Evidence map›Paper›PMID 24045418›Full record

ArticleShock (Augusta, Ga.)2013

Intestinal barrier disruption as a cause of mortality in combined radiation and burn injury.

Stewart R Carter, Anita Zahs, Jessica L Palmer, Lu Wang, Luis Ramirez, Richard L Gamelli, Elizabeth J Kovacs

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
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  10. Effect of Berberine fromEvidence-based complementary and alternative medicine : eCAM · 2020
    Article
  11. Article
  12. Article
  13. Article
  14. Emerging role of lncRNAs in the normal and diseased intestinal barrier.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2018
    Review
  15. Article
  16. Article
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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

7 authors at 1 institution in 1 country.

Stewart R Carter*Burn and Shock Trauma Research Institute, and †Departments of Surgery, ‡Pathology, and §Microbiology and Immunology, Loyola University Chicago Health Sciences Division, Maywood, Illinois.
Anita Zahs
Jessica L Palmer
Lu Wang
Luis Ramirez
Richard L Gamelli
Elizabeth J Kovacs
Loyola University Chicago · US

Funding

TRAINING IN TRAUMA AND BURN RESEARCHT32GM008750 · NIGMS · LOYOLA UNIVERSITY CHICAGO · PI CHOUDHRY, MASHKOOR A, GONZALEZ, RICHARD PAUL · 2000 to 2023
$2.9M
Inflammatory response after combined insult of radiation and burn injuryR33AI080528 · NIAID · LOYOLA UNIVERSITY CHICAGO · PI KOVACS, ELIZABETH J. · 2010 to 2012
$1.1M
NIAID NIH HHS R33 AI080528NIAID NIH HHS R33AI080528NIGMS NIH HHS 5T32 GM008750NIGMS NIH HHS T32 GM008750
6 · The paper itself

Abstract

Nuclear disaster associated with combined radiation injury (CRI) and trauma or burns results in higher mortality than component injuries. Early death is caused by sequelae of gastrointestinal (GI) leakiness such as bacterial translocation and shock. We developed a murine model to characterize GI injury after CRI and determine the extent of barrier disruption. Animals received radiation (5.5 Gy) alone or with 15% total body surface area (TBSA) scald burn and were euthanized at 24, 48, and 72 h. Mesenteric lymph node homogenate was plated on tryptic soy agar to assess for bacterial translocation. Tight junction protein, occludin, was characterized by Western blot and immunofluorescence. Intestinal histology was evaluated, and apoptosis was quantified using histone-associated DNA fragmentation enzyme-linked immunosorbent assay and Western blot for caspase-3 and caspase-8. At 72 h, a 100-fold increase in bacterial growth after CRI was observed. Occludin colocalization was reduced by radiation exposure, with largest differences in CRI at 24 and 48 h. Histopathology exhibited increased apoptosis in radiation alone and CRI animals at 24 and 48 h (P < 0.05). Further evidence of apoptotic activity in CRI was seen at 48 h, with 3-fold increases in enzyme-linked immunosorbent assay detection relative to all groups and caspase-8 activity relative to radiation alone and sham (P < 0.05). Prolonged epithelial apoptosis and disruption of tight junctions likely contribute to gut leakiness after CRI. Subsequent bacterial translocation to mesenteric lymph node potentially leads to sepsis and death and could serve as a target for mitigating agents to improve survival from CRI.

Indexed as

Bacterial TranslocationAnimalsApoptosisBurnsCaspase 3Caspase 8IntestinesMaleMiceMice, Inbred C57BLRadiation Injuries, ExperimentalCaspase 3Caspase 8

Identifiers

PMID24045418
PMCPMC3780610
OpenAlexW1995959309

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.