Evidence map›Paper›PMID 39936704›Full record

ArticleMemorias do Instituto Oswaldo Cruz2025

Looking for approved-medicines to be repositioned as anti-Trypanosoma cruzi agents. Identification of new chemotypes with good individual- or in combination-biological behaviours.

Claudia Veira, Diego Benítez, Leticia Pérez-Díaz, Guzmán Álvarez, Hugo Cerecetto, Elena Aguilera

Abstract read
In one paragraph

Article in Memorias do Instituto Oswaldo Cruz, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Claudia VeiraUniversidad de la República, Facultad de Ciencias, Instituto de Química Biológica, Grupo de Química Orgánica Medicinal, Montevideo, Uruguay.
Diego BenítezInstitut Pasteur de Montevideo, Laboratory Redox Biology of Trypanosomes, Montevideo, Uruguay.
Leticia Pérez-DíazUniversidad de la República, Facultad de Ciencias, Instituto de Química Biológica, Laboratorio de Interacciones Moleculares, Montevideo, Uruguay.
Guzmán ÁlvarezUniversidad de la República, Centro Universitario Litoral Norte, Laboratorio de Moléculas Bioactivas, Paysandú, Uruguay.
Hugo CerecettoUniversidad de la República, Facultad de Ciencias, Instituto de Química Biológica, Grupo de Química Orgánica Medicinal, Montevideo, Uruguay.ORCID http://orcid.org/0000-0003-1256-3786
Elena AguileraUniversidad de la República, Facultad de Ciencias, Instituto de Química Biológica, Grupo de Química Orgánica Medicinal, Montevideo, Uruguay.ORCID http://orcid.org/0000-0002-1052-687X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neglected illness Chagas disease is treated with limited efficacy and adverse effects by old drugs. Due to the low interest of pharmaceutical industry in targeting economically depressed-patients, repurposing is a tool that should be applied because it can introduce new anti-Chagas entities into the clinic at reduced costs.

objectivesTo investigate the repurposing/combination of medicines strategies as anti-Chagas treatment.

methodsEpimastigotes, trypomastigotes and amastigotes of Trypanosoma cruzi were in vitro exposed to 28 Uruguayan-approved medicines not previously tested, 28 FDA-approved medicines previously evaluated, and three reference agents. Parasite inhibition was assessed and for the best drugs, in pairs-isobolographic studies, looking for synergism/additivity/antagonism, were done. Macrophages were used to study selectivity. For some relevant agents, we analysed whether medicines mammals´ action mechanisms are operative in epimastigotes-T. cruzi.

findingsFrom the anti-epimastigotes monotherapy-screening, we found that 18% of them showed better/comparable activities than references. Additionally, for the binary-combinations 8% were additive, 4% were synergic and the rest showed antagonism. Favourably, in macrophages-cytotoxicity four of the binary-combinations were antagonists. Naftazone and pinaverium bromide, not previously tested against T. cruzi, maintained their activity against trypomastigotes and amastigotes. The identified action mechanisms open the door to new strategies designing anti-T. cruzi drugs. MAIN

conclusionsUsing approved-medicines is a good strategy for new anti-Chagas treatments.

Indexed as

Drug RepositioningTrypanocidal AgentsTrypanosoma cruziAnimalsChagas DiseaseDrug SynergismHumansMacrophagesMiceParasitic Sensitivity TestsTrypanocidal Agents

Identifiers

PMID39936704
PMCPMC11809512

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.