Evidence map›Paper›PMID 23613962›Full record

Trial reportPloS one2013

Role of alveolar β2-adrenergic receptors on lung fluid clearance and exercise ventilation in healthy humans.

Stefania Paolillo, Riccardo Pellegrino, Elisabetta Salvioni, Mauro Contini, Annamaria Iorio, Francesca Bovis, Andrea Antonelli, Roberto Torchio, Carlo Gulotta, Alessandro Locatelli and 1 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.1field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 37 citations in OpenAlex.

  1. Effects of βScientific reports · 2020
    Trial
  2. Article
  3. Article
  4. Minute ventilation/carbon dioxide production in chronic heart failure.European respiratory review : an official journal of the European Respiratory Society · 2021
    Article
  5. Article
  6. Effect of βThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2017
    Article
  7. Exertional dyspnoea in chronic heart failure: the role of the lung and respiratory mechanical factors.European respiratory review : an official journal of the European Respiratory Society · 2016
    Review
  8. Albuterol Improves Alveolar-Capillary Membrane Conductance in Healthy Humans.Clinical medicine insights. Circulatory, respiratory and pulmonary medicine · 2016
    Article
  9. Article
  10. Article
  11. 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 5 institutions in 2 countries.

Stefania PaolilloCentro Cardiologico Monzino, Istituto Di Ricovero e Cura a Carattere Scientifico, Milano, Italy.
Riccardo Pellegrino
Elisabetta Salvioni
Mauro Contini
Annamaria Iorio
Francesca Bovis
Andrea Antonelli
Roberto Torchio
Carlo Gulotta
Alessandro Locatelli
Piergiuseppe Agostoni
Azienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITCentro Cardiologico Monzino · ITUniversity of Milan · ITUniversity of Naples Federico II · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn experimental conditions alveolar fluid clearance is controlled by alveolar β2-adrenergic receptors. We hypothesized that if this occurs in humans, then non-selective β-blockers should reduce the membrane diffusing capacity (DM), an index of lung interstitial fluid homeostasis. Moreover, we wondered whether this effect is potentiated by saline solution infusion, an intervention expected to cause interstitial lung edema. Since fluid retention within the lungs might trigger excessive ventilation during exercise, we also hypothesized that after the β2-blockade ventilation increased in excess to CO2 output and this was further enhanced by interstitial edema. METHODS AND

results22 healthy males took part in the study. On day 1, spirometry, lung diffusion for carbon monoxide (DLCO) including its subcomponents DM and capillary volume (VCap), and cardiopulmonary exercise test were performed. On day 2, these tests were repeated after rapid 25 ml/kg saline infusion. Then, in random order 11 subjects were assigned to oral treatment with Carvedilol (CARV) and 11 to Bisoprolol (BISOPR). When heart rate fell at least by 10 beats·min(-1), the tests were repeated before (day 3) and after saline infusion (day 4). CARV but not BISOPR, decreased DM (-13 ± 7%, p = 0.001) and increased VCap (+20 ± 22%, p = 0.016) and VE/VCO2 slope (+12 ± 8%, p<0.01). These changes further increased after saline: -18 ± 13% for DM (p<0.01), +44 ± 28% for VCap (p<0.001), and +20 ± 10% for VE/VCO2 slope (p<0.001).

conclusionsThese findings support the hypothesis that in humans in vivo the β2-alveolar receptors contribute to control alveolar fluid clearance and that interstitial lung fluid may trigger exercise hyperventilation.

Indexed as

AdultBisoprololCarbazolesCarvedilolExerciseExtracellular FluidHumansHyperventilationLungMalePropanolaminesPulmonary Diffusing CapacityReceptors, Adrenergic, beta-2Respiratory Function TestsYoung AdultBisoprololCarbazolesCarvedilolPropanolaminesReceptors, Adrenergic, beta-2

Identifiers

PMID23613962
PMCPMC3627811
OpenAlexW1987768823

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.