Evidence map›Paper›PMID 27631586›Full record

ArticleJournal of medical toxicology : official journal of the American College of Medical Toxicology2016

The Vitamin B

Jangwoen Lee, Sari B Mahon, David Mukai, Tanya Burney, Behdod S Katebian, Adriano Chan, Vikhyat S Bebarta, David Yoon, Gerry R Boss, Matthew Brenner

Abstract read
In one paragraph

Article in Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Article
  2. Meso-fluorinated cobalamins: insights into synthesis and redox properties.Journal of biological inorganic chemistry : JBIC : a publication of the Society of Biological Inorganic Chemistry · 2026
    Article
  3. A clinical review of acute poisoning among pediatric individuals.European journal of medical research · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Efficacy of oral administration of sodium thiosulfate in a large, swine model of oral cyanide toxicity.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2021
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Hydrogen Sulfide Toxicity: Mechanism of Action, Clinical Presentation, and Countermeasure Development.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2019
    Review
  18. Antidotal Effects of the Phenothiazine Chromophore Methylene Blue Following Cyanide Intoxication.Toxicological sciences : an official journal of the Society of Toxicology · 2019
    Article
  19. A Review on Ingested Cyanide: Risks, Clinical Presentation, Diagnostics, and Treatment Challenges.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2019
    Review
  20. Characterization of a Swine (Comparative medicine · 2018
    Article
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

10 authors.

Jangwoen LeeBeckman Laser Institute, University of California, 1002 Health Sciences Rd., Irvine, CA, 92612-1475, USA. jangwl@uci.edu.
Sari B MahonBeckman Laser Institute, University of California, 1002 Health Sciences Rd., Irvine, CA, 92612-1475, USA.
David MukaiBeckman Laser Institute, University of California, 1002 Health Sciences Rd., Irvine, CA, 92612-1475, USA.
Tanya BurneyBeckman Laser Institute, University of California, 1002 Health Sciences Rd., Irvine, CA, 92612-1475, USA.
Behdod S KatebianDepartment of Medicine, University of California, San Diego, La Jolla, CA, 92093-0652, USA.
Adriano ChanDepartment of Medicine, University of California, San Diego, La Jolla, CA, 92093-0652, USA.
Vikhyat S BebartaDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, 80045, USA.
David YoonBeckman Laser Institute, University of California, 1002 Health Sciences Rd., Irvine, CA, 92612-1475, USA.
Gerry R BossDepartment of Medicine, University of California, San Diego, La Jolla, CA, 92093-0652, USA.
Matthew BrennerBeckman Laser Institute, University of California, 1002 Health Sciences Rd., Irvine, CA, 92612-1475, USA.

Funding

Pre-Clinical and Clinical Studies of Cobinamide, A New Cyanide Detoxifying AgentU01NS058030 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BOSS, GERRY R · 2006 to 2017
$7.3M
NINDS NIH HHS U01 NS058030
6 · The paper itself

Abstract

introductionCyanide is a major chemical threat, and cyanide ingestion carries a higher risk for a supra-lethal dose exposure compared to inhalation but provides an opportunity for effective treatment due to a longer treatment window and a gastrointestinal cyanide reservoir that could be neutralized prior to systemic absorption. We hypothesized that orally administered cobinamide may function as a high-binding affinity scavenger and that gastric alkalinization would reduce cyanide absorption and concurrently increase cobinamide binding, further enhancing antidote effectiveness.

methodsThirty New Zealand white rabbits were divided into five groups and were given a lethal dose of oral cyanide poisoning (50 mg). The survival time of animals was monitored with oral cyanide alone, oral cyanide with gastric alkalinization with oral sodium bicarbonate buffer (500 mg), and in combination with either aquohydroxocobinamide or dinitrocobinamide (250 mM). Red blood cell cyanide concentration, plasma cobinamide, and thiocyanate concentrations were measured from blood samples.

resultsIn cyanide ingested animals, oral sodium bicarbonate alone significantly prolonged survival time to 20.3 ± 8.6 min compared to 10.5 ± 4.3 min in saline-treated controls, but did not lead to overall survival. Aquohydroxocobinamide and dinitrocobinamide increased survival time to 64 ± 41 (p < 0.05) and 75 ± 16.4 min (p < 0.001), respectively. Compared to aquohydroxocobinamide, dinitrocobinamide showed greater systemic absorption and reduced blood pressure. Dinitrocobinamide also markedly increased the red blood cell cyanide concentration. Under all conditions, the plasma thiocyanate concentration gradually increased with time.

conclusionThis study demonstrates a promising new approach to treat high-dose cyanide ingestion, with gastric alkalinization alone and in combination with oral cobinamide for treating a supra-lethal dose of orally administered cyanide in rabbits.

Indexed as

Administration, OralAnalysis of VarianceAnimalsAntacidsAntidotesBlood PressureCobamidesCyanidesDisease Models, AnimalEatingErythrocytesHumansMaleRabbitsSodium BicarbonateSpectrum AnalysisAntacidsAntidotesCobamidescobinamideCyanidesSodium BicarbonatethiocyanateThiocyanatesCobinamideDiffuse optical spectroscopyGastric alkalinizationOral cyanide poisoning

Identifiers

PMID27631586
PMCPMC5135677

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.