Evidence map›Paper›PMID 42232322›Full record

ArticleBiomedical sciences instrumentation2025

INHIBITING THE INHIBITOR: WOULD TARGETING PAI-1 RESULT IN A LOW-DOSE, WELL-TOLERATED TREATMENT OF EMPYEMA?

Andrey A Komissarov, Christian J De Vera, René A Girard, Krishna Sarva, Rebekah L Emerine, Ali O Azghani, Sunil Christudas, Jincy Jacob, Mignote Chamiso, Danna Morris and 4 more

Abstract read
In one paragraph

Article in Biomedical sciences instrumentation, 2025. 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

14 authors.

Andrey A KomissarovDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Christian J De VeraDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
René A GirardDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Krishna SarvaDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Rebekah L EmerineDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Ali O AzghaniDepartment of Biology, The University of Texas at Tyler, TX.
Sunil ChristudasDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Jincy JacobDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Mignote ChamisoDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Danna MorrisDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Sophia KarandashovaDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Paul J DeclerckLaboratory for Therapeutic and Diagnostic Antibodies, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Belgium.
Steven IdellDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.
Galina FlorovaDepartment of Cellular and Molecular Biology, The UT Tyler School of Medicine, Tyler, TX.

Funding

Delivery of PAI-1-targeted intrapleural fibrinolytic therapy for empyemaR01HL130402 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI FLOROVA, GALINA, IDELL, STEVEN · 2017 to 2024
$3.8M
Concurrent targeting of inflammation and the inhibition of the fibrinolytic system to increase the efficacy of empyema treatmentR61HL175690 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI Andrey Komissarov, Alexander B Sigalov · 2025 to 2026
$962k
Optimization of a Rabbit Retained Hemothorax Model for Evidence-Based Pharmacologic InterventionsR33HL154103 · NHLBI · UNIVERSITY OF TEXAS HLTH CTR AT TYLER · PI FLOROVA, GALINA, IDELL, STEVEN · 2020 to 2021
$881k
NHLBI NIH HHS R01 HL130402NHLBI NIH HHS R33 HL154103NHLBI NIH HHS R61 HL175690
6 · The paper itself

Abstract

The incidence of empyema has continued to rise over the past several decades, and mortality rates remain up to 20-27% among patients >65 years old with comorbidities. Up to 30% of adult patients with empyema are poor candidates for both surgical treatment and conventional fibrinolytic therapy. Plasminogen activator inhibitor 1 (PAI-1) inhibits fibrinolysis, promoting pleural fibrosis and lung restriction. We hypothesized that targeting PAI-1 would result in a low-dose pharmacological treatment for empyema, improving patient survival. This hypothesis was tested in rabbit models of chemically-induced and

Indexed as

empyemafibrinolysismechanismtargetingtherapytreatment

Identifiers

PMID42232322
PMCPMC13225870

What Socratic holds

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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.