Evidence map›Paper›PMID 19109954›Full record

ArticleGastroenterology2009

Pulmonary angiogenesis in a rat model of hepatopulmonary syndrome.

Junlan Zhang, Bao Luo, Liping Tang, Yongming Wang, Cecil R Stockard, Inga Kadish, Thomas Van Groen, William E Grizzle, Selvarangan Ponnazhagan, Michael B Fallon

Open access · bronzeAbstract read
In one paragraph

Article in Gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

69 citing papers in PubMed, 200 citations in OpenAlex.

  1. Sorafenib in Hepatopulmonary Syndrome: A Randomized, Double-Blind, Placebo-Controlled Trial.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2019
    Trial
  2. Article
  3. Review
  4. Article
  5. Interaction of inflammation and portal hypertension in cirrhosis progression.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  6. Review
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Article
  12. Article
  13. Cardiac Syndromes in Liver Disease: A Clinical Conundrum.Journal of clinical and translational hepatology · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Pulmonary Complications in Patients with Liver Cirrhosis.Journal of translational internal medicine · 2020
    Review
  19. Article
  20. Article

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

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

10 authors at 2 institutions in 1 country.

Junlan ZhangDepartment of Internal Medicine and Liver Center, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Bao Luo
Liping Tang
Yongming Wang
Cecil R Stockard
Inga Kadish
Thomas Van Groen
William E Grizzle
Selvarangan Ponnazhagan
Michael B Fallon
University of Alabama at Birmingham · USThe University of Texas Health Science Center at Houston · US

Funding

MEDIATORS OF PULMONARY VASODILATATION IN LIVER DISEASER01DK056804 · NIDDK · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FALLON, MICHAEL B · 2000 to 2013
$3.6M
TIGHT JUNCTION IN CHOLESTASIS--A MOLECULAR APPROACHK11DK002030 · NIDDK · YALE UNIVERSITY · PI FALLON, MICHAEL B · 1991 to 1995
–
NIDDK NIH HHS DK02030NIDDK NIH HHS R01 DK056804
6 · The paper itself

Abstract

BACKGROUND &

aimsHepatopulmonary syndrome (HPS), defined as intrapulmonary vasodilation, occurs in 10%-30% of cirrhotics and increases mortality. In a rat model of HPS induced by common bile duct ligation (CBDL), but not thioacetamide (TAA)-induced nonbiliary cirrhosis, lung capillary density increases, monocytes accumulate in the microvasculature, and signaling factors in the angiogenesis pathway (Akt and endothelial nitric oxide synthase [eNOS]) are activated. Pentoxifylline (PTX) directly decreases lung endothelial Akt and eNOS activation, blocks intravascular monocyte accumulation, and improves experimental HPS; we evaluated whether pulmonary angiogenesis develops in this model.

methodsTAA- and PTX-treated animals were evaluated following CBDL. Lung angiogenesis was assessed by quantifying factor VIII-positive microvessels and levels of von Willebrand factor (vWf), vascular endothelial cadherin (VE-cadherin), and proliferating cell nuclear antigen (PCNA). Angiogenic factors including phospho-Akt, phospho-eNOS, vascular endothelial growth factor (VEGF)-A, and phospho-VEGF receptor-2 (p-VEGFR-2) were compared and monocyte accumulation was assessed.

resultsFollowing CBDL, but not TAA exposure, rats developed HPS that was temporally correlated with increased numbers of lung microvessel; increased levels of vWf, VE-cadherin and PCNA; and activation of Akt and eNOS. Angiogenesis was accompanied by increased pulmonary VEGF-A and p-VEGFR-2 levels, with VEGF-A staining in accumulated intravascular monocytes and alveolar endothelial cells. Following CBDL, PTX-treated rats had reduced numbers of microvessels, reduced lung monocyte accumulation, downregulation of pulmonary angiogenic factors, and reduced symptoms of HPS.

conclusionsA specific increase in pulmonary angiogenesis occurs as experimental HPS develops, accompanied by activation of VEGF-A-associated angiogenic pathways. PTX decreases the angiogenesis, reduces the symptoms of HPS, and downregulates VEGF-A mediated pathways.

Indexed as

AngiostatinsAnimalsCommon Bile DuctDisease Models, AnimalEndostatinsHepatopulmonary SyndromeLigationMaleMicrocirculationNeovascularization, PathologicNitric Oxide Synthase Type IIIPentoxifyllineProliferating Cell Nuclear AntigenProto-Oncogene Proteins c-aktPulmonary CirculationRatsAngiostatinsEndostatinsNitric Oxide Synthase Type IIINos3 protein, ratPentoxifyllineProliferating Cell Nuclear AntigenProto-Oncogene Proteins c-aktThioacetamideVascular Endothelial Growth Factor Avascular endothelial growth factor A, ratVascular Endothelial Growth Factor Receptor-2Vasodilator Agents

Identifiers

PMID19109954
PMCPMC2827330
OpenAlexW2042382804

What OpenQuestion holds

Textmetadata
LicenceTDM
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.