Evidence map›Paper›PMID 24969536›Full record

ArticleNeonatology2014

Repeated β2-adrenergic receptor agonist therapy attenuates the response to rescue bronchodilation in a hyperoxic newborn mouse model.

Thomas Raffay, Prabha Kc, James Reynolds, Juliann Di Fiore, Peter MacFarlane, Richard J Martin

Abstract read
In one paragraph

Article in Neonatology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. S-nitrosylation of pVHL regulates βProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  3. Article
  4. Response to first dose of inhaled albuterol in mechanically ventilated preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. A NovelJournal of infectious pulmonary diseases · 2017
    Article
  11. Article
  12. Animal models of bronchopulmonary dysplasia. The term mouse models.American journal of physiology. Lung cellular and molecular physiology · 2014
    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

6 authors at 2 institutions in 1 country.

Thomas RaffayDivision of Neonatology, Department of Pediatrics, Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Prabha Kc
James Reynolds
Juliann Di Fiore
Peter MacFarlane
Richard J Martin
Rainbow Babies & Children's Hospital · USUniversity Hospitals Cleveland Medical Center · US

Funding

NEURAL REGULATION OF AIRWAYS DURING POSTNATAL MATURATIONR01HL056470 · NHLBI · MAYO CLINIC ROCHESTER · PI PRAKASH, Y. S. · 1996 to 2025
$10.5M
Training in Neonatal ResearchT32HD060537 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI MARTIN, RICHARD JOHN · 2009 to 2018
$1.9M
NHLBI NIH HHS L40 HL120187NHLBI NIH HHS R01 HL056470NICHD NIH HHS T32 HD060537NICHD NIH HHS T32-HD060537
6 · The paper itself

Abstract

backgroundPreterm infants with neonatal lung injury are prone to wheezing and are often treated with β2-adrenergic receptor (β-AR) agonists although the benefits of β-AR agonists may be lost with chronic use.

objectiveTo investigate if repeated β-AR agonist exposure downregulates β-ARs in the immature lung resulting in a decreased response to bronchodilator rescue and whether hyperoxic exposure aggravates this response.

methodsNewborn mice were raised for 21 days in 60 or 21% oxygen and received daily aerosols of formoterol or saline. Respiratory system resistance (Rrs) and compliance (Crs) were measured in response to methacholine challenge and rescue bronchodilation with levalbuterol. Western blot analysis quantified the relative amount of lung β-ARs.

resultsHyperoxia increased the airway reactivity to methacholine. Animals raised in hyperoxia that received daily formoterol were most sensitive to methacholine and exhibited a blunted response to levalbuterol bronchodilation. Hyperoxia-exposed animals receiving daily formoterol versus saline showed a significant decrease in the relative amount of lung β-ARs.

conclusionsIn this hyperoxia-exposed neonatal mouse model, repeated β-AR agonist treatments increased the airway reactivity and attenuated the response to a rescue bronchodilator. The blunted bronchodilator response could be explained by a reduced quantity of lung β-ARs. Our findings may account for the time-dependent decrease in the therapeutic benefit of β-AR agonists in preterm infants with neonatal lung injury, which may have clinical consequences for patients already prone to airway hyperreactivity.

Indexed as

Administration, InhalationAdrenergic beta-2 Receptor AgonistsAerosolsAirway ResistanceAnimalsAnimals, NewbornBronchial Provocation TestsBronchodilator AgentsDisease Models, AnimalDown-RegulationDrug Administration ScheduleDrug ToleranceEthanolaminesFemaleFormoterol FumarateHyperoxiaAdrenergic beta-2 Receptor AgonistsAerosolsBronchodilator AgentsEthanolaminesFormoterol FumarateLevalbuterolReceptors, Adrenergic, beta

Identifiers

PMID24969536
PMCPMC4134388
OpenAlexW2069660306

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.