Evidence map›Paper›PMID 17684724›Full record

ArticleIntensive care medicine2007

Neuronal nitric oxide synthase deficiency decreases survival in bacterial peritonitis and sepsis.

Xizhong Cui, Virginia Besch, Alfia Khaibullina, Adrienne Hergen, Martha Quezado, Peter Eichacker, Zenaide M N Quezado

Abstract read
In one paragraph

Article in Intensive care medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Gases in Sepsis: Novel Mediators and Therapeutic Targets.International journal of molecular sciences · 2022
    Review
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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

7 authors at 2 institutions in 1 country.

Xizhong CuiCritical Care Medicine Department, National Institutes of Health Clinical Center, National Institutes of Health, Bethesda, MD, USA.
Virginia Besch
Alfia Khaibullina
Adrienne Hergen
Martha Quezado
Peter Eichacker
Zenaide M N Quezado
National Institutes of Health Clinical Center · USNational Institutes of Health · US

Funding

The Role Of Nitric Oxide Synthase 1 (nos1) In SepsisZ01CL008047 · CLC · CLINICAL CENTER · PI QUEZADO, ZENAIDE · 2002 to 2008
$273k
Anesthesia for children with rare diseasesZ01CL009009 · CLC · CLINICAL CENTER · PI QUEZADO, ZENAIDE · 2008 to 2008
$0k
Intramural NIH HHS Z01 CL008047Intramural NIH HHS Z01 CL009009
6 · The paper itself

Abstract

objectiveTo investigate the role of neuronal nitric oxide synthase (NOS1) in murine polymicrobial peritonitis and sepsis.

designRandomized experimental trial.

settingAnimal research facility. SUBJECTS: B6129S NOS1+/+ and B6;129S4 NOS-/- mice.

interventionsNOS1+/+ and NOS1-/- animals underwent cecal ligation and puncture (CLP) or sham surgery and received the NOS1 inhibitor 7-nitroindazole (7-NI) or vehicle. MEASUREMENTS AND MAIN

resultsAfter CLP, genetic deficiency and pharmacologic inhibition of NOS1 significantly increased risk of mortality [8.69 (3.27, 23.1), p<0.0001 and 1.71 (1.00, 2.92) p=0.05, hazard ratio of death (95% confidence interval) for NOS1-/- and 7-NI-treated NOS1+/+ respectively] compared with NOS1+/+ animals. In 7-NI-treated NOS1+/+ animals, there were increases (6 h) and then decreases (24 h), whereas in NOS-/- animals persistent increases in blood bacteria counts (p=0.04 for differing effects of 7-NI and NOS1-/-) were seen compared with NOS1(+/+) animals. After CLP, NOS1(-/-) had upregulation of inducible NOS and proinflammatory cytokines and greater increases in serum tumor necrosis factor-alpha and interleukin-6 levels compared with NOS1+/+ mice (all p<0.05). Following CLP, there were similar significant decreases in circulating leukocytes and lung lavage cells (p<or=0.0008) and significant increases in peritoneal lavage cells (p=0.0045) in all groups. Over 6 h and 24 h following CLP, compared with NOS1+/+, NOS-/- mice had significantly higher peritoneal cell concentrations {respectively 0.40+/-0.09 vs 0.79+/-0.15 [log(x10(4)cells/ml)] averaged over both times p=0.038}.

conclusionsDeficiency and inhibition of NOS1 increases mortality, possibly by increasing proinflammatory cytokine response and impairing bacterial clearance after CLP. These data suggest that NOS1 is important for survival, bacterial clearance, and regulation of cytokine response during infection and sepsis.

Indexed as

AnimalsFemaleGene ExpressionMiceNitric Oxide Synthase Type IPeritonitisRandom AllocationRisk AssessmentSepsisSurvival AnalysisUnited StatesNitric Oxide Synthase Type I

Identifiers

PMID17684724
PMCPMC3380429
OpenAlexW1986704316

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.