Evidence map›Paper›PMID 27154161›Full record

ArticleThe Annals of thoracic surgery2016

Nanotechnology Approaches to Targeting Inflammation and Excitotoxicity in a Canine Model of Hypothermic Circulatory Arrest-Induced Brain Injury.

Joshua C Grimm, J Trent Magruder, Mary A Wilson, Mary E Blue, Todd C Crawford, Juan C Troncoso, Fan Zhang, Sujatha Kannan, Christopher M Sciortino, Michael V Johnston and 2 more

Abstract read
In one paragraph

Article in The Annals of thoracic surgery, 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
–field-weighted citation impact
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.

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  6. Generation-6 hydroxyl PAMAM dendrimers improve CNS penetration from intravenous administration in a large animal brain injury model.Journal of controlled release : official journal of the Controlled Release Society · 2017
    Article
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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

12 authors.

Joshua C GrimmDivision of Cardiac Surgery, Department of Surgery, The Johns Hopkins Medical Institution, Baltimore, Maryland.
J Trent MagruderDivision of Cardiac Surgery, Department of Surgery, The Johns Hopkins Medical Institution, Baltimore, Maryland.
Mary A WilsonKennedy Krieger Institute, The Johns Hopkins Hospital, Baltimore, Maryland.
Mary E BlueKennedy Krieger Institute, The Johns Hopkins Hospital, Baltimore, Maryland.
Todd C CrawfordDivision of Cardiac Surgery, Department of Surgery, The Johns Hopkins Medical Institution, Baltimore, Maryland.
Juan C TroncosoDepartment of Pathology and Neurology, The Johns Hopkins Hospital, Baltimore, Maryland.
Fan ZhangCenter for Nanomedicine, Department of Ophthalmology, The Johns Hopkins Medical Institution, Baltimore, Maryland.
Sujatha KannanCenter for Nanomedicine, Department of Ophthalmology, The Johns Hopkins Medical Institution, Baltimore, Maryland.
Christopher M SciortinoDivision of Cardiac Surgery, Department of Surgery, The Johns Hopkins Medical Institution, Baltimore, Maryland.
Michael V JohnstonKennedy Krieger Institute, The Johns Hopkins Hospital, Baltimore, Maryland.
Rangaramanujam M KannanCenter for Nanomedicine, Department of Ophthalmology, The Johns Hopkins Medical Institution, Baltimore, Maryland.
William A BaumgartnerDivision of Cardiac Surgery, Department of Surgery, The Johns Hopkins Medical Institution, Baltimore, Maryland. Electronic address: wbaumgar@jhmi.edu.

Funding

Excitotoxicity in Circulatory Arrest-Brain InjuryR01HL091541 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI LAWTON, JENNIFER S · 2009 to 2025
$11.7M
Translational Neuroscience CoreU54HD079123 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI FATEMI, S. ALI · 2014 to 2019
$7.9M
NHLBI NIH HHS R01 HL091541NICHD NIH HHS U54 HD079123
6 · The paper itself

Abstract

backgroundNeurocognitive dysfunction and injury remain problematic after cardiac procedures requiring hypothermic circulatory arrest (HCA). Due to poor blood-brain barrier penetrance and toxicities associated with systemic drug therapies, clinical success has been elusive. Accordingly, we explored targeted dendrimer (a nanoparticle) drug therapies in our well-established canine model of HCA to characterize the biodistribution and cellular localization of these nanoparticles in areas of known neuronal apoptosis and necrosis.

methodsClass A, 27- to 30-kg male hounds were administered an initial intravenous bolus (10% of the total dose [200 mg]) of generation-six polyamidoamine dendrimer (6.7 nm) labeled with cyanine 5, and cardiopulmonary bypass with peripheral cannulation was initiated. After 90 minutes of HCA, 70% of the total dose was infused over a 6-hour period. The final 20% of the total dose was given 24 hours post-HCA. The brain was harvested 48 hours later (72 hours post-HCA) and analyzed for dendrimer 6-cyanine 5 biodistribution.

resultsThe dorsal hippocampus demonstrated the highest brain accumulation of dendrimer 6-cyanine 5, which closely corresponds to the distribution of apoptotic neurons evident with histologic staining and on confocal imaging. In injured brain regions, dendrimer traversed the blood-brain barrier and localized within the target cells (injured neurons and microglia).

conclusionsThese findings have exciting implications for the future development of novel therapeutics to mitigate neurocognitive deficits in this group of patients.

Indexed as

AnimalsBlood-Brain BarrierBrain InjuriesCirculatory Arrest, Deep Hypothermia InducedCognition DisordersDendrimersDisease Models, AnimalDogsInflammationMaleNanoparticlesDendrimers

Identifiers

PMID27154161
PMCPMC4995124

What OpenQuestion holds

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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.