Evidence map›Paper›PMID 36986552›Full record

ArticlePharmaceuticals (Basel, Switzerland)2023

Cyclocreatine Phosphate: A Novel Bioenergetic/Anti-Inflammatory Drug That Resuscitates Poorly Functioning Hearts and Protects against Development of Heart Failure.

Salwa A Elgebaly, Charles Van Buren, Robert Todd, Robert Poston, Reem K Arafa, Nashwa El-Khazragy, Donald Kreutzer, Mostafa A Rabie, Ahmed F Mohamed, Lamiaa A Ahmed and 1 more

Open access · goldAbstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 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
1.0field-weighted citation impact, top 24% 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, 4 citations in OpenAlex.

  1. Review
  2. The central role of creatine and polyamines in fetal growth restriction.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  3. Article
  4. 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

11 authors at 5 institutions in 2 countries.

Salwa A ElgebalyResearch & Development, Nour Heart, Inc., Vienna, VA 22180, USA.
Charles Van BurenDepartment of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Robert ToddChemistry Department, ProChem Intl., LLC, Sheboygan, WI 53081, USA.
Robert PostonResearch & Development, Nour Heart, Inc., Vienna, VA 22180, USA.
Reem K ArafaBiomedical Sciences Program & Drug Design and Discovery Lab, Zewail City of Science and Technology, Cairo 12578, Egypt.ORCID 0000-0001-7527-1655
Nashwa El-KhazragyDepartment of Clinical Pathology-Hematology, Ain Shams Medical Research Institute (MASRI), Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt.ORCID 0000-0001-6646-4674
Donald KreutzerDepartment of Surgery, School of Medicine, UConn Health, Farmington, CT 06030, USA.
Mostafa A RabieDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt.ORCID 0000-0001-9488-2320
Ahmed F MohamedDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt.
Lamiaa A AhmedDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt.
Nesrine S El SayedDepartment of Pharmacology and Toxicology, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt.ORCID 0000-0003-3124-5118
Cairo University · EGUConn Health · USAin Shams University · EGBaylor College of Medicine · USZewail City of Science and Technology · EG

Funding

Academy of Scientific Research and Technology (ASRT), Ministry of Scientific Research, Egypt Project ID ASRT-Jesor 2371Nour Heart, Inc. 2019CS
6 · The paper itself

Abstract

Irreversible myocardial injury causes the exhaustion of cellular adenosine triphosphate (ATP) contributing to heart failure (HF). Cyclocreatine phosphate (CCrP) was shown to preserve myocardial ATP during ischemia and maintain cardiac function in various animal models of ischemia/reperfusion. We tested whether CCrP administered prophylactically/therapeutically prevents HF secondary to ischemic injury in an isoproterenol (ISO) rat model. Thirty-nine rats were allocated into five groups: control/saline, control/CCrP, ISO/saline (85 and 170 mg/kg/day s.c. for 2 consecutive days), and ISO/CCrP (0.8 g/kg/day i.p.) either administrated 24 h or 1 h before ISO administration (prophylactic regimen) or 1 h after the last ISO injection (therapeutic regimen) and then daily for 2 weeks. CCrP protected against ISO-induced CK-MB elevation and ECG/ST changes when administered prophylactically or therapeutically. CCrP administered prophylactically decreased heart weight, hs-TnI, TNF-α, TGF-β, and caspase-3, as well as increased EF%, eNOS, and connexin-43, and maintained physical activity. Histology indicated a marked decrease in cardiac remodeling (fibrin and collagen deposition) in the ISO/CCrP rats. Similarly, therapeutically administered CCrP showed normal EF% and physical activity, as well as normal serum levels of hs-TnI and BNP. In conclusion, the bioenergetic/anti-inflammatory CCrP is a promising safe drug against myocardial ischemic sequelae, including HF, promoting its clinical application to salvage poorly functioning hearts.

Indexed as

adenosine triphosphateanti-inflammatorybioenergeticcyclocreatine phosphateheart failuremyocardial ischemia

Identifiers

PMID36986552
PMCPMC10060003
OpenAlexW4327737462

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.