Evidence map›Paper›PMID 22028672›Full record

ArticlePLoS genetics2011

HIF-VEGF pathways are critical for chronic otitis media in Junbo and Jeff mouse mutants.

Michael T Cheeseman, Hayley E Tyrer, Debbie Williams, Tertius A Hough, Paras Pathak, Maria R Romero, Helen Hilton, Sulzhan Bali, Andrew Parker, Lucie Vizor and 6 more

Open access · goldAbstract read
In one paragraph

Article in PLoS genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Dysregulation of immune response in otitis media.Expert reviews in molecular medicine · 2021
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Hearing Loss in Id1Frontiers in genetics · 2021
    Article
  7. Article
  8. Review
  9. Reviewing the Pathogenic Potential of the Otitis-Associated BacteriaFrontiers in cellular and infection microbiology · 2020
    Review
  10. Effect of vascular endothelial growth factor and its receptors in adult otitis media with effusion.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2019
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Panel 3: Genetics and Precision Medicine of Otitis Media.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2017
    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

16 authors at 2 institutions in 1 country.

Michael T CheesemanMRC Mammalian Genetics Unit, MRC Harwell, Harwell, United Kingdom. m.cheeseman@har.mrc.ac.uk
Hayley E Tyrer
Debbie Williams
Tertius A Hough
Paras Pathak
Maria R Romero
Helen Hilton
Sulzhan Bali
Andrew Parker
Lucie Vizor
Tom Purnell
Kate Vowell
Sara Wells
Mahmood F Bhutta
Paul K Potter
Steve D M Brown
Mary Lyon Centre at MRC Harwell · GBUniversity of Oxford · GB

Funding

Medical Research Council MC_U142670371Medical Research Council MC_U142684172Medical Research Council MC_U142684175Medical Research Council MC_UP_1502/1
6 · The paper itself

Abstract

Otitis media with effusion (OME) is the commonest cause of hearing loss in children, yet the underlying genetic pathways and mechanisms involved are incompletely understood. Ventilation of the middle ear with tympanostomy tubes is the commonest surgical procedure in children and the best treatment for chronic OME, but the mechanism by which they work remains uncertain. As hypoxia is a common feature of inflamed microenvironments, moderation of hypoxia may be a significant contributory mechanism. We have investigated the occurrence of hypoxia and hypoxia-inducible factor (HIF) mediated responses in Junbo and Jeff mouse mutant models, which develop spontaneous chronic otitis media. We found that Jeff and Junbo mice labeled in vivo with pimonidazole showed cellular hypoxia in inflammatory cells in the bulla lumen, and in Junbo the middle ear mucosa was also hypoxic. The bulla fluid inflammatory cell numbers were greater and the upregulation of inflammatory gene networks were more pronounced in Junbo than Jeff. Hif-1α gene expression was elevated in bulla fluid inflammatory cells, and there was upregulation of its target genes including Vegfa in Junbo and Jeff. We therefore investigated the effects in Junbo of small-molecule inhibitors of VEGFR signaling (PTK787, SU-11248, and BAY 43-9006) and destabilizing HIF by inhibiting its chaperone HSP90 with 17-DMAG. We found that both classes of inhibitor significantly reduced hearing loss and the occurrence of bulla fluid and that VEGFR inhibitors moderated angiogenesis and lymphangiogenesis in the inflamed middle ear mucosa. The effectiveness of HSP90 and VEGFR signaling inhibitors in suppressing OM in the Junbo model implicates HIF-mediated VEGF as playing a pivotal role in OM pathogenesis. Our analysis of the Junbo and Jeff mutants highlights the role of hypoxia and HIF-mediated pathways, and we conclude that targeting molecules in HIF-VEGF signaling pathways has therapeutic potential in the treatment of chronic OM.

Indexed as

AnimalsBlisterBody FluidsCell HypoxiaDisease Models, AnimalEar, MiddleGene Expression RegulationHearing LossHSP90 Heat-Shock ProteinsHumansHypoxia-Inducible Factor 1, alpha SubunitIndolesMiceMice, Inbred C3HMice, Inbred C57BLMice, Mutant StrainsHif1a protein, mouseHSP90 Heat-Shock ProteinsHypoxia-Inducible Factor 1, alpha SubunitIndolesNitroimidazolesPhthalazinespimonidazolePyridinesPyrrolesReceptors, Vascular Endothelial Growth FactorSunitinibVascular Endothelial Growth Factor Avascular endothelial growth factor A, mousevatalanib

Identifiers

PMID22028672
PMCPMC3197687
OpenAlexW2082766566

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.