Evidence map›Paper›PMID 20022315›Full record

ArticleAmerican journal of obstetrics and gynecology2010

Dose-response effects of betamethasone on maturation of the fetal sheep lung.

Matthias Loehle, Matthias Schwab, Susan Kadner, Kristal M Maner, Jeffrey S Gilbert, J Thomas Brenna, Stephen P Ford, Peter W Nathanielsz, Mark J Nijland

Abstract read
In one paragraph

Article in American journal of obstetrics and gynecology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

17 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. What is the evidence? Updates in the use of antenatal corticosteroids for patients at risk of preterm birth.European journal of obstetrics & gynecology and reproductive biology: X · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. LPS-induced chorioamnionitis and antenatal corticosteroids modulate Shh signaling in the ovine fetal lung.American journal of physiology. Lung cellular and molecular physiology · 2012
    Article
  15. Article
  16. Controversy: antenatal steroids.Clinics in perinatology · 2011
    Review
  17. Chronic lung disease in preterm lambs: effect of daily vitamin A treatment on alveolarization.American journal of physiology. Lung cellular and molecular physiology · 2010
    Article
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

9 authors at 5 institutions in 2 countries.

Matthias LoehleDepartment of Neurology, University of Jena, Jena, Germany.
Matthias Schwab
Susan Kadner
Kristal M Maner
Jeffrey S Gilbert
J Thomas Brenna
Stephen P Ford
Peter W Nathanielsz
Mark J Nijland
The University of Texas Health Science Center at San Antonio · USCornell University · USFriedrich Schiller University Jena · DENew York University · USUniversity of Wyoming · US

Funding

PARTURITION AND FETAL PRIMATE HYPOTHALAMIC FUNCTIONP01HD021350 · NICHD · UNIVERSITY OF WYOMING · PI NIJLAND, MARK J · 1987 to 2018
$19.9M
GLUCOCORTICOID PROGRAMMING OF THE PITUITARY-ADRENAL AXISR01AG020880 · NIA · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI NATHANIELSZ, PETER W · 2001 to 2005
$1.6M
Glucocorticoid Programming of the Peripheral VasculatureR01HL068649 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI NATHANIELSZ, PETER W. · 2004 to 2007
$1.5M
NHLBI NIH HHS R01 HL068649NIA NIH HHS R01 AG020880NICHD NIH HHS P01 HD021350
6 · The paper itself

Abstract

objectiveGlucocorticoid administration to women in preterm labor improves neonatal mortality and morbidity. Fetal exposure to glucocorticoid levels higher than those appropriate to the current gestational stage has multiple organ system effects. Some, eg, fetal hypertension, are maximal at lower than the clinical dose. We hypothesized that the clinical dose has supramaximal lung maturational effects. STUDY

designWe evaluated the full, half, and quarter clinical betamethasone dose (12 mg/70 kg or 170 microg/kg intramuscularly twice 24 hours apart) on fetal sheep lung pressure volume curves (PVC) after 48 hours' exposure at 0.75 gestation. We measured key messenger RNAs and protein products that affect lung function and total lung dipalmitoyl phosphatidyl choline.

resultsFull and half doses had similar PVC and total lung dipalmitoyl phosphatidyl choline effects. Messenger RNA for surfactant proteins A, B, and D and elastin increased in a dose-dependent fashion.

conclusionHalf the clinical betamethasone dose produces maximal PVC improvement in fetal sheep at 0.75 gestation.

Indexed as

1,2-DipalmitoylphosphatidylcholineAnimalsBetamethasoneDose-Response Relationship, DrugFemaleFetal Organ MaturityFetal WeightLungOrgan SizePregnancyPulmonary SurfactantsRNA, MessengerSheep1,2-DipalmitoylphosphatidylcholineBetamethasonePulmonary SurfactantsRNA, Messenger

Identifiers

PMID20022315
PMCPMC2815247
OpenAlexW2168233879

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.