Evidence map›Paper›PMID 26370446›Full record

ArticleJournal of the American Heart Association2015

Persistently Altered Brain Mitochondrial Bioenergetics After Apparently Successful Resuscitation From Cardiac Arrest.

Todd J Kilbaugh, Robert M Sutton, Michael Karlsson, Magnus J Hansson, Maryam Y Naim, Ryan W Morgan, George Bratinov, Joshua W Lampe, Vinay M Nadkarni, Lance B Becker and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
5.3field-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.

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

28 citing papers in PubMed, 57 citations in OpenAlex.

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  14. Age-Dependent Behavioral and Metabolic Assessment ofFrontiers in molecular neuroscience · 2022
    Article
  15. Increased cerebral mitochondrial dysfunction and reactive oxygen species with cardiopulmonary bypass.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2021
    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

12 authors at 5 institutions in 2 countries.

Todd J KilbaughDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
Robert M SuttonDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
Michael KarlssonMitochondrial Medicine, Department of Clinical Sciences, Lund University, Lund, Sweden (M.K., M.J.H.).
Magnus J HanssonMitochondrial Medicine, Department of Clinical Sciences, Lund University, Lund, Sweden (M.K., M.J.H.).
Maryam Y NaimDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
Ryan W MorganDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
George BratinovDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
Joshua W LampeDepartment of Emergency Medicine, The Hospital of the University of Pennsylvania, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (J.W.L., L.B.B.).
Vinay M NadkarniDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
Lance B BeckerDepartment of Emergency Medicine, The Hospital of the University of Pennsylvania, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (J.W.L., L.B.B.).
Susan S MarguliesDepartment of Bioengineering, School of Engineering and Applied Science, University of Pennsylvania, Philadelphia, PA (S.S.M.).
Robert A BergDepartment of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (T.J.K., R.M.S., M.Y.N., R.W.M., G.B., V.M.N., R.A.B.).
University of Pennsylvania · USChildren's Hospital of Philadelphia · USHospital of the University of Pennsylvania · USLund University · SEPhiladelphia University · US

Funding

PRECLINICAL CYCLOSPORIN A THERAPY TRIALS FOR PEDIATRIC TBIU01NS069545 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DUHAIME, ANN-CHRISTINE, MARGULIES, SUSAN SHEPS · 2011 to 2017
$3.5M
NINDS NIH HHS U01 NS069545NINDS NIH HHS UO1 NS069545
6 · The paper itself

Abstract

backgroundAlthough advances in cardiopulmonary resuscitation have improved survival from cardiac arrest (CA), neurologic injury persists and impaired mitochondrial bioenergetics may be critical for targeted neuroresuscitation. The authors sought to determine if excellent cardiopulmonary resuscitation and postresuscitation care and good traditional survival rates result in persistently disordered cerebral mitochondrial bioenergetics in a porcine pediatric model of asphyxia-associated ventricular fibrillation CA. METHODS AND

resultsAfter 7 minutes of asphyxia, followed by ventricular fibrillation, 5 female 1-month-old swine (4 sham) received blood pressure-targeted care: titration of compression depth to systolic blood pressure of 90 mm Hg and vasopressor administration to a coronary perfusion pressure >20 mm Hg. All animals received protocol-based vasopressor support after return of spontaneous circulation for 4 hours before they were killed. The primary outcome was integrated mitochondrial electron transport system (ETS) function. CA animals displayed significantly decreased maximal, coupled oxidative phosphorylating respiration (OXPHOSCI + CII) in cortex (P<0.02) and hippocampus (P<0.02), as well as decreased phosphorylation and coupling efficiency (cortex, P<0.05; hippocampus, P<0.05). Complex I- and complex II-driven respiration were both significantly decreased after CA (cortex: OXPHOSCI P<0.01, ETSCII P<0.05; hippocampus: OXPHOSCI P<0.03, ETSCII P<0.01). In the hippocampus, there was a significant decrease in maximal uncoupled, nonphosphorylating respiration (ETSCI + CII), as well as a 30% reduction in citrate synthase activity (P<0.04).

conclusionsMitochondria in both the cortex and hippocampus displayed significant alterations in respiratory function after CA despite excellent cardiopulmonary resuscitation and postresuscitation care in asphyxia-associated ventricular fibrillation CA. Analysis of integrated ETS function identifies mitochondrial bioenergetic failure as a target for goal-directed neuroresuscitation after CA. IACUC Protocol: IAC 13-001023.

Indexed as

Energy MetabolismResuscitationAnimalsAsphyxiaCell RespirationCerebral CortexDisease Models, AnimalElectron Transport Chain Complex ProteinsFemaleHeart ArrestHemodynamicsHippocampusMitochondriaPhosphorylationSwineTime FactorsElectron Transport Chain Complex Proteinsacute brain injurybraincardiac arrestelectron transport systemmitochondrianeuroprotection

Identifiers

PMID26370446
PMCPMC4599507
OpenAlexW2099270722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.