Evidence map›Paper›PMID 22484664›Full record

Trial reportNitric oxide : biology and chemistry2012

Nitrite therapy is neuroprotective and safe in cardiac arrest survivors.

Cameron Dezfulian, Aleksey Alekseyenko, Kunjan R Dave, Ami P Raval, Rose Do, Francis Kim, Miguel A Perez-Pinzon

Abstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nitric oxide : biology and chemistry, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 52 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Pulmonary Vasodilator Therapy in Shock-associated Cardiac Arrest.American journal of respiratory and critical care medicine · 2018
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Mechanisms of nitrite bioactivation.Nitric oxide : biology and chemistry · 2014
    Review
  19. Inorganic nitrite supplementation for healthy arterial aging.Journal of applied physiology (Bethesda, Md. : 1985) · 2014
    Review
  20. 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

7 authors at 3 institutions in 1 country.

Cameron DezfulianDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, Leonard M. Miller School of Medicine, University of Miami, Miami, FL 33136, USA. dezfulianc@upmc.edu
Aleksey Alekseyenko
Kunjan R Dave
Ami P Raval
Rose Do
Francis Kim
Miguel A Perez-Pinzon
University of Miami · USHarborview Medical Center · USUniversity of Washington · US

Funding

MECHANISMS OF NEUROPROTECTION AGAINST CARDIAC ARRESTR01NS045676 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PEREZ-PINZON, MIGUEL A · 2004 to 2024
$5.1M
Nitrite based neuroprotection after cardiac arrestK08NS069817 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DEZFULIAN, CAMERON · 2010 to 2014
$842k
NINDS NIH HHS K08 NS069817NINDS NIH HHS K08NS069817NINDS NIH HHS R01 NS045676
6 · The paper itself

Abstract

Cardiac arrest results in significant mortality after initial resuscitation due in most cases to ischemia-reperfusion induced brain injury and to a lesser degree myocardial dysfunction. Nitrite has previously been shown to protect against reperfusion injury in animal models of focal cerebral and heart ischemia. Nitrite therapy after murine cardiac arrest improved 22 h survival through improvements in myocardial contractility. These improvements accompanied transient mitochondrial inhibition which reduced oxidative injury to the heart. Based on preliminary evidence that nitrite may also protect against ischemic brain injury, we sought to test this hypothesis in a rat model of asphyxia cardiac arrest with prolonged survival (7d). Cardiac arrest resulted in hippocampal CA1 delayed neuronal death well characterized in this and other cardiac arrest models. Nitrite therapy did not alter post-arrest hemodynamics but did result in significant (75%) increases in CA1 neuron survival. This was associated with increases in hippocampal nitrite and S-nitrosothiol levels but not cGMP shortly after therapy. Mitochondrial function 1h after resuscitation trended towards improvement with nitrite therapy. Based on promising preclinical data, the first ever phase I trial of nitrite infusions in human cardiac arrest survivors has been undertaken. We present preliminary data showing low dose nitrite infusion did not result in hypotension or cause methemoglobinemia. Nitrite thus appears safe and effective for clinical translation as a promising therapy against cardiac arrest mediated heart and brain injury.

Indexed as

AnimalsBlood PressureBrain IschemiaCA1 Region, HippocampalCyclic GMPDouble-Blind MethodHeart ArrestHeart RateHumansMaleMethemoglobinMitochondriaNeuroprotective AgentsRandom AllocationRatsRats, Sprague-DawleyCyclic GMPMethemoglobinNeuroprotective AgentsS-NitrosothiolsSodium Nitrite

Identifiers

PMID22484664
PMCPMC4337393
OpenAlexW2094891345

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.