Evidence map›Paper›PMID 26937714›Full record

ArticleEndocrinology2016

Adrenal Demedullation and Oxygen Supplementation Independently Increase Glucose-Stimulated Insulin Concentrations in Fetal Sheep With Intrauterine Growth Restriction.

Antoni R Macko, Dustin T Yates, Xiaochuan Chen, Leslie A Shelton, Amy C Kelly, Melissa A Davis, Leticia E Camacho, Miranda J Anderson, Sean W Limesand

Open access · bronzeAbstract read
In one paragraph

Article in Endocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
15.7field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 47 citations in OpenAlex.

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  19. Chronically elevated norepinephrine concentrations lower glucose uptake in fetal sheep.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
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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

9 authors at 1 institution in 1 country.

Antoni R MackoSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Dustin T YatesSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Xiaochuan ChenSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Leslie A SheltonSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Amy C KellySchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Melissa A DavisSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Leticia E CamachoSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Miranda J AndersonSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
Sean W LimesandSchool of Animal and Comparative Biomedical Sciences, The University of Arizona, Tucson, Arizona 85719.
University of Arizona · US

Funding

PHYSIOLOGYT32HL007249 · NHLBI · UNIVERSITY OF ARIZONA · PI Brett A Colson, JOHN P KONHILAS · 1985 to 2026
$12.5M
Prevention of Placental Insufficiency Improves Beta-Cells FunctionR01DK084842 · NIDDK · UNIVERSITY OF ARIZONA · PI SEAN W LIMESAND · 2009 to 2026
$5.6M
NHLBI NIH HHS T32 HL007249NIDDK NIH HHS R01 DK084842
6 · The paper itself

Abstract

In pregnancies complicated by placental insufficiency and intrauterine growth restriction (IUGR), fetal glucose and oxygen concentrations are reduced, whereas plasma norepinephrine and epinephrine concentrations are elevated throughout the final third of gestation. Here we study the effects of chronic hypoxemia and hypercatecholaminemia on β-cell function in fetal sheep with placental insufficiency-induced IUGR that is produced by maternal hyperthermia. IUGR and control fetuses underwent a sham (intact) or bilateral adrenal demedullation (AD) surgical procedure at 0.65 gestation. As expected, AD-IUGR fetuses had lower norepinephrine concentrations than intact-IUGR fetuses despite being hypoxemic and hypoglycemic. Placental insufficiency reduced fetal weights, but the severity of IUGR was less with AD. Although basal plasma insulin concentrations were lower in intact-IUGR and AD-IUGR fetuses compared with intact-controls, glucose-stimulated insulin concentrations were greater in AD-IUGR fetuses compared with intact-IUGR fetuses. Interestingly, AD-controls had lower glucose- and arginine-stimulated insulin concentrations than intact-controls, but AD-IUGR and AD-control insulin responses were not different. To investigate chronic hypoxemia in the IUGR fetus, arterial oxygen tension was increased to normal levels by increasing the maternal inspired oxygen fraction. Oxygenation of IUGR fetuses enhanced glucose-stimulated insulin concentrations 3.3-fold in intact-IUGR and 1.7-fold in AD-IUGR fetuses but did not lower norepinephrine and epinephrine concentrations. Together these findings show that chronic hypoxemia and hypercatecholaminemia have distinct but complementary roles in the suppression of β-cell responsiveness in IUGR fetuses.

Indexed as

Adrenal MedullaAnimalsFemaleFetal Growth RetardationFetal WeightFetusGlucoseInsulinOxygenOxygen Inhalation TherapyPlacental InsufficiencyPregnancySheepGlucoseInsulinOxygen

Identifiers

PMID26937714
PMCPMC4870878
OpenAlexW2288869299

What OpenQuestion holds

Textmetadata
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.