Evidence map›Paper›PMID 41307771›Full record

ArticleWorld journal of microbiology & biotechnology2025

Preclinical evaluation of repositioned non-antibiotic agents against Staphylococcus aureus: a network meta-analysis of survival outcomes.

Mohammad Abavisani, Alireza Khoshrou, Reza Khayami, Prashant Kesharwani, Amirhossein Sahebkar

Abstract readNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Article in World journal of microbiology & biotechnology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Mohammad AbavisaniStudent Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Alireza KhoshrouStudent Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Reza KhayamiDepartment of Medical Genetics and Molecular Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Prashant KesharwaniNext-Generation Translational Nanomedicine Laboratory, Department of Pharmaceutical Sciences, Dr. Harisingh Gour Vishwavidyalaya (A Central University), Sagar, Madhya Pradesh, 470003, India. prashantdops@gmail.com.
Amirhossein SahebkarBiotechnology Research Center, Pharmaceutical Technology Institute, Mashhad University of Medical Sciences, Mashhad, Iran. amir_saheb2000@yahoo.com.ORCID http://orcid.org/0000-0002-8656-1444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Staphylococcus aureus is a major global health threat due to its increasing antibiotic resistance. The urgent need for alternative treatments has spurred interest in drug repositioning. Drug repositioning the application of approved non-antibiotic agents for new therapeutic uses offers a time-efficient and cost-effective route to identifying novel anti-infective strategies. This study aimed to assess the efficacy of repositioned bioactive agents in treating S. aureus infections by comparing survival outcomes in preclinical animal models. Following the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines, we included in vivo animal models of S. aureus evaluating repositioned non-antibiotic bioactive agents, reporting available survival assay data, with at least one comparator (placebo and/or standard antibiotics). Studies lacking the required data are excluded. Included studies were assessed for risk of bias using the SYRCLE tool. A random effects model was employed to compare bioactive agent effectiveness, with results presented as risk differences and ranked using P-scores. Ultimately, 17 eligible studies were selected from 8594 screened records. The majority of the studies (88.2%) used mice, with intraperitoneal infection models (41.1%) and anticancer agent categories (23.5%) being the most common. Several repositioned drugs showed significantly better survival rates compared to the negative control. Moreover, none of the treatments significantly outperformed the positive controls. Our analysis found that, compared to the negative and positive controls, oral FdUrd and isopropoxy benzene guanidine had the highest P-scores (0.98 and 0.9, respectively). These findings support the continued exploration of non-antibiotic repurposing strategies as viable adjuncts or alternatives in managing drug-resistant S. aureus infections, with implications for translational and formulation development in antimicrobial drug delivery.

Indexed as

Drug RepositioningStaphylococcal InfectionsStaphylococcus aureusAnimalsAnti-Bacterial AgentsDisease Models, AnimalDrug Evaluation, PreclinicalHumansMiceAnti-Bacterial AgentsAntimicrobial resistanceDrug repurposingNetwork meta-analysisNon-antibiotic therapeuticsPreclinical infection modelsStaphylococcus aureusSurvival outcome analysis

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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.