Evidence map›Paper›PMID 17047170›Full record

ArticleJPEN. Journal of parenteral and enteral nutrition

Impact of caloric intake on parenteral nutrition-associated intestinal morphology and mucosal barrier function.

Xiaoyi Sun, Ariel U Spencer, Hua Yang, Emir Q Haxhija, Daniel H Teitelbaum

Open access · bronzeAbstract read
In one paragraph

Article in JPEN. Journal of parenteral and enteral nutrition. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

21 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
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  8. Effects ofJournal of animal science and biotechnology · 2018
    Article
  9. Effect of minimal enteral feeding on recovery in a methotrexate-induced gastrointestinal mucositis rat model.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016
    Article
  10. Article
  11. TPN-associated intestinal epithelial cell atrophy is modulated by TLR4/EGF signaling pathways.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2015
    Article
  12. Article
  13. Glutamate prevents intestinal atrophy via luminal nutrient sensing in a mouse model of total parenteral nutrition.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2014
    Article
  14. Review
  15. Glutamine prevents total parenteral nutrition-associated changes to intraepithelial lymphocyte phenotype and function: a potential mechanism for the preservation of epithelial barrier function.Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research · 2010
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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

5 authors at 1 institution in 1 country.

Xiaoyi SunDepartment of Surgery, Section of Pediatric Surgery, University of Michigan, Mott Children's Hospital, Ann Arbor, Michigan 48109, USA.
Ariel U Spencer
Hua Yang
Emir Q Haxhija
Daniel H Teitelbaum
University of Michigan–Ann Arbor · US

Funding

TPN INDUCED CHANGES IN INTRAEPITHELIAL LYMPHOCYTESR01AI044076 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TEITELBAUM, DANIEL H · 2004 to 2014
$3.2M
NIAID NIH HHS R01 AI044076
6 · The paper itself

Abstract

backgroundParenteral nutrition (PN) is known to induce villus atrophy, epithelial cell (EC) apoptosis, and increase mucosal permeability. The study hypothesized that increasing amounts of energy delivery to mice would result in the best outcome, with the least effects on the mucosa.

methodsMice were randomized to enteral controls (saline infusion with ad libitum enteral food) or to 1 of 3 PN groups (with no enteral nutrition): full (100% of daily average energy intake for the mouse), reduced (75% of energy intake) or very low (50% of energy intake). Mice received PN for 7 days. Mucosal morphology, EC apoptosis, and bacterial translocation were assessed.

resultsVillus height decreased significantly with decreasing levels of caloric intake and was significantly lower in all PN groups compared with controls. Body weight loss was significantly greater in PN groups vs controls and was greatest in mice with the lowest caloric delivery. A consistent trend toward a higher EC apoptotic index with decreasing caloric intake was observed, and apoptosis in all PN groups exceeded controls (2-fold). All PN groups demonstrated greater bacterial translocation than controls.

conclusionsPN induces intestinal EC apoptosis and villus and crypt atrophy, even at 100% of predicted energy needs, and such changes increased with greater reduction of energy intake. This study supports a concept that lack of enteral nutrition, rather than absolute caloric levels, is responsible for many of the adverse effects of PN. The study also allows the investigators to better optimize a mouse model of PN delivery.

Indexed as

Intestinal MucosaAnimalsApoptosisBacterial TranslocationCell Membrane PermeabilityEnergy IntakeEnteral NutritionMaleMiceMice, Inbred C57BLParenteral NutritionRandom AllocationSpecific Pathogen-Free OrganismsWeight Gain

Identifiers

PMID17047170
PMCPMC1626654
OpenAlexW2068964735

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.