Evidence map›Paper›PMID 20199666›Full record

ArticleRespiratory research2010

Mechanical ventilation modulates TLR4 and IRAK-3 in a non-infectious, ventilator-induced lung injury model.

Jesús Villar, Nuria E Cabrera, Milena Casula, Carlos Flores, Francisco Valladares, Lucio Díaz-Flores, Mercedes Muros, Arthur S Slutsky, Robert M Kacmarek

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
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  7. Selective Role of Vinculin in Contractile Mechanisms of Endothelial Permeability.American journal of respiratory cell and molecular biology · 2016
    Article
  8. Article
  9. [Ventilation as a trigger for organ dysfunction and sepsis].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2016
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Ventilator-induced lung injury. Similarity and differences between children and adults.American journal of respiratory and critical care medicine · 2014
    Article
  15. Article
  16. Article
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  18. Article
  19. 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

9 authors at 7 institutions in 4 countries.

Jesús VillarCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Spain. jesus.villar54@gmail.com
Nuria E Cabrera
Milena Casula
Carlos Flores
Francisco Valladares
Lucio Díaz-Flores
Mercedes Muros
Arthur S Slutsky
Robert M Kacmarek
Hospital Universitario Nuestra Señora de Candelaria · ESInstituto de Salud Carlos III · ESCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESHospital Universitario de Gran Canaria Doctor Negrín · ESMassachusetts General Hospital · USUniversidad de La Laguna · ESUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious experimental studies have shown that injurious mechanical ventilation has a direct effect on pulmonary and systemic immune responses. How these responses are propagated or attenuated is a matter of speculation. The goal of this study was to determine the contribution of mechanical ventilation in the regulation of Toll-like receptor (TLR) signaling and interleukin-1 receptor associated kinase-3 (IRAK-3) during experimental ventilator-induced lung injury.

methodsProspective, randomized, controlled animal study using male, healthy adults Sprague-Dawley rats weighing 300-350 g. Animals were anesthetized and randomized to spontaneous breathing and to two different mechanical ventilation strategies for 4 hours: high tidal volume (VT) (20 ml/kg) and low VT (6 ml/kg). Histological evaluation, TLR2, TLR4, IRAK3 gene expression, IRAK-3 protein levels, inhibitory kappa B alpha (IkappaBalpha), tumor necrosis factor-alpha (TNF-alpha) and interleukin-6 (IL6) gene expression in the lungs and TNF-alpha and IL-6 protein serum concentrations were analyzed.

resultsHigh VT mechanical ventilation for 4 hours was associated with a significant increase of TLR4 but not TLR2, a significant decrease of IRAK3 lung gene expression and protein levels, a significant decrease of IkappaBalpha, and a higher lung expression and serum concentrations of pro-inflammatory cytokines.

conclusionsThe current study supports an interaction between TLR4 and IRAK-3 signaling pathway for the over-expression and release of pro-inflammatory cytokines during ventilator-induced lung injury. Our study also suggests that injurious mechanical ventilation may elicit an immune response that is similar to that observed during infections.

Indexed as

Disease Models, AnimalAnimalsCytokinesHumansInterleukin-1 Receptor-Associated KinasesMaleRatsRats, Sprague-DawleyRespiration, ArtificialRespiratory Tract InfectionsToll-Like Receptor 4Ventilator-Induced Lung InjuryCytokinesInterleukin-1 Receptor-Associated KinasesTlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID20199666
PMCPMC2841148
OpenAlexW2122887885

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.