Evidence map›Paper›PMID 21783215›Full record

ArticleSurgery2011

Efferent vagal nerve stimulation attenuates acute lung injury following burn: The importance of the gut-lung axis.

Michael J Krzyzaniak, Carrie Y Peterson, Gerald Cheadle, William Loomis, Paul Wolf, Vince Kennedy, James G Putnam, Vishal Bansal, Brian Eliceiri, Andrew Baird and 1 more

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04514627 (Neuromodulation With Percutaneous Electrical Nerve Field Stimulation for Adults With COVID-19), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.5field-weighted citation impact, top 6% 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.

NCT04514627 nacompletednot on this mapstarted 2020, after this paper: background citation

Neuromodulation With Percutaneous Electrical Nerve Field Stimulation for Adults With COVID-19

TypeinterventionalSponsorOlive View-UCLA Education & Research InstituteRan2020 to 2022Enrolled55ConditionsCOVID-19ArmsAuricular percutaneous neurostimulation
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 53 citations in OpenAlex.

  1. Review
  2. Review
  3. Reducing the excessive inflammation after burn injury in aged mice by maintaining a healthier intestinal microbiome.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2024
    Article
  4. Article
  5. Article
  6. Article
  7. Integration strategy of network pharmacology in Traditional Chinese Medicine: a narrative review.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2022
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Cognition-Enhancing Vagus Nerve Stimulation Alters the Epigenetic Landscape.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2019
    Article
  14. Article
  15. Tissue Pharmacology of Da-Cheng-Qi Decoction in Experimental Acute Pancreatitis in Rats.Evidence-based complementary and alternative medicine : eCAM · 2015
    Article
  16. Article
  17. Vagus nerve stimulation blocks vascular permeability following burn in both local and distal sites.Burns : journal of the International Society for Burn Injuries · 2013
    Article
  18. 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

11 authors at 1 institution in 1 country.

Michael J KrzyzaniakDivision of Trauma, Surgical Critical Care, and Burns, Department of Surgery, University of California, San Diego School of Medicine, San Diego, CA, USA.
Carrie Y Peterson
Gerald Cheadle
William Loomis
Paul Wolf
Vince Kennedy
James G Putnam
Vishal Bansal
Brian Eliceiri
Andrew Baird
Raul Coimbra
University of California, San Diego · US

Funding

A Combinatorial Approach to Wound Healing for Protein, Gene and Cell TherapeuticsP20GM078421 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BAIRD, ANDREW · 2006 to 2009
$3.4M
NIGMS NIH HHS P20 GM078421
6 · The paper itself

Abstract

backgroundThe purpose of this study was to assess acute lung injury when protection to the gut mucosal barrier offered by vagus nerve stimulation is eliminated by an abdominal vagotomy.

methodsMale balb/c mice were subjected to 30% total body surface area steam burn with and without electrical stimulation to the right cervical vagus nerve. A cohort of animals were subjected to abdominal vagotomy. Lung histology, myeloperoxidase and ICAM-1 immune staining, myeloperoxidase enzymatic assay, and tissue KC levels were analyzed 24 hours after burn. Additionally, lung IkB-α, NF-kB immunoblots, and NF-kB-DNA binding measured by photon emission analysis using NF-kB-luc transgenic mice were performed.

resultsSix hours post burn, phosphorylation of both NF-kB p65 and IkB-α were observed. Increased photon emission signal was seen in the lungs of NF-kB-luc transgenic animals. Vagal nerve stimulation blunted NF-kB activation similar to sham animals whereas abdominal vagotomy eliminated the anti-inflammatory effect. After burn, MPO positive cells and ICAM-1 expression in the lung endothelium was increased, and lung histology demonstrated significant injury at 24 hours. Vagal nerve stimulation markedly decreased neutrophil infiltration as demonstrated by MPO immune staining and enzyme activity. Vagal stimulation also markedly attenuated acute lung injury at 24 hours. The protective effects of vagal nerve stimulation were reversed by performing an abdominal vagotomy.

conclusionVagal nerve stimulation is an effective strategy to protect against acute lung injury following burn. Moreover, the protective effects of vagal nerve stimulation in the prevention of acute lung injury are eliminated by performing an abdominal vagotomy. These results establish the importance of the gut-lung axis after burn in the genesis of acute lung injury.

Indexed as

Acute Lung InjuryAnimalsBiopsy, NeedleBurnsDisease Models, AnimalEnzyme-Linked Immunosorbent AssayGastrointestinal TractImmunoblottingImmunohistochemistryIntercellular Adhesion Molecule-1Intestinal MucosaMaleMiceMice, Inbred BALB CPeroxidaseRandom AllocationIntercellular Adhesion Molecule-1Peroxidase

Identifiers

PMID21783215
PMCPMC4251587
OpenAlexW2047954037

What OpenQuestion holds

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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.