Evidence map›Paper›PMID 27091482›Full record

ArticleBMC anesthesiology2016

Early ketamine exposure results in cardiac enlargement and heart dysfunction in Xenopus embryos.

Ran Guo, Guangjian Liu, Min Du, Yu Shi, Pu Jiang, Xiaoli Liu, Lan Liu, Jianxia Liu, Ying Xu

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 15 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

9 authors at 3 institutions in 2 countries.

Ran GuoDepartment of Anesthesiology, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Chongqing Key Laboratory of Translational Medical Research in Cognitive Development and Learning and Memory Disorders, Chongqing, 400014, PR China.
Guangjian LiuDepartment of Anesthesiology, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Chongqing Key Laboratory of Translational Medical Research in Cognitive Development and Learning and Memory Disorders, Chongqing, 400014, PR China.
Min DuDepartment of Anesthesiology, Children's Hospital of Chongqing Medical University, No.136, Zhongshan Er Lu, Yuzhong District, Chongqing City, 400014, PR China.
Yu ShiDepartment of Clinical laboratory, Children's Hospital of Chongqing Medical University, Chongqing, 400014, PR China.
Pu JiangDepartment of Forensic Medicine, College of Basic Medicine, Chongqing Medical University, Chongqing, 400016, PR China.
Xiaoli LiuDepartment of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, 02115, USA.
Lan LiuDepartment of Anesthesiology, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Key Laboratory of Pediatrics in Chongqing, Chongqing International Science and Technology Cooperation Center for Child Development and Disorders, Chongqing Key Laboratory of Translational Medical Research in Cognitive Development and Learning and Memory Disorders, Chongqing, 400014, PR China.
Jianxia LiuDepartment of Anesthesiology, Children's Hospital of Chongqing Medical University, No.136, Zhongshan Er Lu, Yuzhong District, Chongqing City, 400014, PR China.
Ying XuDepartment of Anesthesiology, Children's Hospital of Chongqing Medical University, No.136, Zhongshan Er Lu, Yuzhong District, Chongqing City, 400014, PR China. xuyingxy3066@126.com.
Chongqing Medical University · CNChildren's Hospital of Chongqing Medical University · CNBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKetamine is a commonly used clinical anesthetic and a popular recreational drug. However, with the exception of studies about the nervous system, studies about the effect of early ketamine exposure on embryos are rare. Xenopus laevis is a commonly used vertebrate model for assessing teratogenicity. Therefore, we treated Xenopus embryos with ketamine to evaluate its teratogenicity on embryos.

methodsXenopus embryos were treated with ketamine from stages 8 to 21. Embryonic and cardiac morphology were analyzed using living embryo imaging and whole-mount RNA in situ hybridization (WMISH). Heart function was measured by heart rate and ventricular shortening fraction (VSF). The mRNA expression levels of several heart development-related genes were determined by reverse transcription quantitative polymerase chain reaction (RT-qPCR). The protein expression levels of XMLC2, phospho-histone H3 (pH3) and histone H3 were determined by western blot.

resultsKetamine caused concentration-dependent increases in mortality and shortening of body length. At a dose of 0.5 mg/ml, ketamine exposure resulted in cardiac enlargement as the primary manifestation of several malformations: gut defects, a curved axis and shortened body length. Cardiac cells underwent increased proliferation. Moreover, the heart rate and ventricular shortening fraction were decreased, findings indicative of heart dysfunction. XMLC2 expression levels were down-regulated at stages 28, 32/33, 35/36 and 46.

conclusionsKetamine exposure during early development has teratogenic effects on Xenopus embryos. The heart enlargement and decreased VSF may result from the down-regulation of XMLC2 mRNA and protein levels. These findings provide new insight into the potential fetal defects induced by ketamine exposure during early pregnancy.

Indexed as

Age FactorsAnesthetics, DissociativeAnimalsCell ProliferationDose-Response Relationship, DrugEmbryo, NonmammalianFemaleHeartKetaminePregnancyXenopus laevisAnesthetics, DissociativeKetamineDrug exposureHeart developmentKetamineXenopus laevisXMLC2

Identifiers

PMID27091482
PMCPMC4836076
OpenAlexW2339426388

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.