinical Trials of Prodrugs.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  7. Article
  8. Cell-Free DNA as a Biomarker in a Rodent Model of Chlorpyrifos Poisoning Causing Mitochondrial Dysfunction.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
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

14 authors at 4 institutions in 3 countries.

Sarah PielResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA. piels@chop.edu.ORCID 0000-0002-1779-3532
Joanna I JanowskaResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
J Laurenson WardResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Meagan J McManusResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Joshua S JoseResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Jonathan StarrResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Malkah SheldonResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Carly L ClaymanResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Eskil ElmérMitochondrial Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Magnus J HanssonMitochondrial Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
David H JangDivision of Medical Toxicology, Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, USA.
Michael KarlssonDepartment of Neurosurgery, Rigshospitalet, Copenhagen, Denmark.
Johannes K EhingerMitochondrial Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID 0000-0002-2417-5767
Todd J KilbaughResuscitation Science Center of Emphasis, The Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Children's Hospital of Philadelphia · USLund University · SERigshospitalet · DKUniversity of Pennsylvania · US

Funding

Translational Research Support CoreP30ES013508 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI A. Clementina Mesaros · 2006 to 2026
$35.3M
The Use of Blood Cells as a Biomarker in a Porcine Model of CO Poisoning with Evaluation of an Engineered Succinate-ProdrugR56HL158696 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2021 to 2021
$697k
Mitochondrial Targeted Biofuels as Countermeasures Against Chemical ThreatsR21NS103826 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI KILBAUGH, TODD JUSTEN · 2017 to 2018
$473k
Mitochondrial-Directed Therapy in Carbon Monoxide PoisoningR21ES031243 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2020 to 2021
$465k
Development of a Porcine Model of Carbon Monoxide Poisoning to Evaluate Cardiac and Mitochondrial DysfunctionR03HL154232 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2020 to 2021
$150k
NHLBI NIH HHS R03 HL154232NHLBI NIH HHS R56 HL158696NIEHS NIH HHS P30 ES013508NIEHS NIH HHS R21 ES031243NINDS NIH HHS R21 NS103826
6 · The paper itself

Abstract

Pesticides account for hundreds of millions of cases of acute poisoning worldwide each year, with organophosphates (OPs) being responsible for the majority of all pesticide-related deaths. OPs inhibit the enzyme acetylcholinesterase (AChE), which leads to impairment of the central- and peripheral nervous system. Current standard of care (SOC) alleviates acute neurologic-, cardiovascular- and respiratory symptoms and reduces short term mortality. However, survivors often demonstrate significant neurologic sequelae. This highlights the critical need for further development of adjunctive therapies with novel targets. While the inhibition of AChE is thought to be the main mechanism of injury, mitochondrial dysfunction and resulting metabolic crisis may contribute to the overall toxicity of these agents. We hypothesized that the mitochondrially targeted succinate prodrug NV354 would support mitochondrial function and reduce brain injury during acute intoxication with the OP diisopropylfluorophosphate (DFP). To this end, we developed a rat model of acute DFP intoxication and evaluated the efficacy of NV354 as adjunctive therapy to SOC treatment with atropine and pralidoxime. We demonstrate that NV354, in combination with atropine and pralidoxime therapy, significantly improved cerebral mitochondrial complex IV-linked respiration and reduced signs of brain injury in a rodent model of acute DFP exposure.

Indexed as

Brain InjuriesOrganophosphate PoisoningProdrugsAcetylcholinesteraseAnimalsAtropineIsoflurophateMitochondriaPralidoxime CompoundsRatsRodentiaSuccinatesSuccinic AcidAcetylcholinesteraseAtropineIsoflurophatepralidoximePralidoxime CompoundsProdrugsSuccinatesSuccinic Acid

Identifiers

PMID36434021
PMCPMC9700731
OpenAlexW4310056722

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.