Evidence map›Paper›PMID 27186277›Full record

ArticleAmerican journal of translational research2016

Diaphragm contractile dysfunction causes by off-target low-dose irradiation.

Chen-Hsi Hsieh, Yun-Cheng Lin, Yu-Jen Chen, Huey-Dong Wu, Li-Ying Wang

Open access · greenAbstract read
In one paragraph

Article in American journal of translational research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 7 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

5 authors at 3 institutions in 1 country.

Chen-Hsi HsiehDepartment of Radiation Oncology, Far Eastern Memorial HospitalTaipei, Taiwan; Department of Medicine, School of Medicine, National Yang-Ming UniversityTaipei, Taiwan; Institute of Traditional Medicine, School of Medicine, National Yang-Ming UniversityTaipei, Taiwan.
Yun-Cheng LinSchool and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University Taiwan.
Yu-Jen ChenInstitute of Traditional Medicine, School of Medicine, National Yang-Ming UniversityTaipei, Taiwan; Department of Radiation Oncology, Mackay Memorial HospitalTaipei, Taiwan.
Huey-Dong WuDepartment of Integrated Diagnostic & Therapeutics, National Taiwan University Hospital Taipei, Taiwan.
Li-Ying WangSchool and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan UniversityTaiwan; Physical Therapy Center, National Taiwan University HospitalTaipei, Taiwan.
National Taiwan University Hospital · TWNational Yang Ming Chiao Tung University · TWNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiaphragm is a primary inspiratory muscle and often receives off-target dose in patients with thoracic radiotherapy, and whether acute effect of low dose irradiation would cause contractile dysfunction of the diaphragm remains unclear. We use a rat model to investigate the effect of low-dose irradiation on diaphragm contractile function in the current study.

methodsThe radiation dose distributions in patients with esophageal cancer receiving radiotherapy were calculated to determine the dose received by the off-target diaphragm area. Rats were randomly assigned to an irradiated or a non-irradiated control group (n = 10 per group). A single-fraction of 5 Gy radiation was then delivered to the diaphragms of Sprague-Dawley rats in the irradiated group. The control group received sham irradiation (0 Gy). Rats were sacrificed 24 hours after the irradiation procedures and diaphragms were removed en bloc for contractile function assessment, oxidative injury and DNA damage analysis. Oxidative injury was determined by analyzing concentration of protein carbonyls and DNA damage was determined by analyzing retention of γH2AX foci in nuclei of diaphragmatic tissue.

resultsAt 24 hours after delivery of a single dose of 5 Gy radiation, specific twitch (p = 0.03) and tetanus tension (p = 0.02) were significantly lower in the irradiated group than in the control group. The relative force-frequency curves showed a significant downward shift in the irradiated group. Protein carbonyl level (p < 0.01) and percentage of γH2AX-positive diaphragm muscle cells were significantly higher in the irradiated group than in the control group 24 hours after irradiation (58% vs. 30%, p = 0.01).

conclusionsOff-target low dose irradiation could induce acute contractile dysfunction of the diaphragm which was related to radiation-induced direct DNA and indirect oxidative damage.

Indexed as

Irradiationoxidative stressrespiratory measurementrespiratory muscles

Identifiers

PMID27186277
PMCPMC4859636
OpenAlexW2465185821

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.