Evidence map›Paper›PMID 41249411›Full record

ArticleScientific reports2025

Evaluating the ciprofloxacin potentiation efficacy of repurposed drug flupentixol through efflux pump inhibition of pathogenic bacteria.

Md Momin-Reza, Rafat Hossain Rafi, Rukunuzzaman Mia, Md Jonaid Tawfiq, Md Rafiqul Islam Khan, Md Omar Faruqe, Sitelbanat Yassin Ehaimir, Md Abdul Alim Al-Bari

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Frontiers in bioinformatics · 2026
    Review
  3. Screening ofFrontiers in microbiology · 2026
    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

8 authors.

Md Momin-Reza *Department of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Rafat Hossain Rafi *Department of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Rukunuzzaman MiaDepartment of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Md Jonaid TawfiqDepartment of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Md Rafiqul Islam KhanDepartment of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Md Omar FaruqeDepartment of Computer Science and Engineering, University of Rajshahi, Rajshahi, 6205, Bangladesh.
Sitelbanat Yassin EhaimirDepartment of Pharmaceutics (Pharmaceutical Microbiology), University of Gezira, Wad Medani, Sudan.
Md Abdul Alim Al-BariDepartment of Pharmacy, University of Rajshahi, Rajshahi, 6205, Bangladesh. alimalbari347@ru.ac.bd.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antimicrobial resistance concerning burdens is increasing day by day. Efflux pump upregulation is one of the mechanisms through which bacteria develop resistance to antibiotics. To overcome this escalating problem in healthcare, repurposing existing drugs as efflux pump inhibitors in combination with antibiotics can help mitigate the growing resistance issue worldwide. In our study, we investigated the efflux pump inhibiting capability of the repurposed drug flupentixol in combination with different classes of antibiotics. In vitro combination susceptibility testing (disk diffusion and minimum inhibitory concentration-MIC), in vivo shigellosis mouse model, and in silico study (molecular docking and simulation) were investigated. Ciprofloxacin-flupentixol yield promising in vitro results against Pseudomonas aeruginosa ATCC 9027, Staphylococcus aureus ATCC 25,923, and Shigella boydii AL 17,313. The clinical efficacy of ciprofloxacin-flupentixol was evaluated in the shigellosis mouse model. Clinical parameters, including percentage changes in body weight, total white blood cell (WBC) count, C-reactive protein (CRP) level, and erythrocyte sedimentation rate (ESR), were evaluated. In vivo findings supported the use of this combination in reducing the body's inflammatory state. Molecular docking and simulation study targeted the efflux pump proteins NorA (PDB ID: 7LO8), MexA Protein (PDB ID: 6IOK), and AcrB (PDB ID: 4CDI), to investigate the efflux pump inhibiting capability of flupentixol. Molecular dynamics simulations confirmed the stability of the protein-flupentixol complex over 100 ns, supporting that flupentixol synergizes with ciprofloxacin by inhibiting the NorA efflux pump.

Indexed as

Anti-Bacterial AgentsCiprofloxacinDysentery, BacillaryAnimalsBacterial ProteinsDisease Models, AnimalDrug RepositioningDrug SynergismMembrane Transport ProteinsMiceMicrobial Sensitivity TestsMolecular Docking SimulationPseudomonas aeruginosaAnti-Bacterial AgentsBacterial ProteinsCiprofloxacinMembrane Transport ProteinsEfflux pump inhibitorFlupentixolMolecular dockingShigellosisSimulation

Identifiers

PMID41249411
PMCPMC12624085

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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.