Evidence map›Paper›PMID 27016588›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2016

Absence of TNF-α enhances inflammatory response in the newborn lung undergoing mechanical ventilation.

Harald Ehrhardt, Tina Pritzke, Prajakta Oak, Melina Kossert, Luisa Biebach, Kai Förster, Markus Koschlig, Cristina M Alvira, Anne Hilgendorff

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Senescence of lung mesenchymal stem cells of preterm infants by cyclic stretch and hyperoxia via p21.American journal of physiology. Lung cellular and molecular physiology · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Complex roles of TGF-β signaling pathways in lung development and bronchopulmonary dysplasia.American journal of physiology. Lung cellular and molecular physiology · 2023
    Review
  11. Molecular mechanisms of cell death in bronchopulmonary dysplasia.Apoptosis : an international journal on programmed cell death · 2023
    Review
  12. Mesenchymal stromal/stem cells and bronchopulmonary dysplasia.Frontiers in cell and developmental biology · 2023
    Review
  13. Review
  14. Association of immune cell recruitment and BPD development.Molecular and cellular pediatrics · 2022
    Review
  15. Article
  16. Review
  17. Review
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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 4 institutions in 2 countries.

Harald EhrhardtDepartment of General Pediatrics and Neonatology, University Hospital of Giessen and Marburg, Giessen, Germany;
Tina PritzkeComprehensive Pneumology Center, Helmholtz Zentrum Muenchen, Munich, Germany;
Prajakta OakComprehensive Pneumology Center, Helmholtz Zentrum Muenchen, Munich, Germany;
Melina KossertComprehensive Pneumology Center, Helmholtz Zentrum Muenchen, Munich, Germany;
Luisa BiebachDepartment of Neonatology, Dr. von Haunersches Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany;
Kai FörsterDepartment of Neonatology, Dr. von Haunersches Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany;
Markus KoschligComprehensive Pneumology Center, Helmholtz Zentrum Muenchen, Munich, Germany;
Cristina M AlviraDepartment of Pediatrics, Stanford University, Stanford, California.ORCID 0000-0002-6921-0001
Anne HilgendorffComprehensive Pneumology Center, Helmholtz Zentrum Muenchen, Munich, Germany; Department of Neonatology, Dr. von Haunersches Children's Hospital, Ludwig-Maximilians University of Munich, Munich, Germany; anne.hilgendorff@med.uni-muenchen.de.
Helmholtz Zentrum München · DELudwig-Maximilians-Universität München · DEStanford University · USUniversitätsklinikum Gießen und Marburg · DE

Funding

Novel Molecular Mechanisms Regulating Postnatal Pulmonary AngiogenesisR01HL122918 · NHLBI · STANFORD UNIVERSITY · PI ALVIRA, CRISTINA MARIA · 2014 to 2018
$2.3M
NHLBI NIH HHS R01 HL122918
6 · The paper itself

Abstract

Bronchopulmonary dysplasia (BPD), characterized by impaired alveolarization and vascularization in association with lung inflammation and apoptosis, often occurs after mechanical ventilation with oxygen-rich gas (MV-O2). As heightened expression of the proinflammatory cytokine TNF-α has been described in infants with BPD, we hypothesized that absence of TNF-α would reduce pulmonary inflammation, and attenuate structural changes in newborn mice undergoing MV-O2 Neonatal TNF-α null (TNF-α(-/-)) and wild type (TNF-α(+/+)) mice received MV-O2 for 8 h; controls spontaneously breathed 40% O2 Histologic, mRNA, and protein analysis in vivo were complemented by in vitro studies subjecting primary pulmonary myofibroblasts to mechanical stretch. Finally, TNF-α level in tracheal aspirates from preterm infants were determined by ELISA. Although MV-O2 induced larger and fewer alveoli in both, TNF-α(-/-) and TNF-α(+/+) mice, it caused enhanced lung apoptosis (TUNEL, caspase-3/-6/-8), infiltration of macrophages and neutrophils, and proinflammatory mediator expression (IL-1β, CXCL-1, MCP-1) in TNF-α(-/-) mice. These differences were associated with increased pulmonary transforming growth factor-β (TGF-β) signaling, decreased TGF-β inhibitor SMAD-7 expression, and reduced pulmonary NF-κB activity in ventilated TNF-α(-/-) mice. Preterm infants who went on to develop BPD showed significantly lower TNF-α levels at birth. Our results suggest a critical balance between TNF-α and TGF-β signaling in the developing lung, and underscore the critical importance of these key pathways in the pathogenesis of BPD. Future treatment strategies need to weigh the potential benefits of inhibiting pathologic cytokine expression against the potential of altering key developmental pathways.

Indexed as

AnimalsAnimals, NewbornApoptosisBronchopulmonary DysplasiaCells, CulturedHumansInfant, NewbornLungMice, Inbred C57BLMice, KnockoutPneumoniaRespiration, ArtificialTracheaTumor Necrosis Factor-alphaTumor Necrosis Factor-alphaapoptosisbronchopulmonary dysplasialungmechanical ventilationneonatal chronic lung diseasenewborn miceTGF-βTNF-αtumor necrosis factor

Identifiers

PMID27016588
PMCPMC4896101
OpenAlexW2311988562

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.