Evidence map›Paper›PMID 15894604›Full record

ArticleAmerican journal of respiratory and critical care medicine2005

5-Lipoxygenase deficiency prevents respiratory failure during ventilator-induced lung injury.

Pietro Caironi, Fumito Ichinose, Rong Liu, Rosemary C Jones, Kenneth D Bloch, Warren M Zapol

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Impairment of hypoxic pulmonary vasoconstriction in acute respiratory distress syndrome.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Functional genomic assessment of phosgene-induced acute lung injury in mice.American journal of respiratory cell and molecular biology · 2013
    Article
  14. Article
  15. Article
  16. Genetically manipulated mouse models of lung disease: potential and pitfalls.American journal of physiology. Lung cellular and molecular physiology · 2012
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Pietro CaironiDepartment of Anesthesia and Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, 02114, USA.
Fumito Ichinose
Rong Liu
Rosemary C Jones
Kenneth D Bloch
Warren M Zapol
Harvard University · US

Funding

BMPR2 and the Pathogenesis of Pulmonary HypertensionR01HL074352 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BLOCH, KENNETH D · 2003 to 2011
$3.7M
INHALED NITRIC OXIDER01HL042397 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ZAPOL, WARREN MYRON · 1990 to 2007
$2.8M
Nitric Oxide/cGMP/Endotoxin-Induced Myocardial DysfunctK08HL071987 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ICHINOSE, FUMITO · 2004 to 2008
$653k
NHLBI NIH HHS HL-42397NHLBI NIH HHS HL-71987NHLBI NIH HHS HL-74352
6 · The paper itself

Abstract

rationaleMechanical ventilation with high VT (HVT) progressively leads to lung injury and decreased efficiency of gas exchange. Hypoxic pulmonary vasoconstriction (HPV) directs blood flow to well-ventilated lung regions, preserving systemic oxygenation during pulmonary injury. Recent experimental studies have revealed an important role for leukotriene (LT) biosynthesis by 5-lipoxygenase (5LO) in the impairment of HPV by endotoxin.

objectivesTo investigate whether or not impairment of HPV contributes to the hypoxemia associated with HVT and to evaluate the role of LTs in ventilator-induced lung injury.

methodsWe studied wild-type and 5LO-deficient mice ventilated for up to 10 hours with low VT (LVT) or HVT.

resultsIn wild-type mice, HVT, but not LVT, increased pulmonary vascular permeability and edema formation, impaired systemic oxygenation, and reduced survival. HPV, as reflected by the increase in left pulmonary vascular resistance induced by left mainstem bronchus occlusion, was markedly impaired in animals ventilated with HVT. HVT ventilation increased bronchoalveolar lavage levels of LTs and neutrophils. In 5LO-deficient mice, the HVT-induced increase of pulmonary vascular permeability and worsening of respiratory mechanics were markedly attenuated, systemic oxygenation was preserved, and survival increased. Moreover, in 5LO-deficient mice, HVT ventilation did not impair the ability of left mainstem bronchus occlusion to increase left pulmonary vascular resistance. Administration of MK886, a 5LO-activity inhibitor, or MK571, a selective cysteinyl-LT(1) receptor antagonist, largely prevented ventilator-induced lung injury.

conclusionsThese results indicate that LTs play a central role in the lung injury and impaired oxygenation induced by HVT ventilation.

Indexed as

AnimalsArachidonate 5-LipoxygenaseLeukotrienesMiceMice, KnockoutModels, AnimalPulmonary CirculationRespiratory Distress SyndromeRespiratory InsufficiencyVasoconstrictionVentilators, MechanicalArachidonate 5-LipoxygenaseLeukotrienes

Identifiers

PMID15894604
PMCPMC2718472
OpenAlexW2014169018

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.