Evidence map›Paper›PMID 25899004›Full record

ArticleCritical care (London, England)2015

Effects of inhalation of low-dose nitrite or carbon monoxide on post-reperfusion mitochondrial function and tissue injury in hemorrhagic shock swine.

Håkon Haugaa, Hernando Gómez, Donald R Maberry, Andre Holder, Olufunmilayo Ogundele, Ana Maria B Quintero, Daniel Escobar, Tor Inge Tønnessen, Hannah Airgood, Cameron Dezfulian and 4 more

Open access · goldAbstract read
In one paragraph

Article in Critical care (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 19 citations in OpenAlex.

  1. The role of gasotransmitters in Parkinson's disease: Interplay of nitric oxide, carbon monoxide, and hydrogen sulfide.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
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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

14 authors at 3 institutions in 2 countries.

Håkon HaugaaDepartment of Critical Care Medicine, Cardiopulmonary Research Laboratory, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA, 15260, USA. hakon.haugaa@medisin.uio.no.
Hernando GómezDepartment of Critical Care Medicine, Cardiopulmonary Research Laboratory, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA, 15260, USA. gomezh@upmc.edu.
Donald R MaberryDepartment of Critical Care Medicine, Cardiopulmonary Research Laboratory, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA, 15260, USA. maberry50@gmail.com.
Andre HolderDepartment of Critical Care Medicine, Cardiopulmonary Research Laboratory, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA, 15260, USA. holderal@upmc.edu.
Olufunmilayo OgundeleDepartment of Critical Care Medicine, Cardiopulmonary Research Laboratory, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA, 15260, USA. ogundele99@gmail.com.
Ana Maria B QuinteroInstitute of Clinical Medicine, University of Oslo, Sognsvannsveien 20 0424, Oslo, Norway. aboteroqui@nshs.edu.
Daniel EscobarInstitute of Clinical Medicine, University of Oslo, Sognsvannsveien 20 0424, Oslo, Norway. escobarda@uthscscsa.edu.
Tor Inge TønnessenDepartment of Emergencies and Critical Care, Oslo University Hospital, Sognsvannsveien 27 0424, Oslo, Norway. t.i.tonnessen@medisin.uio.no.
Hannah AirgoodDepartment of Critical Care Medicine, Safar Center for Resuscitation Research University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA. airgood@susqu.edu.
Cameron DezfulianDepartment of Critical Care Medicine, Safar Center for Resuscitation Research University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA. dezfulianc@upmc.edu.
Elizabeth KennyDepartment of Critical Care Medicine, Safar Center for Resuscitation Research University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA, 15261, USA. kenny.elizabeth@medstudent.pitt.edu.
Sruti ShivaDepartment of Pharmacology and Chemical Biology, Vascular Medicine Institute, Center for Metabolism and Mitochondrial Medicine, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA, 15261, USA. sss43@pitt.edu.
Brian ZuckerbraunDepartment of Surgery, University of Pittsburgh, 3380 Boulevard of the Allies 390, Pittsburgh, PA, 15213, USA. zuckerbraunbs@upmc.edu.
Michael R PinskyDepartment of Critical Care Medicine, Cardiopulmonary Research Laboratory, University of Pittsburgh, 3501 Fifth Avenue, Pittsburgh, PA, 15260, USA. pinskymr@ccm.upmc.edu.
University of Pittsburgh · USUniversity of Oslo · NOOslo University Hospital · NO

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Multidisciplinary Training in Critical Care Outcomes ResearchT32HL007820 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Timothy D Girard, Jeremy M Kahn · 1996 to 2026
$6.4M
Memory, Remodeling and Ventricular ArrhythmiasR01HL067101 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ROSEN, MICHAEL R. · 2001 to 2010
$6.3M
Pittsburgh Career Development Program in Emergency Medicine ResearchK12HL109068 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CALLAWAY, CLIFTON W., YEALY, DONALD M · 2011 to 2015
$3.1M
Heme Oxygenase Enzymes/Carbon Monoxide in Hepatic Dysfunction from hemorrhageR01GM082830 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ZUCKERBRAUN, BRIAN SCOTT · 2010 to 2014
$1.5M
Carbon Monoxide Therapy to Prevent Circulatory Collapse and Shock From HemorrhageI01BX000566 · VA · VETERANS HEALTH ADMINISTRATION · PI ZUCKERBRAUN, BRIAN SCOTT · 2009 to 2013
–
BLRD VA I01 BX000566NCATS NIH HHS UL1 TR000005NHLBI NIH HHS 1K12HL109068-02NHLBI NIH HHS HL07820NHLBI NIH HHS HL109068NHLBI NIH HHS HL67101NHLBI NIH HHS K12 HL109068NHLBI NIH HHS R01 HL067101NHLBI NIH HHS T32 HL007820NIGMS NIH HHS R01 GM082830
6 · The paper itself

Abstract

introductionTissue reperfusion following hemorrhagic shock may paradoxically cause tissue injury and organ dysfunction by mitochondrial free radical expression. Both nitrite and carbon monoxide (CO) may protect from this reperfusion injury by limiting mitochondrial free radial production. We explored the effects of very small doses of inhaled nitrite and CO on tissue injury in a porcine model of hemorrhagic shock.

methodsTwenty pigs (mean wt. 30.6 kg, range 27.2 to 36.4 kg) had microdialysis catheters inserted in muscle, peritoneum, and liver to measure lactate, pyruvate, glucose, glycerol, and nitrite. Nineteen of the pigs were bled at a rate of 20 ml/min to a mean arterial pressure of 30 mmHg and kept between 30 and 40 mmHg for 90 minutes and then resuscitated. One pig was instrumented but not bled (sham). Hemorrhaged animals were randomized to inhale nothing (control, n = 7), 11 mg nitrite (nitrite, n = 7) or 250 ppm CO (CO, n = 5) over 30 minutes before fluid resuscitation. Mitochondrial respiratory control ratio was measured in muscle biopsies. Repeated measures from microdialysis catheters were analyzed in a random effects mixed model.

resultsNeither nitrite nor CO had any effects on the measured hemodynamic variables. Following inhalation of nitrite, plasma, but not tissue, nitrite increased. Following reperfusion, plasma nitrite only increased in the control and CO groups. Thereafter, nitrite decreased only in the nitrite group. Inhalation of nitrite was associated with decreases in blood lactate, whereas both nitrite and CO were associated with decreases in glycerol release into peritoneal fluid. Following resuscitation, the muscular mitochondrial respiratory control ratio was reduced in the control group but preserved in the nitrite and CO groups.

conclusionsWe conclude that small doses of nebulized sodium nitrite or inhaled CO may be associated with intestinal protection during resuscitation from severe hemorrhagic shock.

Indexed as

Administration, InhalationAnimalsCarbon MonoxideMicrodialysisMitochondriaNitritesOxygen ConsumptionReperfusion InjuryShock, HemorrhagicSwineTreatment OutcomeCarbon MonoxideNitrites

Identifiers

PMID25899004
PMCPMC4422303
OpenAlexW2001724639

What OpenQuestion holds

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LicenceCC BY
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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.