Evidence map›Paper›PMID 22846937›Full record

ArticleThe journal of trauma and acute care surgery2012

Vagal nerve stimulation modulates gut injury and lung permeability in trauma-hemorrhagic shock.

Gal Levy, Jordan E Fishman, Da-zhong Xu, Wei Dong, Dave Palange, Gergely Vida, Alicia Mohr, Luis Ulloa, Edwin A Deitch

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in The journal of trauma and acute care surgery, 2012. 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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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

9 authors at 1 institution in 1 country.

Gal LevyDepartment of Surgery, New Jersey Medical School, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA. levyga@umdnj.edu
Jordan E Fishman
Da-zhong Xu
Wei Dong
Dave Palange
Gergely Vida
Alicia Mohr
Luis Ulloa
Edwin A Deitch
Rutgers New Jersey Medical School

Funding

Shock, Trauma and Gut Origin SepsisR01GM059841 · NIGMS · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI DEITCH, EDWIN A · 1999 to 2012
$5.6M
Training in Trauma and Surgical Critical Care ResearchT32GM069330 · NIGMS · UNIV OF MED/DENT OF NJ-NJ MEDICAL SCHOOL · PI LIVINGSTON, DAVID H · 2004 to 2015
$1.3M
NIGMS NIH HHS R01 GM059841NIGMS NIH HHS T32 GM069330
6 · The paper itself

Abstract

backgroundHemorrhagic shock is known to disrupt the gut barrier leading to end-organ dysfunction. The vagus nerve can inhibit detrimental immune responses that contribute to organ damage in hemorrhagic shock. Therefore, we explored whether stimulation of the vagus nerve can protect the gut and recover lung permeability in trauma-hemorrhagic shock (THS).

methodsMale Sprague-Dawley rats were subjected to left cervical vagus nerve stimulation at 5 V for 10 minutes. The right internal jugular and femoral artery were cannulated for blood withdrawal and blood pressure monitoring, respectively. Animals were then subjected to hemorrhagic shock to a mean arterial pressure between 30 mm Hg and 35 mm Hg for 90 minutes then reperfused with their own whole blood. After observation for 3 hours, gut permeability was assessed with fluorescein dextran 4 in vivo injections in a ligated portion of distal ileum followed by Evans blue dye injection to assess lung permeability. Pulmonary myeloperoxidase levels were measured and compared.

resultsVagal nerve stimulation abrogated THS-induced lung injury (mean [SD], 8.46 [0.36] vs. 4.87 [0.78]; p < 0.05) and neutrophil sequestration (19.39 [1.01] vs. 12.83 [1.16]; p < 0.05). Likewise, THS gut permeability was reduced to sham levels.

conclusionNeuromodulation decreases injury in the THS model as evidenced by decreased gut permeability as well as decreased lung permeability and pulmonary neutrophil sequestration in a rat model.

Indexed as

Analysis of VarianceAnimalsDisease Models, AnimalGastrointestinal TractLungMaleMultiple Organ FailureNeutrophil ActivationPermeabilityPeroxidaseRandom AllocationRatsRats, Sprague-DawleyRisk AssessmentShock, HemorrhagicSurvival RatePeroxidase

Identifiers

PMID22846937
PMCPMC3683843
OpenAlexW2010183217

What OpenQuestion holds

Textmetadata
LicenceTDM
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.