Evidence map›Paper›PMID 25115419›Full record

ArticleAnnals of surgery2014

The enteric nervous system neuropeptide, bombesin, reverses innate immune impairments during parenteral nutrition.

Rebecca A Busch, Aaron F Heneghan, Joseph F Pierre, Xinying Wang, Kenneth A Kudsk

Abstract 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Tumor biomarkers for diagnosis, prognosis and targeted therapy.Signal transduction and targeted therapy · 2024
    Review
  4. Gastrointestinal immune and microbiome changes during parenteral nutrition.American journal of physiology. Gastrointestinal and liver physiology · 2017
    Review
  5. Article
  6. Review
  7. Review
  8. 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

5 authors.

Rebecca A Busch*Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison †Department of Surgery, Jinling Hospital, School of Medicine, Nanjing University, Nanjing, China; and ‡Veterans Administration Surgical Services, William S. Middleton Memorial Veterans Hospital, Madison, WI.
Aaron F Heneghan
Joseph F Pierre
Xinying Wang
Kenneth A Kudsk

Funding

UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
Route of Nutrition and Enteric Nervous System Effects on Innate Mucosal DefenseI01BX001672 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI KUDSK, KENNETH A · 2012 to 2015
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BLRD VA I01 BX001672NCI NIH HHS T32 CA090217NCI NIH HHS T32 CA090217-13
6 · The paper itself

Abstract

backgroundLack of enteral stimulation during parenteral nutrition (PN) impairs mucosal immunity. Bombesin (BBS), a gastrin-releasing peptide analogue, reverses PN-induced defects in acquired immunity. Paneth cells produce antimicrobial peptides (AMPs) of innate immunity for release after cholinergic stimulation.

objectiveDetermine if BBS restores AMPs and bactericidal function during PN.

methodsIntravenously cannulated male ICR mice were randomized to Chow, PN, or PN+BBS (15 μg 3 times daily, n = 7 per group) for 5 days. Ileum was analyzed for AMPs (Protein: sPLA2 by fluorescence, lysozyme and RegIII-γ by western andcryptdin-4 by ELISA; mRNA: all by RT-PCR). Cholinergic stimulated (100 μM bethanechol) ileal specimens assessed Pseudomonas bactericidal activity. Ileum (Chow: n = 7; PN: n = 9; PN+BBS: n = 8) was assessed for Escherichia coli invasion in ex-vivo culture.

resultsPN significantly decreased most AMPs versus Chow while BBS maintained Chow levels (sPLA2: Chow: 107 + 14*, PN: 44.6 + 7.2, PN+BBS: 78.7 + 13.4* Fl/min/μL/total protein; Lysozyme: Chow: 63.9 + 11.9*, PN: 26.8 + 6.2; PN+BBS: 64.9 + 13.8* lysozyme/total protein; RegIII-γ: Chow: 51.5 + 10.0*, PN: 20.4 + 4.3, PN+BBS: 31.0 + 8.4 RegIII-γ/total protein; Cryptdin-4: Chow: 18.4 + 1.5*, PN: 12.7 + 1.6, PN+BBS: 26.1 + 2.4*† pg/mg [all *P < 0.05 vs PN and †P < 0.05 vs Chow]). Functionally, BBS prevented PN loss of bactericidal activity after cholinergic stimulation (Chow: 25.3 + 3.6*, PN: 13.0 + 3.2; PN+BBS: 27.0 + 4.7* percent bacterial killing, *P < 0.05 vs PN). BBS reduced bacterial invasion in unstimulated tissue barely missing significance (P = 0.06).

conclusionsThe enteric nervous system (ENS) controls AMP levels in Paneth cells during PN but mucosal protection by innate immunity requires both ENS and parasympathetic stimulation.

Indexed as

Parenteral Nutritionalpha-DefensinsAnimalsBombesinIleumImmunity, InnateImmunity, MucosalImmunohistochemistryIntestinal MucosaMaleMice, Inbred ICRMuramidaseNeurotransmitter AgentsPancreatitis-Associated ProteinsPaneth CellsPhospholipases A2, Secretoryalpha-DefensinsBombesincryptdin 4, mouseMuramidaseNeurotransmitter AgentsPancreatitis-Associated ProteinsPhospholipases A2, SecretoryProteinsReg3g protein, mouse

Identifiers

PMID25115419
PMCPMC4152867

What OpenQuestion holds

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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.