Evidence map›Paper›PMID 25539191›Full record

ArticleJournal of pediatric gastroenterology and nutrition2015

Oral administration of surfactant protein-a reduces pathology in an experimental model of necrotizing enterocolitis.

Hector D Quintanilla, Yuying Liu, Nicole Y Fatheree, Constance L Atkins, Syed S Hashmi, Joanna Floros, Francis X McCormack, Jon Marc Rhoads, Joseph L Alcorn

Abstract read
In one paragraph

Article in Journal of pediatric gastroenterology and nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. PeptideFrontiers in nutrition · 2022
    Article
  5. Article
  6. Article
  7. [Protective effect ofNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2019
    Article
  8. Review
  9. Article
  10. Article
  11. Structure, genetics and function of the pulmonary associated surfactant proteins A and D: The extra-pulmonary role of these C type lectins.Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft · 2017
    Review
  12. Review
  13. 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

9 authors at 3 institutions in 1 country.

Hector D Quintanilla*Department of Pediatrics, Division of Neonatal-Perinatal Medicine †Department of Pediatrics, Division of Pediatric Gastroenterology ‡Department of Pediatrics, Pediatric Research Center, University of Texas Health Science Center at Houston, Houston §Department of Pediatrics, Center for Host Defense, Inflammation and Lung Disease, Pennsylvania State University College of Medicine, Hershey ¶Division of Pulmonary, Critical Care Medicine and Sleep, University of Cincinnati School of Medicine, Cincinnati, OH.
Yuying Liu
Nicole Y Fatheree
Constance L Atkins
Syed S Hashmi
Joanna Floros
Francis X McCormack
Jon Marc Rhoads
Joseph L Alcorn
The University of Texas Health Science Center at Houston · USPennsylvania State University · USUniversity of Cincinnati · US

Funding

Tissue Analysis & Molecular Imaging CoreP30DK056338 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI Geoffrey A Preidis · 2001 to 2026
$28.3M
SURFACTANT PROTEINS AND RESPIRATORY DISTRESS SYNDROMER37HL034788 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI FLOROS, JOANNA · 1996 to 2005
$3.2M
SURFACTANT PROTEINS AND RESPIRATORY DISTRESS SYNDROMER01HL034788 · NHLBI · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI FLOROS, JOANNA · 1985 to 2011
$3.0M
NHLBI NIH HHS HL34788NHLBI NIH HHS R01 HL034788NHLBI NIH HHS R37 HL034788NIDDK NIH HHS DK56338NIDDK NIH HHS P30 DK056338
6 · The paper itself

Abstract

objectivesNecrotizing enterocolitis (NEC) frequently results in significant morbidity and mortality in premature infants. Others reported that mice deficient in pulmonary surfactant protein-A (SP-A) born and raised in a nonhygienic environment succumb to significant gastrointestinal tract pathology, and enteral administration of purified SP-A significantly reduced mortality. We hypothesized that oral administration of purified SP-A can ameliorate pathology in an experimental model of neonatal NEC.

methodsExperimental NEC was induced in newborn Sprague-Dawley rat pups by daily formula gavage and intermittent exposure to hypoxia. Purified human SP-A (5 μg/day) was administered by oral gavage. After 4 days, surviving pups were sacrificed, and intestinal pathology was assessed by histological examination of distal terminal ileal sections. Intestinal levels of inflammatory cytokines (IL-1β, IFN-γ, and TNF-α) were assessed by enzyme-linked immunosorbent assay and levels of Toll-like receptor 4 (TLR4) by Western analysis.

resultsSixty-one percent of the gavaged rat pups that survived to day 4 met the criteria for experimental NEC after hypoxia, whereas treatment with SP-A significantly reduced mortality and assessment of NEC. Intestinal levels of proinflammatory cytokines were significantly increased in pups exposed to hypoxia. Administration of SP-A to pups exposed to hypoxia significantly reduced IL-1β and TNF-α levels, but had little effect on elevated levels of IFN-γ. SP-A treatment of hypoxia-exposed pups significantly reduced expression of intestinal TLR4, key in NEC pathogenesis.

conclusionsIn a rat model of experimental neonatal NEC, oral administration of SP-A reduces intestinal levels of proinflammatory cytokines and TLR4 protein and ameliorates adverse outcomes associated with gastrointestinal pathologies.

Indexed as

Administration, OralAnimalsCytokinesDisease Models, AnimalEnterocolitis, NecrotizingIleumInterferon-gammaInterleukin-1betaPulmonary Surfactant-Associated Protein APulmonary SurfactantsRatsRats, Sprague-DawleyToll-Like Receptor 4Tumor Necrosis Factor-alphaCytokinesInterferon-gammaInterleukin-1betaPulmonary Surfactant-Associated Protein APulmonary SurfactantsToll-Like Receptor 4Tumor Necrosis Factor-alpha

Identifiers

PMID25539191
PMCPMC5027895
OpenAlexW2324485569

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.