Evidence map›Paper›PMID 24646554›Full record

ArticleAnnals of surgery2014

Intraluminal nonbacterial intestinal components control gut and lung injury after trauma hemorrhagic shock.

Jordan E Fishman, Sharvil U Sheth, Gal Levy, Vamsi Alli, Qu Lu, Dazhong Xu, Yung Qin, Xiaofa Qin, Edwin A Deitch

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.7field-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

32 citing papers in PubMed, 63 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Transfusion-Related Acute Lung Injury: from Mechanistic Insights to Therapeutic Strategies.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
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  15. Article
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  18. Gut integrity in critical illness.Journal of intensive care · 2019
    Review
  19. Article
  20. Inhibition of ubiquitin-activating enzyme protects against organ injury after intestinal ischemia-reperfusion.American journal of physiology. Gastrointestinal and liver physiology · 2018
    Article
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.

Jordan E FishmanFrom the Department of Surgery, UMDNJ-NJMS, Newark, NJ.
Sharvil U Sheth
Gal Levy
Vamsi Alli
Qu Lu
Dazhong Xu
Yung Qin
Xiaofa Qin
Edwin A Deitch
Rutgers, The State University of New Jersey · US

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 GM059841-12NIGMS NIH HHS R01 GM059841NIGMS NIH HHS T32 GM069330PHS HHS T32 069330
6 · The paper itself

Abstract

objectiveTo test whether the mucus layer, luminal digestive enzymes, and intestinal mast cells are critical components in the pathogenesis of trauma shock-induced gut and lung injury.

backgroundGut origin sepsis studies have highlighted the importance of the systemic component (ischemia-reperfusion) of gut injury, whereas the intraluminal component is less well studied.

methodsIn rats subjected to trauma hemorrhagic shock (T/HS) or sham shock, the role of pancreatic enzymes in gut injury was tested by diversion of pancreatic enzymes via pancreatic duct exteriorization whereas the role of the mucus layer was tested via the enteral administration of a mucus surrogate. In addition, the role of mast cells was assessed by measuring mast cell activation and the ability of pharmacologic inhibition of mast cells to abrogate gut and lung injury. Gut and mucus injury was characterized functionally, morphologically, and chemically.

resultsPancreatic duct exteriorization abrogated T/HS-induced gut barrier loss and limited chemical mucus changes. The mucus surrogate prevented T/HS-induced gut and lung injury. Finally, pancreatic enzyme-induced gut and lung injury seems to involve mast cell activation because T/HS activates mast cells and pharmacologic inhibition of intestinal mast cells prevented T/HS-induced gut and lung injury.

conclusionsThese results indicate that gut and gut-induced lung injury after T/HS involves a complex process consisting of intraluminal digestive enzymes, the unstirred mucus layer, and a systemic ischemic-reperfusion injury. This suggests the possibility of intraluminal therapeutic strategies.

Indexed as

Acute Lung InjuryAnimalsDisease Models, AnimalEnzymesIntestinal MucosaIntestinesMalePancreatic ElastaseRatsRats, Sprague-DawleyShock, HemorrhagicWounds and InjuriesEnzymesPancreatic Elastase

Identifiers

PMID24646554
PMCPMC4168009
OpenAlexW2313525907

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.