Evidence map›Paper›PMID 21131401›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2011

Inflammation and lung maturation from stretch injury in preterm fetal sheep.

Noah H Hillman, Graeme R Polglase, J Jane Pillow, Masatoshi Saito, Suhas G Kallapur, Alan H Jobe

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

54 citing papers in PubMed, 87 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Mechanical stretch promotes sustained proliferation and inflammation in developing human airway smooth muscle.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  7. Preterm lung and brain responses to mechanical ventilation and corticosteroids.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Surfactant plus budesonide decreases lung and systemic responses to injurious ventilation in preterm sheep.American journal of physiology. Lung cellular and molecular physiology · 2020
    Article
  15. Review
  16. Article
  17. Article
  18. Effects of budesonide and surfactant in preterm fetal sheep.American journal of physiology. Lung cellular and molecular physiology · 2018
    Article
  19. Article
  20. 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

6 authors at 2 institutions in 2 countries.

Noah H HillmanDivision of Pulmonary Biology, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Ohio 45229-3039, USA. noah.hillman@cchmc.org
Graeme R Polglase
J Jane Pillow
Masatoshi Saito
Suhas G Kallapur
Alan H Jobe
University of Western Australia · AUUniversity of Cincinnati · US

Funding

Neonatal Resuscitation and Preterm Lung InjuryR01HD012714 · NICHD · LOS ANGELES COUNTY HARBOR-UCLA MED CTR · PI JOBE, ALAN H · 1985 to 2010
$2.8M
Lung Injury with Resuscitation of the PretermK08HL097085 · NHLBI · SAINT LOUIS UNIVERSITY · PI HILLMAN, NOAH H · 2009 to 2013
$644k
NHLBI NIH HHS K08 HL097085NICHD NIH HHS HD-12714NICHD NIH HHS R01 HD012714
6 · The paper itself

Abstract

Mechanical ventilation is a risk factor for the development of bronchopulmonary dysplasia in premature infants. Fifteen minutes of high tidal volume (V(T)) ventilation induces inflammatory cytokine expression in small airways and lung parenchyma within 3 h. Our objective was to describe the temporal progression of cytokine and maturation responses to lung injury in fetal sheep exposed to a defined 15-min stretch injury. After maternal anesthesia and hysterotomy, 129-day gestation fetal lambs (n = 7-8/group) had the head and chest exteriorized. Each fetus was intubated, and airway fluid was gently removed. While placental support was maintained, the fetus received ventilation with an escalating V(T) to 15 ml/kg without positive end-expiratory pressure (PEEP) for 15 min using heated, humidified 100% nitrogen. The fetus was then returned to the uterus for 1, 6, or 24 h. Control lambs received a PEEP of 2 cmH(2)O for 15 min. Tissue samples from the lung and systemic organs were evaluated. Stretch injury increased the early response gene Egr-1 and increased expression of pro- and anti-inflammatory cytokines within 1 h. The injury induced granulocyte/macrophage colony-stimulating factor mRNA and matured monocytes to alveolar macrophages by 24 h. The mRNA for the surfactant proteins A, B, and C increased in the lungs by 24 h. The airway epithelium demonstrated dynamic changes in heat shock protein 70 (HSP70) over time. Serum cortisol levels did not increase, and induction of systemic inflammation was minimal. We conclude that a brief period of high V(T) ventilation causes a proinflammatory cascade, a maturation of lung monocytic cells, and an induction of surfactant protein mRNA.

Indexed as

ActinsAnimalsCytokinesDisease Models, AnimalFemaleFetal Organ MaturityFetusHSP70 Heat-Shock ProteinsHumansInfant, NewbornInfant, PrematureInflammationLungLung InjuryPositive-Pressure RespirationPregnancyActinsCytokinesHSP70 Heat-Shock ProteinsPulmonary SurfactantsRNA, Messenger

Identifiers

PMID21131401
PMCPMC3043810
OpenAlexW2049216735

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.