Evidence map›Paper›PMID 26934483›Full record

ArticleRadiation research2016

Clinically Relevant Doses of Enalapril Mitigate Multiple Organ Radiation Injury.

Eric P Cohen, Brian L Fish, John E Moulder

Open access · greenAbstract read
In one paragraph

Article in Radiation research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Modeling normal bladder injury after radiation therapy.International journal of radiation biology · 2023
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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

3 authors at 2 institutions in 1 country.

Eric P Cohena   Nephrology Section, University of Maryland, Baltimore Veterans Affairs Medical Center, Baltimore, Maryland; and.
Brian L Fishb   Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
John E Moulderb   Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Medical College of Wisconsin · USUniversity of Maryland, Baltimore · US

Funding

Training and educationU19AI067734 · NIAID · MEDICAL COLLEGE OF WISCONSIN · PI OTTERSON, MARY F. · 2005 to 2009
$18.2M
NIAID NIH HHS AI67734NIAID NIH HHS U19 AI067734
6 · The paper itself

Abstract

Angiotensin-converting enzyme inhibitors (ACEi) are effective mitigators of radiation nephropathy. To date, their experimental use has been in fixed-dose regimens. In clinical use, doses of ACEi and other medication may be escalated to achieve greater benefit. We therefore used a rodent model to test the ACEi enalapril as a mitigator of radiation injury in an escalating-dose regimen. Single-fraction partial-body irradiation (PBI) with one hind limb out of the radiation field was used to model accidental or belligerent radiation exposures. PBI doses of 12.5, 12.75 and 13 Gy were used to establish multi-organ injury. One third of the rats underwent PBI alone, and two thirds of the rats had enalapril started five days after PBI at a dose of 30 mg/l in the drinking water. When there was established azotemic renal injury enalapril was escalated to a 60 mg/l dose in half of the animals and then later to a 120 mg/l dose. Irradiated rats on enalapril had significant mitigation of combined pulmonary and renal morbidity and had significantly less azotemia. Dose escalation of enalapril did not significantly improve outcomes compared to fixed-dose enalapril. The current data support use of the ACEi enalapril at a fixed and clinically usable dose to mitigate radiation injury after partial-body radiation exposure.

Indexed as

Angiotensin-Converting Enzyme InhibitorsAnimalsAzotemiaEnalaprilHumansKidneyRadiation Injuries, ExperimentalRatsWhole-Body IrradiationAngiotensin-Converting Enzyme InhibitorsEnalapril

Identifiers

PMID26934483
PMCPMC4825861
OpenAlexW2305417368

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.