Evidence map›Paper›PMID 21493723›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2011

Chronic continuous positive airway pressure (CPAP) reduces airway reactivity in vivo in an allergen-induced rabbit model of asthma.

Z Xue, Y Yu, H Gao, S J Gunst, R S Tepper

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03154762 (National Institute of Respiratory Diseases Mexico), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

NCT03154762 nacompletednot on this mapstarted 2017, after this paper: background citation

National Institute of Respiratory Diseases Mexico

TypeinterventionalSponsorNational Institute of Respiratory Diseases, MexicoRan2017 to 2017Enrolled20ConditionsAsthma AcuteArmsNIPPV, CPAP
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Molecular Mechanisms for the Mechanical Modulation of Airway Responsiveness.Journal of engineering and science in medical diagnostics and therapy · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Obesity in asthma: approaches to treatment.Current allergy and asthma reports · 2013
    Review
  15. Article
  16. Airway smooth muscle in the pathophysiology and treatment of asthma.Journal of applied physiology (Bethesda, Md. : 1985) · 2013
    Review
  17. Article
  18. Therapeutic options for severe asthma.Archives of medical science : AMS · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Z XueDepartment of Pediatrics, H. B. Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Y Yu
H Gao
S J Gunst
R S Tepper
Center for Children · USIndiana University School of Medicine

Funding

Smooth Muscle Mechanisms in Dynamic Airways PropertiesR01HL029289 · NHLBI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI GUNST, SUSAN J. · 1986 to 2020
$7.3M
Modulation of Airway Reactivity with Chronic Mechanical StrainR01HL048522 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI GUNST, SUSAN J., TEPPER, ROBERT S. · 1992 to 2017
$6.2M
Regulation of Actin Dynamics in Airway Smooth MuscleR01HL074099 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI GUNST, SUSAN J. · 2003 to 2011
$3.2M
SMOOTH MUSCLE MECHANISMS IN DYNAMIC AIRWAY PROPERTIESR23HL029289 · NHLBI · MAYO CLINIC COLL OF MEDICINE, ROCHESTER · PI GUNST, SUSAN J. · 1985 to 1985
–
NHLBI NIH HHS HL-29289NHLBI NIH HHS HL-48522NHLBI NIH HHS R01 HL029289NHLBI NIH HHS R01 HL074099
6 · The paper itself

Abstract

Previous studies have demonstrated that chronic mechanical strain produced by continuous positive airway pressure (CPAP) reduces in vivo airway reactivity in rabbits and ferrets. For CPAP to potentially have a therapeutic benefit for asthmatic subjects, the reduction in airway responsiveness would need to persist for 12-24 h after its discontinuation, require application for only part of the day, and be effective in the presence of atopic airway inflammation. In the present study, airway responsiveness to acetylcholine or methacholine was measured during mechanical ventilation following three different protocols in which active, nonanesthetized, tracheotomized rabbits were treated with High vs. Low CPAP (6 vs. 0 cmH(2)O). 1) High CPAP was applied continuously for 4 days followed by 1 day of Low CPAP; 2) High CPAP was applied at night and Low CPAP during the daytime for 4 days, and 3) High CPAP was applied for 4 days in animals following ovalbumin (Ova) sensitization and challenge. For all three protocols, treatment with High CPAP resulted in significantly reduced airway responsiveness compared with treatment with Low CPAP. Cumulatively, our in vivo results in rabbits suggest that high CPAP, even when applied only at night, produces a persistent reduction of airway responsiveness. In addition, CPAP reduces airway responsiveness even in the presence of atopic airway inflammation.

Indexed as

AllergensContinuous Positive Airway PressureAcetylcholineAirway ResistanceAnimalsAsthmaBiomechanical PhenomenaBronchial HyperreactivityBronchoalveolar Lavage FluidBronchoconstrictor AgentsHypersensitivity, ImmediateImmunohistochemistryMaleOvalbuminRabbitsAcetylcholineAllergensBronchoconstrictor AgentsOvalbumin

Identifiers

PMID21493723
PMCPMC3154695
OpenAlexW1965144920

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.