Evidence map›Paper›PMID 38689027›Full record

ArticleNature biotechnology2025

Development of supramolecular anticoagulants with on-demand reversibility.

Millicent Dockerill, Daniel J Ford, Simona Angerani, Imala Alwis, Luke J Dowman, Jorge Ripoll-Rozada, Rhyll E Smythe, Joanna S T Liu, Pedro José Barbosa Pereira, Shaun P Jackson and 2 more

Abstract read
In one paragraph

Article in Nature biotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Discovery of a Reversible Sub-Picomolar Thrombin Inhibitor Using DCC.Angewandte Chemie (International ed. in English) · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The XNA alphabet.Nucleic acids research · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Self-assembled proteomimetic (SAP) with antibody-like binding from short PNA-peptide conjugates.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  12. Designing drugs with reversible activity.Nature biotechnology · 2025
    Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Millicent DockerillDepartment of Organic Chemistry, NCCR Chemical Biology, Faculty of Sciences, University of Geneva, Geneva, Switzerland.ORCID http://orcid.org/0000-0003-4657-1637
Daniel J FordSchool of Chemistry, The University of Sydney, Sydney, New South Wales, Australia.
Simona AngeraniDepartment of Organic Chemistry, NCCR Chemical Biology, Faculty of Sciences, University of Geneva, Geneva, Switzerland.
Imala AlwisCharles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Luke J DowmanSchool of Chemistry, The University of Sydney, Sydney, New South Wales, Australia.
Jorge Ripoll-RozadaInstituto de Biologia Molecular e Celular (IBMC), Universidade do Porto, Porto, Portugal.ORCID http://orcid.org/0000-0001-7235-317X
Rhyll E SmytheCharles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0009-0002-3652-6197
Joanna S T LiuCharles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Pedro José Barbosa PereiraInstituto de Biologia Molecular e Celular (IBMC), Universidade do Porto, Porto, Portugal.ORCID http://orcid.org/0000-0003-0969-5438
Shaun P JacksonCharles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-4750-1991
Richard J PayneSchool of Chemistry, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-3618-9226
Nicolas WinssingerDepartment of Organic Chemistry, NCCR Chemical Biology, Faculty of Sciences, University of Geneva, Geneva, Switzerland. nicolas.winssinger@unige.ch.ORCID http://orcid.org/0000-0003-1636-7766

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 Marie Sklodowska-Curie Actions (H2020 Excellent Science - Marie Sklodowska-Curie Actions) MCIN/AEI/10.13039/501100011033Ministry of Education and Science | Fundação para a Ciência e a Tecnologia (Portuguese Science and Technology Foundation) PTDC/BIA-BQM/2494/2020Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 219316
6 · The paper itself

Abstract

Drugs are administered at a dosing schedule set by their therapeutic index, and termination of action is achieved by clearance and metabolism of the drug. In some cases, such as anticoagulant drugs or immunotherapeutics, it is important to be able to quickly reverse the drug's action. Here, we report a general strategy to achieve on-demand reversibility by designing a supramolecular drug (a noncovalent assembly of two cooperatively interacting drug fragments held together by transient hybridization of peptide nucleic acid (PNA)) that can be reversed with a PNA antidote that outcompetes the hybridization between the fragments. We demonstrate the approach with thrombin-inhibiting anticoagulants, creating very potent and reversible bivalent direct thrombin inhibitors (K

Indexed as

AnticoagulantsThrombosisAnimalsHumansMicePeptide Nucleic AcidsThrombinAnticoagulantsPeptide Nucleic AcidsThrombin

Identifiers

PMID38689027
PMCPMC11825364

What OpenQuestion holds

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LicenceCC BY
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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.