Evidence map›Paper›PMID 42505674›Full record

ArticleAntibiotics (Basel, Switzerland)2026

Ranalexin-1G: A Promising Antimicrobial Peptide Targeting Virulence and Host-Pathogen Interactions in

Marina Acunzo, Carla Zannella, Rosa Giugliano, Laura Di Clemente, Carla Capasso, Annalisa Chianese, Maria Andriolo, Federica Donadio, Emanuela Esposito, Alessandra Monti and 5 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Marina AcunzoDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0009-0007-1483-7054
Carla ZannellaDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0001-7991-8700
Rosa GiuglianoDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0001-9923-3194
Laura Di ClementeDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0009-0001-7849-9484
Carla CapassoDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0009-0005-6430-9343
Annalisa ChianeseDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-1648-4519
Maria AndrioloClinical Pathology Unit, Sant' Elia Hospital, 93100 Caltanissetta, Italy.
Federica DonadioInstitute of Applied Sciences and Intelligent Systems (ISASI), National Research Council (CNR), Naples Cryo-Electron Microscopy Laboratory (M6.1 EYE LAB), Via Pietro Castellino 111, 80131 Naples, Italy.
Emanuela EspositoInstitute of Applied Sciences and Intelligent Systems (ISASI), National Research Council (CNR), Naples Cryo-Electron Microscopy Laboratory (M6.1 EYE LAB), Via Pietro Castellino 111, 80131 Naples, Italy.ORCID 0000-0002-5347-247X
Alessandra MontiInstitute of Biostructures and Bioimaging (IBB), National Research Council (CNR), 80131 Naples, Italy.ORCID 0000-0002-6789-7057
Nunzianna DotiInstitute of Biostructures and Bioimaging (IBB), National Research Council (CNR), 80131 Naples, Italy.ORCID 0000-0003-2952-6658
Teresa Maria Assunta FascianaDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy.
Anna GiammancoDepartment of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, 90127 Palermo, Italy.
Massimiliano GaldieroDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-1576-6290
Anna De FilippisDepartment of Woman, Child and General and Specialized Surgery, University of Campania Luigi Vanvitelli, 80138 Naples, Italy.ORCID 0000-0002-0395-7962

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLung infections represent a major cause of morbidity and mortality in patients with cystic fibrosis (CF) and are predominantly associated with chronic infection by

methodsAntibacterial activity was determined against the reference strain and three clinical isolates of

resultsRanalexin-1G exerted a rapid bactericidal effect within 6 h at non-cytotoxic concentrations and displayed modest anti-biofilm effects, with greater efficacy in inhibiting biofilm formation. Mechanistically, peptide treatment resulted in a reduction in the expression of selected genes involved in biofilm formation and virulence, including those associated with alginate biosynthesis and type III secretion system-mediated cytotoxicity. Consistently, Ranalexin-1G markedly impaired bacterial invasion of epithelial cells, indicating interference with early host-pathogen interaction processes. Notably, the peptide displayed robust antimicrobial activity against multidrug-resistant

conclusionsCollectively, these findings suggest that Ranalexin-1G acts through a dual mechanism involving direct bactericidal activity and modulation of selected virulence pathways, supporting further investigation of its potential as an anti-virulence and host-directed approach for the treatment of chronic

Indexed as

antibacterialantimicrobial peptidescystic fibrosis isolateshost–pathogen interactionPseudomonas aeruginosa

Identifiers

PMID42505674
PMCPMC13403631

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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.