Evidence map›Paper›PMID 25536367›Full record

ArticleAmerican journal of respiratory cell and molecular biology2015

Rescue Treatment with L-Citrulline Inhibits Hypoxia-Induced Pulmonary Hypertension in Newborn Pigs.

Candice D Fike, Anna Dikalova, Mark R Kaplowitz, Gary Cunningham, Marshall Summar, Judy L Aschner

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of respiratory cell and molecular biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03649932 (Enteral L Citrulline Supplementation in Preterm Infants - Safety, Efficacy and Dosing), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.6field-weighted citation impact, top 4% 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.

NCT03649932 phase1completednot on this mapstarted 2018, after this paper: background citation

Enteral L Citrulline Supplementation in Preterm Infants - Safety, Efficacy and Dosing

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2018 to 2021Enrolled42ConditionsBronchopulmonary Dysplasia, Bronchopulmonary Dysplasia Associated Pulmonary Hypertension, Pulmonary Hypertension, Premature BirthArmsEnteral L-citrulline
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. L-Citrulline in Neonates: From Bench to Bed Side.Children (Basel, Switzerland) · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. A comparative metabolomics analysis of domestic yak (Frontiers in veterinary science · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. New Pharmacologic Approaches to Bronchopulmonary Dysplasia.Journal of experimental pharmacology · 2021
    Review
  16. Article
  17. Article
  18. Nutraceuticals in the Treatment of Pulmonary Arterial Hypertension.International journal of molecular sciences · 2020
    Review
  19. Review
  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 4 institutions in 1 country.

Candice D Fike1 Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Anna Dikalova1 Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Mark R Kaplowitz1 Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Gary Cunningham3 Division of Genetics and Metabolism, Children's National Medical Center, Washington, District of Columbia; and.
Marshall Summar3 Division of Genetics and Metabolism, Children's National Medical Center, Washington, District of Columbia; and.
Judy L Aschner4 Department of Pediatrics, Albert Einstein College of Medicine and the Children's Hospital at Montefiore, New York, New York.
Children's National · USVanderbilt University Medical Center · USChildren's Hospital at Montefiore · USMonroe Carell Jr. Children's Hospital · US

Funding

Chronic progressive hypoxia-induced pulmonary hypertension in newbornsR01HL097566 · NHLBI · VANDERBILT UNIVERSITY · PI FIKE, CANDICE D · 2010 to 2013
$2.2M
NHLBI NIH HHS R01 HL097566NHLBI NIH HHS R01HL097566
6 · The paper itself

Abstract

Infants with cardiopulmonary disorders associated with hypoxia develop pulmonary hypertension. We previously showed that initiation of oral L-citrulline before and continued throughout hypoxic exposure improves nitric oxide (NO) production and ameliorates pulmonary hypertension in newborn piglets. Rescue treatments, initiated after the onset of pulmonary hypertension, better approximate clinical strategies. Mechanisms by which L-citrulline improves NO production merit elucidation. The objective of this study was to determine whether starting L-citrulline after the onset of pulmonary hypertension inhibits disease progression and improves NO production by recoupling endothelial NO synthase (eNOS). Hypoxic and normoxic (control) piglets were studied. Some hypoxic piglets received oral L-citrulline starting on Day 3 of hypoxia and continuing throughout the remaining 7 days of hypoxic exposure. Catheters were placed for hemodynamic measurements, and pulmonary arteries were dissected to assess NO production and eNOS dimer-to-monomer ratios (a measure of eNOS coupling). Pulmonary vascular resistance was lower in L-citrulline-treated hypoxic piglets than in untreated hypoxic piglets but was higher than in normoxic controls. NO production and eNOS dimer-to-monomer ratios were greater in pulmonary arteries from L-citrulline-treated than from untreated hypoxic animals but were lower than in normoxic controls. When started after disease onset, oral L-citrulline treatment improves NO production by recoupling eNOS and inhibits the further development of chronic hypoxia-induced pulmonary hypertension in newborn piglets. Oral L-citrulline may be a novel strategy to halt or reverse pulmonary hypertension in infants suffering from cardiopulmonary conditions associated with hypoxia.

Indexed as

AnimalsAnimals, NewbornArginineCell HypoxiaCitrullineDrug Evaluation, PreclinicalHypertension, PulmonarySus scrofaArginineCitrullinenitric oxide signalingsuperoxideuncoupled eNOS

Identifiers

PMID25536367
PMCPMC4566047
OpenAlexW1966054487

What OpenQuestion holds

Textmetadata
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.