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Therapeutic & Molecular Ontology

Drug, Gene & Biomarker Index

Navigate peer-reviewed breakthroughs by pharmacological class, genetic target, circulating biomarker, or diagnostic modality. Select any clinical entity to inspect all linked studies.

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Indexed Entities (24)

Drug / Therapy12 Peer-Reviewed Briefings

Antibiotics & Antimicrobials

Targeted antimicrobials, beta-lactamase combinations, and bacteriophage therapies against resistant pathogens.

Active Specialties:NeurologyInfectious DiseasePulmonologyAI in MedicineGastroenterology
NEUROLOGY · CLINICAL PRACTICE

Pearls & Oy-sters: Anti-GABA A Receptor Encephalitis Presenting as Fulminant Hemicerebellitis in a 5-Year-Old Girl

This case highlights fulminant cerebellitis as a life-threatening presentation of anti-GABA A R encephalitis and underscores the... She later stabilized with radiographic improvement and meaningful neurologic recovery.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readNeurology
INFECTIOUS DISEASE · CLINICAL PRACTICE

New International Guidelines Advance Phage Therapy for Superbugs

Personalized phage therapy, now backed by international guidelines, is becoming a viable and effective strategy against challenging multidrug-resistant bacterial infections. With antibiotic resistance posing a critical global health threat, these guidelines offer a vital new tool for clinicians.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readScienceDaily
PULMONOLOGY · REAL-WORLD COHORT

Optimizing Sepsis Time Zero Definitions Through Associations between Antibiotic Timing and Mortality

Risk of death associations with antibiotics beyond 1 hour were most evident when sepsis time zero was defined by hypotension or lactate ≥4.0mmol/L, and with antibiotics beyond 3 hours when defined by acute respiratory failure. These findings could inform refinements to sepsis time zero definitions to better guide antibiotic urgency and performance measurement.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readAmerican Journal of Respiratory and Critical Care Medicine
PULMONOLOGY · PHASE III

Longitudinal change in FEV 1 in adults with cystic fibrosis treated with elexacaftor-tezacaftor-ivacaftor in France: a prospective observational study

These results suggest that about a third of adults with cystic fibrosis (tissue scarring) who are treated with ETI had a persistent decline in ppFEV 1 . These data emphasise the importance of regular ppFEV 1 monitoring and highlight the need to improve current therapeutic strategies to prevent ppFEV 1 decline.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readThe Lancet Respiratory Medicine
INFECTIOUS DISEASE · PRECLINICAL

Combination antiviral treatment for a patient with lymphocytic choriomeningitis virus meningoencephalitis associated with bispecific antibody teclistamab therapy for myeloma

Finally, the case provides preliminary evidence supporting combination antiviral therapy in persistent LCMV infection. Molnupiravir was later substituted for favipiravir, and favipiravir dosing was guided by serum and CSF therapeutic drug monitoring.

2/5 Preclinical
Evidence Meter · 2/5

Animal & Preclinical Data

Demonstrated in living animal models before large-scale human safety and dosing trials begin.

1 min readThe Lancet Infectious Diseases
INFECTIOUS DISEASE · PHASE III

Imipenem-cilastatin-funobactam versus imipenem-cilastatin-relebactam in patients with hospital-acquired bacterial pneumonia or ventilator-associated bacterial pneumonia: a phase 3, double-blind, non-inferiority randomised trial

Imipenem-cilastatin-funobactam is statistically non-inferior to imipenem-cilastatin-relebactam for 14-day all-cause risk of death in patients with HABP and VABP with a favourable safety profile. New antibiotics are urgently needed for hospital-acquired bacterial pneumonia (HABP) and ventilator-associated bacterial pneumonia (VABP).

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readThe Lancet Infectious Diseases
AI IN MEDICINE · REAL-WORLD COHORT

Predicting persistent fever in patients with cancer receiving antibiotics: a machine learning approach

However, clinical use should be limited to an adjunctive role rather than standalone rule-out decision-making, and prospective studies are required to evaluate safety, clinician uptake, and real-world impact. Decision curve analysis demonstrated positive net benefit across much of the evaluated threshold range.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readnpj Digital Medicine
GASTROENTEROLOGY · REAL-WORLD COHORT

Trends in the etiologies and outcomes of idiosyncratic drug-induced liver injury in the united states: The DILIN prospective registry, 2004 to 2024

Over the past 20 years, a decreasing proportion of DILI cases are attributed to antibiotics while an increasing proportion are attributed to HDS products and antineoplastics. Oncology patients and those > 65 years old have significantly higher overall and liver-related risk of death.

4/5 Strong Trial
Evidence Meter · 4/5

Strong Clinical Evidence

Tested directly in patients through a prospective clinical trial or large multicenter human cohort.

1 min readHepatology (baltimore, Md.)
GASTROENTEROLOGY · RANDOMIZED CLINICAL TRIAL

Microbiota-Taurine Pathway Links Dietary Fiber to Mucosal Healing

Alginate engages a fiber-microbiota-taurine-epithelial signaling pathway that promotes recovery in preclinical models. The clinical trial did not meet its primary endpoint; however, the biological changes warrant further investigation of alginate as a microbiota-targeted intervention.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readGastroenterology
INFECTIOUS DISEASE · RANDOMIZED CLINICAL TRIAL

Daptomycin for enterococcal bloodstream infections and endocarditis: reconciling clinical evidence, susceptibility testing, and regulatory frameworks

We propose a pragmatic framework (≥8 mg/kg per day for E faecium, 10-12 mg/kg per day in vancomycin-resistant disease, MIC-informed dose selection, β-lactam combination in endocarditis, and weekly creatine phosphokinase monitoring) and call for therapeutic drug monitoring, harmonised breakpoints, prospective studies, and molecular resistance detection. Any-grade creatine phosphokinase elevation rises modestly with dose in the largest registry but is inconsistent elsewhere, with a clearer signal of marked elevation at the highest doses.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readThe Lancet Infectious Diseases
PULMONOLOGY · RANDOMIZED CLINICAL TRIAL

Individualized Treatment Effects of Cefepime vs Piperacillin-Tazobactam in Adults Hospitalized with Acute Infection

Patients' individual characteristics modified the effect of cefepime versus piperacillin-tazobactam on survival without acute kidney injury but not on survival without delirium or coma. Among adults hospitalized with acute infection, a recent randomized trial observed no significant average treatment effect of cefepime versus piperacillin-tazobactam on acute kidney injury or death, but fewer days-alive-and-free-of delirium and coma with cefepime.

5/5 Gold Standard
Evidence Meter · 5/5

Gold-Standard Human Evidence

Backed by randomized controlled human trials or a formal meta-analysis pooling multiple clinical studies.

1 min readAmerican Journal of Respiratory and Critical Care Medicine
GASTROENTEROLOGY · REAL-WORLD COHORT

Hospitalisation in cirrhosis is linked to distinct gut microbiome structural and functional profiles: a multinational metagenomic study

Hospitalisation, regardless of country, is characterised by loss of short-chain fatty acid-producing taxa, functional shifts, ARG and pathway changes. Gut microbiome composition and function are associated with short-term hospitalisation risk and provide additional prognostic information beyond clinical variables in a multicountry cohort.

3/5 Observational
Evidence Meter · 3/5

Real-World Observation

Finds meaningful patterns in human health records or cohorts, though observational data cannot prove direct cause.

1 min readGut

Patient & Student Companion

Everyday Lab & Drug Translator

Instant plain-English guides for common blood tests and prescriptions—what normal ranges mean, what high/low values signal, and what to ask your clinician.

Lab Marker3-Month Blood Sugar

HbA1c

Measures the percentage of red blood cell hemoglobin coated with glucose over roughly 90 days.

Normal: below 5.7% · Prediabetes: 5.7%–6.4%

6.5% or higher on two tests diagnoses diabetes; very low values can occur alongside hypoglycemia or hemolytic anemia.

Ask your doctor: “Does my HbA1c match my daily fasting/post-meal glucose trends?”

Lab MarkerArtery Plaque Carrier

LDL Cholesterol

Low-density lipoprotein particles that carry cholesterol into blood vessel walls when circulating in excess.

General optimal: < 100 mg/dL (< 70 or < 55 mg/dL in high-risk hearts)

Sustained elevated LDL accelerates arterial plaque buildup; alongside ApoB, lowering LDL consistently cuts heart attack risk.

Ask your doctor: “Should we also check ApoB or Lipoprotein(a) to gauge my true plaque risk?”

Lab MarkerBone & Immune Hormone

Vitamin D (25-OH)

Blood storage marker reflecting sun-made and dietary vitamin D essential for calcium absorption and bone remodeling.

Sufficient: 20–50 ng/mL (50–125 nmol/L)

Levels under 12–20 ng/mL risk bone softening and secondary hyperparathyroidism; mega-dosing rarely beats correcting true deficiency.

Ask your doctor: “Do my labs actually show deficiency, or is a standard maintenance dose enough?”

Lab MarkerThyroid Thermostat

TSH

Pituitary hormone that signals your thyroid gland to speed up or slow down metabolism.

Typical adult range: ~0.4–4.5 mIU/L

Paradoxically, HIGH TSH usually signals an underactive thyroid (hypothyroidism), while LOW TSH points toward an overactive thyroid.

Ask your doctor: “If my TSH is borderline, should we re-test Free T4 before adjusting anything?”

Lab MarkerKidney Filter Rate

eGFR

Estimated glomerular filtration rate—how many milliliters of blood your kidneys filter every minute.

Healthy adult filter rate: 90+ mL/min/1.73m²

Values persistently below 60 for 3+ months (or elevated urine albumin) mark chronic kidney disease; single dips can simply reflect dehydration or NSAID use.

Ask your doctor: “Should we pair eGFR with a urine albumin-to-creatinine test (uACR)?”

Lab MarkerInflammation Signal

hs-CRP

High-sensitivity C-reactive protein released by the liver in response to infection, tissue stress, or vascular inflammation.

Low cardiovascular risk: < 1.0 mg/L · Elevated: > 3.0 mg/L

Mild chronic elevations flag vascular inflammation; readings above 10 mg/L usually reflect an acute cold, injury, or autoimmune flare.

Ask your doctor: “Was my CRP elevated because of a recent infection, or is it worth repeating when healthy?”

MedicationIncretin Agonists

GLP-1s

Medications (e.g., semaglutide, tirzepatide) mimicking gut satiety hormones to lower blood sugar, slow stomach emptying, and quiet brain appetite signals.

Major RCTs show 12%–22% average weight loss & 20% fewer CV events in high-risk adults

Common early effects include nausea or reflux; maintaining protein intake and resistance exercise helps preserve lean muscle mass.

Ask your doctor: “If I start a GLP-1, how do we protect lean muscle and plan long-term dosing?”

MedicationHMG-CoA Reductase Inhibitors

Statins

First-line daily medications that curb liver cholesterol synthesis and boost LDL plaque particle clearance.

Lowers LDL 30%–55% depending on dose intensity

Decades of randomized trials confirm durable reductions in heart attack, stroke, and cardiovascular death; true severe muscle injury is rare.

Ask your doctor: “What is my 10-year cardiovascular risk score, and what LDL target fits me?”

MedicationFirst-Line Metabolic Therapy

Metformin

Oldest, safest first-line type 2 diabetes drug that reduces excess liver glucose output and improves insulin sensitivity.

Lowers HbA1c by ~1.0%–1.5% without causing low blood sugar alone

Extended-release tablets cut stomach upset dramatically; long-term users should periodically monitor Vitamin B12 and kidney function (eGFR).

Ask your doctor: “Should we check my Vitamin B12 level if I have been on metformin for several years?”

MedicationSerotonin Reuptake Inhibitors

SSRIs

Medications that increase synaptic serotonin availability over 2–6 weeks to treat major depression, OCD, and anxiety disorders.

Full clinical response typically emerges at weeks 4–8

Stopping abruptly can trigger temporary brain-zap withdrawal symptoms; tapering slowly with a clinician avoids discontinuation discomfort.

Ask your doctor: “How long should we evaluate a dose before deciding whether to adjust or combine with CBT?”

SupplementCofactor Mineral

Magnesium

Essential mineral powering 300+ enzymes across nerve firing, muscle relaxation, blood pressure, and ATP energy metabolism.

Adult daily target: 310–420 mg/day from food + supplements

Standard blood serum tests miss mild tissue depletion; glycinate/citrate absorb better than oxide, while high supplemental doses can loosen stools.

Ask your doctor: “Are any of my prescription medicines lowering my magnesium stores?”