Evidence map›Paper›PMID 39105996›Full record

ArticleDrugs in R&D2024

Preclinical and Toxicology Assessment of ALW-II-41-27, an Inhibitor of the Eph Receptor A2 (EphA2).

Theodore J Kottom, Kimberly E Stelzig, Madeline R Pellegrino, Marc Bindzus, Eunhee S Yi, Andrew H Limper

Abstract read
In one paragraph

Article in Drugs in R&D, 2024. 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. Article
  2. Review
  3. 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.

Theodore J KottomThoracic Diseases Research Unit, Departments of Medicine and Biochemistry, Mayo Clinic, 8-23 Stabile, Rochester, MN, 55905, USA. kottom.theodore@mayo.edu.ORCID http://orcid.org/0000-0003-0364-3311
Kimberly E StelzigThoracic Diseases Research Unit, Departments of Medicine and Biochemistry, Mayo Clinic, 8-23 Stabile, Rochester, MN, 55905, USA.
Madeline R PellegrinoThoracic Diseases Research Unit, Departments of Medicine and Biochemistry, Mayo Clinic, 8-23 Stabile, Rochester, MN, 55905, USA.
Marc BindzusThoracic Diseases Research Unit, Departments of Medicine and Biochemistry, Mayo Clinic, 8-23 Stabile, Rochester, MN, 55905, USA.
Eunhee S YiDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, 55905, USA.
Andrew H LimperThoracic Diseases Research Unit, Departments of Medicine and Biochemistry, Mayo Clinic, 8-23 Stabile, Rochester, MN, 55905, USA.

Funding

Pneumocystis: Macrophage & Epithelial ActivationR01HL062150 · NHLBI · MAYO CLINIC ROCHESTER · PI ANDREW H LIMPER · 1998 to 2026
$9.2M
The Role of the EphA2 Receptor Kinase Pathway in Pneumocystis Pneumonia (PCP)R21AI181542 · NIAID · MAYO CLINIC ROCHESTER · PI LIMPER, ANDREW H · 2024 to 2025
$438k
NHLBI NIH HHS R01 HL062150NIAID NIH HHS R21 AI181542NIH HHS R01 HL62150-30A1NIH HHS R21AI181542-01
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe EphA2 receptor inhibitor ALW-II-41-27 has proven to be an effective in vitro antagonist of Pneumocystis β-glucan-induced proinflammatory signaling. This suggests its potential as a candidate for initial anti-inflammatory drug testing in the rodent model of Pneumocystis pneumonia (PCP).

methodsInitially, single-dose intraperitoneal (IP) injections of ALW-II-41-27 were administered at concentrations of 0, 10, 15, 20, and 30 mg/kg over a 24-h treatment period. Pharmacokinetics were assessed in plasma, bronchoalveolar lavage fluid (BALF), and epithelial lining fluid (ELF). Following these assessments, a final single mg/kg dosing was determined. Mice received daily IP injections of either vehicle or 20.0 mg/kg of ALW-II-41-27 for 10 days, with their weights recorded daily. On day 11, mice were weighed and euthanized. Lungs, liver, and kidneys were harvested for H&E staining and pathology scoring. Lung samples were further analyzed for proinflammatory cytokines using enzyme-linked immunosorbent assay (ELISA) and extracellular matrix production using quantitative PCR (qPCR). Postmortem blood collection was conducted for complete blood count (CBC) blood chemistry analysis. Lastly, ALW-II-41-27 was administered to mice prior to fungal β-glucans challenge to determine in vivo effects on lung inflammation.

resultsThis report describes the PK assessment of ALW-II-41-27 given via IP in C57BL/6 mice. After PK data were generated, we tested ALW-II-41-27 at 20 mg/kg IP in mice and noted no significant changes in daily or final weight gain. ELISA results of proinflammatory cytokines from lung tissues showed no major differences in the respective groups. qPCR analysis of extracellular matrix transcripts were statistically similar. Examination and pathology scoring of H&E slides from lung, liver, and kidney in all groups and subsequent pathology scoring showed no significant toxicity. Blood chemistry and CBC analyses revealed no major abnormalities. Additionally, administering ALW-II-41-27 before intratracheal inoculation of fungal β-glucans, known to induce a strong proinflammatory response in the lungs, significantly reduced lung tissue IL-1β levels.

conclusionsIn our initial general safety and toxicology assessments, ALW-II-41-27 displayed no inherent safety concerns in the analyzed parameters. These data support broader in vivo testing of the inhibitor as a timed adjunct therapy to the deleterious proinflammatory host immune response often associated with anti-Pneumocystis therapy.

Indexed as

Receptor, EphA2AnimalsBronchoalveolar Lavage FluidCytokinesDose-Response Relationship, DrugDrug Evaluation, PreclinicalFemaleLungMaleMiceMice, Inbred C57BLCytokinesReceptor, EphA2

Identifiers

PMID39105996
PMCPMC11455733

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.