Evidence map›Paper›PMID 26726885›Full record

Trial reportPloS one2016

Ibuprofen Blunts Ventilatory Acclimatization to Sustained Hypoxia in Humans.

Kemal Erdem Basaran, Michael Villongco, Baran Ho, Erika Ellis, Rachel Zarndt, Julie Antonova, Susan R Hopkins, Frank L Powell

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 17% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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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

8 authors at 2 institutions in 2 countries.

Kemal Erdem BasaranDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Michael VillongcoDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Baran HoDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Erika EllisDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Rachel ZarndtDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Julie AntonovaDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Susan R HopkinsDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
Frank L PowellDivision of Physiology, Department of Medicine, University of California San Diego, San Diego, California, United States of America.
University of California, San Diego · USErciyes University · TR

Funding

Systems Biology CoreP01HL098053 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HADDAD, GABRIEL G · 2010 to 2014
$10.2M
Neural Plasticity During Acclimatization to HypoxiaR01HL081823 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POWELL, FRANK L. · 2005 to 2019
$4.5M
Training in Respiratory Biology: Innovate, Integrate, and TranslateT32HL098062 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POWELL, FRANK L. · 2010 to 2014
$2.1M
Lung Perfusion Heterogeneity and Mechanisms of EdemaR01HL081171 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HOPKINS, SUSAN R · 2006 to 2010
$1.9M
NHLBI NIH HHS 1P01HL098053NHLBI NIH HHS 2R01HL081823NHLBI NIH HHS 5R01HL081171NHLBI NIH HHS P01 HL098053NHLBI NIH HHS R01 HL081171NHLBI NIH HHS R01 HL081823NHLBI NIH HHS T32 HL098062NHLBI NIH HHS T32HL098062
6 · The paper itself

Abstract

Ventilatory acclimatization to hypoxia is a time-dependent increase in ventilation and the hypoxic ventilatory response (HVR) that involves neural plasticity in both carotid body chemoreceptors and brainstem respiratory centers. The mechanisms of such plasticity are not completely understood but recent animal studies show it can be blocked by administering ibuprofen, a nonsteroidal anti-inflammatory drug, during chronic hypoxia. We tested the hypothesis that ibuprofen would also block the increase in HVR with chronic hypoxia in humans in 15 healthy men and women using a double-blind, placebo controlled, cross-over trial. The isocapnic HVR was measured with standard methods in subjects treated with ibuprofen (400 mg every 8 hrs) or placebo for 48 hours at sea level and 48 hours at high altitude (3,800 m). Subjects returned to sea level for at least 30 days prior to repeating the protocol with the opposite treatment. Ibuprofen significantly decreased the HVR after acclimatization to high altitude compared to placebo but it did not affect ventilation or arterial O2 saturation breathing ambient air at high altitude. Hence, compensatory responses prevent hypoventilation with decreased isocapnic ventilatory O2-sensitivity from ibuprofen at this altitude. The effect of ibuprofen to decrease the HVR in humans provides the first experimental evidence that a signaling mechanism described for ventilatory acclimatization to hypoxia in animal models also occurs in people. This establishes a foundation for the future experiments to test the potential role of different mechanisms for neural plasticity and ventilatory acclimatization in humans with chronic hypoxemia from lung disease.

Indexed as

AcclimatizationAdolescentAdultAltitudeAnti-Inflammatory Agents, Non-SteroidalCarotid BodyChemoreceptor CellsChronic DiseaseCross-Over StudiesDouble-Blind MethodFemaleHumansHypoxiaIbuprofenMaleNeuronal PlasticityAnti-Inflammatory Agents, Non-SteroidalIbuprofenOxygen

Identifiers

PMID26726885
PMCPMC4699648
OpenAlexW2232082603

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.