Evidence map›Paper›PMID 24978882›Full record

ArticleShock (Augusta, Ga.)2014

The intestinal mucus layer is a critical component of the gut barrier that is damaged during acute pancreatitis.

Jordan E Fishman, Gal Levy, Vamsi Alli, Xiaozhong Zheng, Damian J Mole, Edwin A Deitch

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Shock (Augusta, Ga.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03015467 (Alteration of Intestinal Microflora and Efficacy and Safety of Fecal Microbiota Transplantation for Severe Acute Pancreatitis), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT03015467 phase1 / phase2unknown statusnot on this mapstarted 2016, after this paper: background citation

Alteration of Intestinal Microflora and Efficacy and Safety of Fecal Microbiota Transplantation for Severe Acute Pancreatitis

TypeinterventionalSponsorFirst Affiliated Hospital of Chengdu Medical CollegeRan2016 to 2020Enrolled80ConditionsAcute Pancreatitis, Intestinal Bacteria Flora Disturbance, Intestinal Dysfunction, Fecal Microbiota TransplantationArmsFecal Microbiota Transplantation, normal saline
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 71 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Jordan E Fishman*Department of Surgery, New Jersey Medical School, Rutgers University, Newark, New Jersey; and †MRC Centre for Inflammation Research, and ‡Department of Surgery, University of Edinburgh, Edinburgh, United Kingdom.
Gal Levy
Vamsi Alli
Xiaozhong Zheng
Damian J Mole
Edwin A Deitch
Rutgers, The State University of New Jersey · USCentre for Inflammation Research · GB

Funding

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 T32 GM069330PHS HHS T32 069330
6 · The paper itself

Abstract

Gut barrier failure has been implicated in the progression from single-organ injury to multiple-organ failure. The unstirred mucus layer is a major component of the physiological gut barrier; its role in acute pancreatitis (AP) is not clearly defined. Rats underwent biliopancreatic duct ligation-induced AP; two controls were used: biliopancreatic duct ligation with drainage and sham duct ligation. After 4.5 h, serum and ascitic amylase activity was measured. Mucus was analyzed for reactive nitrogen intermediate-mediated damage, reactive oxygen species-induced damage, and total antioxidant capacity. Mucus coverage and villous injury were assessed histologically. Ileum permeability was measured by diffusion of a fluorescent Dextran probe. Histology and morphology of the mucus layer were validated in a mouse AP model (intraductal taurocholate plus cerulein). Biliopancreatic duct ligation increased serum α-amylase, ascitic volume, and ascitic α-amylase. Intestinal permeability was increased, which was associated with loss of the unstirred mucus layer but not villous injury. These changes correlated with increased reactive oxygen species- and- reactive nitrogen intermediate-mediated mucus damage as well as decreased mucus total antioxidant capacity but were not present in the two control groups. Using a different model of AP in mice, the finding of mucus layer disruption was recapitulated at 6 h after AP, but by 24 h, rebound hypersecretion of inspissated mucus was seen. These results support the hypothesis that damage to the unstirred mucus layer with evidence of oxidative stress occurs during AP-induced gut barrier failure.

Indexed as

Oxidative StressAcute DiseaseAmylasesAnimalsAntioxidantsDisease Models, AnimalDisease ProgressionIleumMaleMucusPancreatitisPermeabilityRats, Sprague-DawleyReactive Nitrogen SpeciesReactive Oxygen SpeciesReperfusion InjuryAmylasesAntioxidantsReactive Nitrogen SpeciesReactive Oxygen Species

Identifiers

PMID24978882
PMCPMC4134397
OpenAlexW2054823154

What OpenQuestion holds

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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.