Evidence map›Paper›PMID 37080569›Full record

ArticleThe European respiratory journal2023

A novel thiol-saccharide mucolytic for the treatment of muco-obstructive lung diseases.

Annalisa Addante, Wilfred Raymond, Irina Gitlin, Annabelle Charbit, Xavier Orain, Aaron Wolfe Scheffler, Aditi Kuppe, Julia Duerr, Maria Daniltchenko, Marika Drescher and 5 more

Open access · hybridAbstract read
In one paragraph

Article in The European respiratory journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
8.5field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Mucinase fromFrontiers in microbiology · 2026
    Article
  9. Airway mucus in infection.Frontiers in physiology · 2026
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Mucins and Their Roles in Asthma.Immunological reviews · 2025
    Review
  16. Article
  17. Article
  18. Emerging cell and molecular targets for treating mucus hypersecretion in asthma.Allergology international : official journal of the Japanese Society of Allergology · 2024
    Review
  19. Article
  20. Mucin adhesion of serial cystic fibrosis airwaysFrontiers in cellular and infection microbiology · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 4 countries.

Annalisa AddanteDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Wilfred RaymondCardiovascular Research Institute, University of California San Francisco, San Francisco, CA, USA.
Irina GitlinCardiovascular Research Institute, University of California San Francisco, San Francisco, CA, USA.
Annabelle CharbitCardiovascular Research Institute, University of California San Francisco, San Francisco, CA, USA.
Xavier OrainCardiovascular Research Institute, University of California San Francisco, San Francisco, CA, USA.
Aaron Wolfe SchefflerDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Aditi KuppeDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Julia DuerrDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-4862-9487
Maria DaniltchenkoDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Marika DrescherDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Simon Y GraeberDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID 0000-0002-1666-8924
Anne-Marie HealySchool of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland.
Stefan OscarsonCentre for Synthesis and Chemical Biology, University College Dublin, Belfield, Ireland.ORCID 0000-0002-8273-4918
John V FahyCardiovascular Research Institute, University of California San Francisco, San Francisco, CA, USA.
Marcus A MallDepartment of Pediatric Respiratory Medicine, Immunology and Critical Care Medicine, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany marcus.mall@charite.de.ORCID 0000-0002-4057-2199
Humboldt-Universität zu Berlin · DEUniversity of California, San Francisco · USAmerican Institute of Biological Sciences · USTrinity College Dublin · IEUniversity College Dublin · IE

Funding

Pre Clinical and Clinical Development of a Novel Thiol-Saccharide MucolyticP01HL128191 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LAZARUS, STEPHEN C · 2016 to 2020
$13.4M
Protein carbohydrate interactions in the pathophysiology of asthma exacerbationsR01HL080414 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI John V Fahy · 2005 to 2026
$9.2M
NHLBI NIH HHS P01 HL128191NHLBI NIH HHS R01 HL080414
6 · The paper itself

Abstract

backgroundMucin disulfide cross-links mediate pathologic mucus formation in muco-obstructive lung diseases. MUC-031, a novel thiol-modified carbohydrate compound, cleaves disulfides to cause mucolysis. The aim of this study was to determine the mucolytic and therapeutic effects of MUC-031 in sputum from patients with cystic fibrosis (CF) and mice with muco-obstructive lung disease (βENaC-Tg mice).

methodsWe compared the mucolytic efficacy of MUC-031 and existing mucolytics (N-acetylcysteine (NAC) and recombinant human deoxyribonuclease I (rhDNase)) using rheology to measure the elastic modulus (G') of CF sputum, and we tested effects of MUC-031 on airway mucus plugging, inflammation and survival in βENaC-Tg mice to determine its mucolytic efficacy

resultsIn CF sputum, compared to the effects of rhDNase and NAC, MUC-031 caused a larger decrease in sputum G', was faster in decreasing sputum G' by 50% and caused mucolysis of a larger proportion of sputum samples within 15 min of drug addition. Compared to vehicle control, three treatments with MUC-031 in 1 day in adult βENaC-Tg mice decreased airway mucus content (16.8±3.2

conclusionMUC-031 is a potent and fast-acting mucolytic that decreases airway mucus plugging, lessens airway inflammation and improves survival in βENaC-Tg mice. These data provide rationale for human trials of MUC-031 in muco-obstructive lung diseases.

Indexed as

Cystic FibrosisLung Diseases, ObstructiveAcetylcysteineAdultAnimalsCarbohydratesExpectorantsHumansInflammationLungMiceSputumSulfhydryl CompoundsAcetylcysteineCarbohydratesExpectorantsSulfhydryl Compounds

Identifiers

PMID37080569
PMCPMC10209473
OpenAlexW4366520356

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.