Evidence mapPaperPMID 39772644Full record

ReviewmSystems2025

System-based insights into parasitological and clinical treatment failure in Chagas disease.

Luis Ernst, Giovana C Macedo, Laura-Isobel McCall

Abstract readReview
In one paragraph

Review in mSystems, 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

3 authors.

Luis Ernst *Department of Chemistry and Biochemistry, San Diego State University, San Diego, California, USA.
Giovana C Macedo *Department of Chemistry and Biochemistry, San Diego State University, San Diego, California, USA.
Laura-Isobel McCallDepartment of Chemistry and Biochemistry, San Diego State University, San Diego, California, USA.ORCID 0000-0002-1243-8953

Funding

Mechanisms of myocarditis and progressive cardiac fibrosis in chronic Trypanosoma cruzi infection.R01AI168038 · BAYLOR COLLEGE OF MEDICINE · 2025 to 2025
$753k
Deciphering the mechanism of action of carnitine, a novel treatment for chronic Chagas diseaseR01AI170605 · SAN DIEGO STATE UNIVERSITY · 2025 to 2025
$529k
Novel single-cell mass spectrometry methods to assess the role of intracellular drug concentration and metabolism in antimicrobial treatment failureR01AI177469 · SAN DIEGO STATE UNIVERSITY · 2025 to 2025
$421k
UC San Diego Raising Advancement and Parity for Infectious Disease Researchers (RAPID) Faculty Development ProgramR25AI147376 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$379k
An LCMS-guided bioanalytical approach for rational natural product library design and optimizationR01GM145649 · SAN DIEGO STATE UNIVERSITY · 2025 to 2025
$260k
HHS | National Institutes of Health (NIH) R01AI168038HHS | National Institutes of Health (NIH) R01AI170605HHS | National Institutes of Health (NIH) R01AI177469HHS | National Institutes of Health (NIH) R01GM145649NIAID NIH HHS R01 AI168038NIAID NIH HHS R01 AI170605NIAID NIH HHS R01 AI177469NIAID NIH HHS R25 AI147376NIGMS NIH HHS R01 GM145649
6 · The paper itself

Abstract

Infectious disease treatment success requires symptom resolution (clinical treatment success), which often but not always involves pathogen clearance. Both of these treatment goals face disease-specific and general challenges. In this review, we summarize the current state of knowledge in mechanisms of clinical and parasitological treatment failure in the context of Chagas disease, a neglected tropical disease causing cardiac and gastrointestinal symptoms. Parasite drug resistance and persistence, drug pharmacokinetics and dynamics, as well as persistently altered host immune responses and tissue damage are the most common reasons for Chagas disease treatment failure. We discuss the therapeutics that failed before regulatory approval, limitations of current therapeutic options and new treatment strategies to overcome persistent parasites, inflammatory responses, and metabolic alterations. Large-scale omics analyses were critical in generating these insights and will continue to play a prominent role in addressing the challenges still facing Chagas disease drug treatment.

Indexed as

Chagas DiseaseTrypanocidal AgentsTrypanosoma cruziAnimalsDrug ResistanceHumansTreatment FailureTrypanocidal Agentsantiparasitic treatmentChagas diseasedrug developmentdrug resistancegenomicsmetabolomicspathogen persistencetreatment failureTrypanosoma cruzi

Identifiers

PMID39772644
PMCPMC11834445

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.