Evidence map›Paper›PMID 17717604›Full record

Trial reportThe Journal of clinical investigation2007

Inhaled NO accelerates restoration of liver function in adults following orthotopic liver transplantation.

John D Lang, Xinjun Teng, Phillip Chumley, Jack H Crawford, T Scott Isbell, Balu K Chacko, Yuliang Liu, Nirag Jhala, D Ralph Crowe, Alvin B Smith and 10 more

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 108 papers.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed
16.0field-weighted citation impact, top 1% 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.

NCT00582010 phase2 / phase3completednot on this mapstarted 2008, after this paper: background citation

Effects of Inhaled Nitric Oxide on Ischemia-Reperfusion Injury in Human Liver During Transplantation

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2008 to 2012Enrolled80ConditionsReperfusion Injury, Liver InjuryArmsinhaled nitric oxide, nitrogen gas
NCT07125443 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Effect of Intraoperative Inhaled Nitric Oxide on Reperfusion Syndrome and Vasoplegia in Adult Liver Transplant Recipients: A Prospective Before-After Study

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2025 to 2027Enrolled260ConditionsLiver Diseases, Reperfusion Injury, VasoplegiaArmsProspective iNO Administration ("After" Group), No Intervention Retrospective "Before" Group
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 223 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Article
  12. Recent advances in the role of gasotransmitters in necroptosis.Apoptosis : an international journal on programmed cell death · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Reply to EleuteriAmerican journal of respiratory and critical care medicine · 2024
    Article
  18. Article
  19. Article
  20. Review

48 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 4 institutions in 1 country.

John D LangDepartment of Anesthesiology, University of Washington School of Medicine, Seattle, Washington 98108-1597, USA. jdlang@u.washington.edu
Xinjun Teng
Phillip Chumley
Jack H Crawford
T Scott Isbell
Balu K Chacko
Yuliang Liu
Nirag Jhala
D Ralph Crowe
Alvin B Smith
Richard C Cross
Luc Frenette
Eric E Kelley
Diana W Wilhite
Cheryl R Hall
Grier P Page
Michael B Fallon
J Steven Bynon
Devin E Eckhoff
Rakesh P Patel
University of Alabama at Birmingham · USUniversity of Washington · USCancer Research And Biostatistics · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemia/reperfusion (IR) injury in transplanted livers contributes to organ dysfunction and failure and is characterized in part by loss of NO bioavailability. Inhalation of NO is nontoxic and at high concentrations (80 ppm) inhibits IR injury in extrapulmonary tissues. In this prospective, blinded, placebo-controlled study, we evaluated the hypothesis that administration of inhaled NO (iNO; 80 ppm) to patients undergoing orthotopic liver transplantation inhibits hepatic IR injury, resulting in improved liver function. Patients were randomized to receive either placebo or iNO (n = 10 per group) during the operative period only. When results were adjusted for cold ischemia time and sex, iNO significantly decreased hospital length of stay, and evaluation of serum transaminases (alanine transaminase, aspartate aminotransferase) and coagulation times (prothrombin time, partial thromboplastin time) indicated that iNO improved the rate at which liver function was restored after transplantation. iNO did not significantly affect changes in inflammatory markers in liver tissue 1 hour after reperfusion but significantly lowered hepatocyte apoptosis. Evaluation of circulating NO metabolites indicated that the most likely candidate transducer of extrapulmonary effects of iNO was nitrite. In summary, this study supports the clinical use of iNO as an extrapulmonary therapeutic to improve organ function following transplantation.

Indexed as

Liver TransplantationAdministration, InhalationAdultAgedCell DeathFemaleHumansLength of StayLiverMaleMiddle AgedNitric OxideReactive Oxygen SpeciesReperfusion InjuryNitric OxideReactive Oxygen Species

Identifiers

PMID17717604
PMCPMC1950460
OpenAlexW2016928245

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.