Evidence map›Paper›PMID 25368030›Full record

ArticleHypertension (Dallas, Tex. : 1979)2015

17-hydroxyprogesterone caproate significantly improves clinical characteristics of preeclampsia in the reduced uterine perfusion pressure rat model.

Lorena M Amaral, Denise C Cornelius, Ashlyn Harmon, Janae Moseley, James N Martin, Babbette LaMarca

Open access · bronzeAbstract read
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  15. Vascular mechanisms and molecular targets in hypertensive pregnancy and preeclampsia.American journal of physiology. Heart and circulatory physiology · 2020
    Review
  16. Article
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  19. Interleukin-4 supplementation improves the pathophysiology of hypertension in response to placental ischemia in RUPP rats.American journal of physiology. Regulatory, integrative and comparative physiology · 2019
    Article
  20. 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

6 authors at 1 institution in 1 country.

Lorena M AmaralFrom the Departments of Pharmacology (L.M.A., D.C.C., A.H., J.N.M., B.L.) and Obstetrics and Gynecology (J.N.M.), University of Mississippi Medical Center, Jackson.
Denise C CorneliusFrom the Departments of Pharmacology (L.M.A., D.C.C., A.H., J.N.M., B.L.) and Obstetrics and Gynecology (J.N.M.), University of Mississippi Medical Center, Jackson.
Ashlyn HarmonFrom the Departments of Pharmacology (L.M.A., D.C.C., A.H., J.N.M., B.L.) and Obstetrics and Gynecology (J.N.M.), University of Mississippi Medical Center, Jackson.
Janae MoseleyFrom the Departments of Pharmacology (L.M.A., D.C.C., A.H., J.N.M., B.L.) and Obstetrics and Gynecology (J.N.M.), University of Mississippi Medical Center, Jackson.
James N MartinFrom the Departments of Pharmacology (L.M.A., D.C.C., A.H., J.N.M., B.L.) and Obstetrics and Gynecology (J.N.M.), University of Mississippi Medical Center, Jackson.
Babbette LaMarcaFrom the Departments of Pharmacology (L.M.A., D.C.C., A.H., J.N.M., B.L.) and Obstetrics and Gynecology (J.N.M.), University of Mississippi Medical Center, Jackson. bblamarca@umc.edu.
University of Mississippi Medical Center · US

Funding

STRUCTURAL VASCULAR ADAPTATION OF THE MICROCIRCULATIONP01HL051971 · NHLBI · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI HESTER, ROBERT L · 1993 to 2018
$39.4M
Hypertension and Cardiorenal Research Training ProgramT32HL105324 · NHLBI · UNIVERSITY OF MISSISSIPPI MED CTR · PI Joey P. Granger · 2010 to 2026
$7.8M
The Kidney, Hypertension, Pregnancy and InflammationR01HD067541 · NICHD · UNIVERSITY OF MISSISSIPPI MED CTR · PI LAMARCA, BABBETTE · 2011 to 2020
$3.1M
NHLBI NIH HHS HL51971NHLBI NIH HHS P01 HL051971NHLBI NIH HHS T32 HL105324NHLBI NIH HHS T32HL105324NICHD NIH HHS R01 HD067541NICHD NIH HHS R01HD067541
6 · The paper itself

Abstract

Preeclampsia is characterized by increased uterine artery resistance index, chronic immune activation, and decreased circulating nitric oxide levels. 17-α-Hydroxyprogesterone caproate (17-OHPC) is a synthetic metabolite of progesterone used for the prevention of recurrent preterm birth. We hypothesized that 17-OHPC could reduce mean arterial pressure by decreasing inflammation, whereas improving vasodilation by increasing nitric oxide bioavailability and uterine artery resistance index during late gestation in the reduced uterine perfusion pressure (RUPP) rat model of preeclampsia. 17-OHPC (3.32 mg/kg) was intraperitoneally administered on gestation day 18 into RUPP rats, carotid catheters inserted, and mean arterial pressure, blood, and tissues were collected on day 19. Mean arterial pressure in normal pregnant (NP; n=13) was 92±2.0 and increased to123±2.0 in RUPP (n=18; P<0.0001), which was improved to 116±1.5 mm Hg in RUPP+17-OHPC (n=10; P<0.05). Circulating CD4+ T cells were 1.19%±1.0% of gated cells in NP (n=7), which increased to 8.52%±2.4% in RUPP rats (n=10; P<0.05) but was reduced to 2.72%±0.87% (n=14; P<0.05) in RUPP+17-OHPC. Circulating nitrate/nitrite was 26.34±3.5 µmol/L in NP (n=12) but was reduced to14.58±3.1 in RUPP rats (n=8; P=0.03) and increased to 22.69±1.62 in RUPP+17-OHPC (n=7; P=0.05). Endothelial nitric oxide synthase expression was 0.65±0.11 AU in NP (n=4), which decreased to 0.33±0.01 in RUPP rats (n=4; P=0.05) but increased to 0.57±0.01 in RUPP+17-OHPC (n=5; P=0.03). Uterine artery resistance index was 0.54±0.02 in NP (n=3), 0.78±0.03 in RUPP (n=4), and 0.63±0.038 in RUPP+17-OHPC (n=8; both P<0.05). Our findings demonstrate that even though modest, lowering blood pressure with 17-OHPC could be a viable treatment option for suppressing inflammation, uterine artery vasoconstriction while improving litter size.

Indexed as

Pregnancy, Animal17 alpha-Hydroxyprogesterone CaproateAnimalsBlood PressureDisease Models, AnimalEstrogen AntagonistsFemaleHydroxyprogesteronesPlacentaPre-EclampsiaPregnancyProgesterone CongenersRatsRats, Sprague-DawleyTreatment OutcomeUterine Artery17 alpha-Hydroxyprogesterone CaproateEstrogen AntagonistsHydroxyprogesteronesProgesterone Congenershypertensioninflammationnitric oxidepregnancyprogesterone

Identifiers

PMID25368030
PMCPMC4350787
OpenAlexW2134975584

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.