Evidence map›Paper›PMID 21788941›Full record

ArticleLaboratory investigation; a journal of technical methods and pathology2011

P-glycoprotein induction by breast milk attenuates intestinal inflammation in experimental necrotizing enterocolitis.

Yigit S Guner, Ashanti L Franklin, Nikunj K Chokshi, Shannon L Castle, Elizabeth Pontarelli, Jin Wang, Larry Wang, Nemani V Prasadarao, Jeffrey S Upperman, Anatoly V Grishin and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Laboratory investigation; a journal of technical methods and pathology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Necrotizing enterocolitis: It's not all in the gut.Experimental biology and medicine (Maywood, N.J.) · 2020
    Review
  5. Article
  6. Review
  7. Pathogenesis of neonatal necrotizing enterocolitis.Pediatric surgery international · 2015
    Review
  8. Article
  9. Article
  10. Toll-like receptor regulation of intestinal development and inflammation in the pathogenesis of necrotizing enterocolitis.Pathophysiology : the official journal of the International Society for Pathophysiology · 2014
    Article
  11. Review
  12. Keratinocyte growth factor-2 stimulates P-glycoprotein expression and function in intestinal epithelial cells.American journal of physiology. Gastrointestinal and liver physiology · 2013
    Article
  13. Article
  14. Article
  15. Structure-function relationships of human milk oligosaccharides.Advances in nutrition (Bethesda, Md.) · 2012
    Review
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 2 institutions in 1 country.

Yigit S GunerDivision of Pediatric Surgery, Saban Research Institute, Childrens Hospital Los Angeles, Los Angeles, CA 90027, USA.
Ashanti L Franklin
Nikunj K Chokshi
Shannon L Castle
Elizabeth Pontarelli
Jin Wang
Larry Wang
Nemani V Prasadarao
Jeffrey S Upperman
Anatoly V Grishin
Henri R Ford
Children's Hospital of Los Angeles · USUniversity of Southern California · US

Funding

PATHOGENESIS AND TREATMENT OF EXPERIMENTAL PERITONITISR01AI014032 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORD, HENRI R · 1985 to 2014
$3.4M
Pathogenesis of Experimental Necrotizing EnterocolitisR01AI049473 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FORD, HENRI R · 2002 to 2006
$1.7M
Tolerance to TLR Ligands in the Intestinal EpitheliumR21AI083612 · NIAID · CHILDREN'S HOSPITAL OF LOS ANGELES · PI GRISHIN, ANATOLY V · 2009 to 2010
$400k
NIAID NIH HHS AI014032NIAID NIH HHS AI049473NIAID NIH HHS AI083612NIAID NIH HHS R01 AI014032NIAID NIH HHS R01 AI049473NIAID NIH HHS R21 AI083612
6 · The paper itself

Abstract

P-glycoprotein (Pgp), a product of the multi-drug resistance gene MDR1a, is a broad specificity efflux ATP cassette transmembrane transporter that is predominantly expressed in epithelial tissues. Because mdr1a(-/-) mice tend to develop spontaneous colitis in bacteria-dependent manner, Pgp is believed to have a role in protection of the intestinal epithelium from luminal bacteria. Here we demonstrate that levels of Pgp in the small intestine of newborn rodents dramatically increase during breastfeeding, but not during formula feeding (FF). In rats and mice, levels of intestinal Pgp peak on days 3-7 and 1-5 of breastfeeding, respectively. The mdr1a(-/-) neonatal mice subjected to FF, hypoxia, and hypothermia have significantly higher incidence and pathology, as well as significantly earlier onset of necrotizing enterocolitis (NEC) than congenic wild type mice. Breast-fed mdr1a(-/-) neonatal mice are also more susceptible to intestinal damage caused by the opportunistic pathogen Cronobacter sakazakii that has been associated with hospital outbreaks of NEC. Breast milk, but not formula, induces Pgp expression in enterocyte cell lines in a dose- and time-dependent manner. High levels of ectopically expressed Pgp protect epithelial cells in vitro from apoptosis induced by C. sakazakii. Taken together, these results show that breast milk-induced expression of Pgp may have a role in the protection of the neonatal intestinal epithelium from injury associated with nascent bacterial colonization.

Indexed as

AnimalsAnimals, NewbornATP Binding Cassette Transporter, Subfamily BBlotting, WesternCronobacter sakazakiiDNA PrimersEnterobacteriaceae InfectionsEnterocolitis, NecrotizingFemaleFluorescent Antibody TechniqueGene Expression Regulation, DevelopmentalInflammationIntestine, SmallMiceMice, KnockoutMilkATP Binding Cassette Transporter, Subfamily BDNA Primersmultidrug resistance protein 3

Identifiers

PMID21788941
PMCPMC3909679
OpenAlexW2071454976

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.