Evidence map›Paper›PMID 15213626›Full record

ArticleAnnals of surgery2004

Effect of simultaneous inhibition of TNF-alpha production and xanthine oxidase in experimental acute pancreatitis: the role of mitogen activated protein kinases.

Javier Pereda, Luis Sabater, Norberto Cassinello, Luis Gómez-Cambronero, Daniel Closa, Emma Folch-Puy, Luis Aparisi, Julio Calvete, Miguel Cerdá, Salvador Lledó and 2 more

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 2% of its field
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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 125 citations in OpenAlex.

  1. Pooled it
  2. Acute pancreatitis: mechanisms and therapeutic approaches.Signal transduction and targeted therapy · 2026
    Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Rhein Protects Against Severe Acute PancreatitisFrontiers in pharmacology · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Mathematical model of chronic pancreatitis.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Article
  14. Article
  15. Article
  16. Leukocyte-specific protein 1 regulates neutrophil recruitment in acute lung inflammation.American journal of physiology. Lung cellular and molecular physiology · 2015
    Article
  17. Drug Therapy for Acute Pancreatitis.Current treatment options in gastroenterology · 2015
    Article
  18. Review
  19. Article
  20. Immunomodulatory therapies for acute pancreatitis.World journal of gastroenterology · 2014
    Review
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

12 authors at 2 institutions in 1 country.

Javier PeredaDepartment of Physiology, University of Valencia, Spain.
Luis Sabater
Norberto Cassinello
Luis Gómez-Cambronero
Daniel Closa
Emma Folch-Puy
Luis Aparisi
Julio Calvete
Miguel Cerdá
Salvador Lledó
José Viña
Juan Sastre
Institut d'Investigacions Biomèdiques de Barcelona · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the effects of inhibiting both tumor necrosis factor (TNF)-alpha production and xanthine oxidase activity on the inflammatory response, mitogen-activated protein kinase (MAPK) activation and mortality in necrotizing acute pancreatitis in rats. SUMMARY BACKGROUND DATA: Pancreatic injury triggers 2 major pathways involved in the systemic effects of severe acute pancreatitis: pro-inflammatory cytokines and oxidative stress.

methodsPancreatitis was induced by intraductal infusion of 3.5% sodium taurocholate. We examined whether treatment with oxypurinol, a specific inhibitor of xanthine oxidase, and/or pentoxifylline, an inhibitor of TNF-alpha production, affects pancreatic damage, ascites, lung inflammation, and MAPK phosphorylation.

resultsOxypurinol prevented p38 phosphorylation in the pancreas and partially avoided the rise in lung myeloperoxidase activity. Pentoxifylline prevented erk 1/2 and JNK phosphorylation in the pancreas, and it partially reduced ascites and the rise in lung myeloperoxidase activity. Combined treatment with oxypurinol and pentoxifylline almost completely abolished ascites, MAPK phosphorylation in the pancreas, and the increase in lung myeloperoxidase activity. Histology revealed a reduction in pancreatic and lung damage. These changes were associated with a significant improvement of survival.

conclusions: Simultaneous inhibition of TNF-alpha production and xanthine oxidase activity greatly reduced local and systemic inflammatory response in acute pancreatitis and decreased mortality rate. These effects were associated with blockade of the 3 major MAPKs.

Indexed as

AnimalsAscitesEnzyme ActivationEnzyme InhibitorsInflammation MediatorsLungMaleMitogen-Activated Protein KinasesOxidative StressOxypurinolPancreasPancreatitis, Acute NecrotizingPentoxifyllinePeroxidasePhosphorylationRatsEnzyme InhibitorsInflammation MediatorsMitogen-Activated Protein KinasesOxypurinolPentoxifyllinePeroxidaseTumor Necrosis Factor-alphaXanthine Oxidase

Identifiers

PMID15213626
PMCPMC1356382
OpenAlexW2088279961

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.