Evidence map›Paper›PMID 21282501›Full record

ArticleCirculation2011

Inhaled nitrite reverses hemolysis-induced pulmonary vasoconstriction in newborn lambs without blood participation.

Arlin B Blood, Hobe J Schroeder, Michael H Terry, Jeanette Merrill-Henry, Shannon L Bragg, Kurt Vrancken, Taiming Liu, Jason L Herring, Lawrence C Sowers, Sean M Wilson and 1 more

Abstract read
In one paragraph

Article in Circulation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.5field-weighted citation impact, top 21% 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

23 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
  3. HAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Article
  4. Review
  5. Review
  6. The role of gasotransmitters in neonatal physiology.Nitric oxide : biology and chemistry · 2020
    Review
  7. Article
  8. Article
  9. Review
  10. Nitrite potentiates the vasodilatory signaling of S-nitrosothiols.Nitric oxide : biology and chemistry · 2018
    Article
  11. Nitric oxide pathology and therapeutics in sickle cell disease.Clinical hemorheology and microcirculation · 2018
    Article
  12. Article
  13. Review
  14. Article
  15. Nitrite: on the journey from toxin to therapy.Clinical pharmacokinetics · 2015
    Article
  16. Working with nitric oxide and hydrogen sulfide in biological systems.American journal of physiology. Lung cellular and molecular physiology · 2015
    Review
  17. Article
  18. Free hemoglobin induction of pulmonary vascular disease: evidence for an inflammatory mechanism.American journal of physiology. Lung cellular and molecular physiology · 2012
    Article
  19. Nitric oxide: considerations for the treatment of ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2012
    Review
  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

11 authors at 1 institution in 1 country.

Arlin B BloodDepartment of Pediatrics, Division of Neonatology, Center for Perinatal Biology, Loma Linda University School of Medicine, Loma Linda, CA, USA. ablood@llu.edu
Hobe J Schroeder
Michael H Terry
Jeanette Merrill-Henry
Shannon L Bragg
Kurt Vrancken
Taiming Liu
Jason L Herring
Lawrence C Sowers
Sean M Wilson
Gordon G Power
Loma Linda University · US

Funding

Role of nitrite and hemoglobin in vascular NO homeostasis in the fetus and adultR01HL095973 · NHLBI · LOMA LINDA UNIVERSITY · PI BLOOD, ARLIN B · 2009 to 2013
$1.9M
NHLBI NIH HHS HL095973NHLBI NIH HHS R01 HL095973
6 · The paper itself

Abstract

backgroundNitrite can be converted to nitric oxide (NO) by a number of different biochemical pathways. In newborn lambs, an aerosol of inhaled nitrite has been found to reduce pulmonary blood pressure, possibly acting via conversion to NO by reaction with intraerythrocytic deoxyhemoglobin. If so, the vasodilating effects of nitrite would be attenuated by free hemoglobin in plasma that would rapidly scavenge NO. METHODS AND

resultsPulmonary vascular pressures and resistances to flow were measured in anesthetized newborn lambs. Plasma hemoglobin concentrations were then elevated, resulting in marked pulmonary hypertension. This effect was attenuated if infused hemoglobin was first oxidized to methemoglobin, which does not scavenge NO. These results further implicate NO as a tonic pulmonary vasodilator. Next, while free hemoglobin continued to be infused, the lambs were given inhaled NO gas (20 ppm), inhaled sodium nitrite aerosol (0.87 mol/L), or an intravascular nitrite infusion (3 mg/h bolus, 5 mg · kg⁻¹ · h⁻¹ infusion). Inhaled NO and inhaled nitrite aerosol both resulted in pulmonary vasodilation. Intravascular infusion of nitrite, however, did not. Increases in exhaled NO gas were observed in lambs while breathing the nitrite aerosol (≈ 20 ppb NO) but not during intravascular infusion of nitrite.

conclusionsWe conclude that the pulmonary vasodilating effect of inhaled nitrite results from its conversion to NO in airway and parenchymal lung tissue and is not dependent on reactions with deoxyhemoglobin in the pulmonary circulation. Inhaled nitrite aerosol remains a promising candidate to reduce pulmonary hypertension in clinical application.

Indexed as

Administration, InhalationAnimalsAnimals, NewbornHemoglobinsHemolysisHypertension, PulmonaryLungNitric OxideNitritesPulmonary CirculationSheepVasoconstrictionVasodilator AgentsHemoglobinsNitric OxideNitritesVasodilator Agents

Identifiers

PMID21282501
PMCPMC3077283
OpenAlexW1969103666

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.