Evidence map›Paper›PMID 28046032›Full record

Trial reportPloS one2017

Inflammatory Mediators in Tracheal Aspirates of Preterm Infants Participating in a Randomized Trial of Inhaled Nitric Oxide.

Mandy Laube, Elena Amann, Ulrike Uhlig, Yang Yang, Hans W Fuchs, Michael Zemlin, Jean-Christophe Mercier, Rolf F Maier, Helmut D Hummler, Stefan Uhlig and 1 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00551642 (The Effects of Nitric Oxide for Inhalation on the Development of Chronic Lung Disease in Pre-term Infants), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT00551642 phase3completednot on this map

The Effects of Nitric Oxide for Inhalation on the Development of Chronic Lung Disease in Pre-term Infants

TypeinterventionalSponsorMallinckrodtRan2005 to 2015Enrolled800ConditionsLung DiseaseArmsNitric oxide, Placebo
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 18 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Ceramide and Regulation of Vascular Tone.International journal of molecular sciences · 2019
    Review
  13. [Preventive effect of caffeine on bronchopulmonary dysplasia in preterm infants].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2018
    Review
  14. Review
  15. 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

11 authors at 5 institutions in 2 countries.

Mandy LaubeCenter for Pediatric Research Leipzig, Hospital for Children & Adolescents, Division of Neonatology, University of Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0002-7180-2858
Elena AmannDivision of Neonatology and Pediatric Critical Care, Department of Pediatrics, University of Ulm, Ulm, Germany.
Ulrike UhligInstitute of Pharmacology and Toxicology, RWTH Aachen University, Aachen, Germany.
Yang YangInstitute of Pharmacology and Toxicology, RWTH Aachen University, Aachen, Germany.
Hans W FuchsDepartment of Pediatrics, University Medical Center Freiburg, Freiburg, Germany.
Michael ZemlinDepartment of Pediatrics, University of Marburg, Marburg, Germany.
Jean-Christophe MercierHôpital Universitaire Robert Debré, Paris, France.
Rolf F MaierDepartment of Pediatrics, University of Marburg, Marburg, Germany.
Helmut D HummlerDivision of Neonatology and Pediatric Critical Care, Department of Pediatrics, University of Ulm, Ulm, Germany.
Stefan UhligInstitute of Pharmacology and Toxicology, RWTH Aachen University, Aachen, Germany.
Ulrich H ThomeCenter for Pediatric Research Leipzig, Hospital for Children & Adolescents, Division of Neonatology, University of Leipzig, Leipzig, Germany.
RWTH Aachen University · DEPhilipps University of Marburg · DEUniversität Ulm · DEHôpital Robert-Debré · FRUniversity Medical Center Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentilated preterm infants frequently develop bronchopulmonary dysplasia (BPD) which is associated with elevated inflammatory mediators in their tracheal aspirates (TA). In animal models of BPD, inhaled nitric oxide (iNO) has been shown to reduce lung inflammation, but data for human preterm infants is missing.

methodsWithin a European multicenter trial of NO inhalation for preterm infants to prevent BPD (EUNO), TA was collected to determine the effects of iNO on pulmonary inflammation. TA was collected from 43 premature infants randomly assigned to receive either iNO or placebo gas (birth weight 530-1230 g, median 800 g, gestational age 24 to 28 2/7 weeks, median 26 weeks). Interleukin (IL)-1β, IL-6, IL-8, transforming growth factor (TGF)-β1, interferon γ-induced protein 10 (IP-10), macrophage inflammatory protein (MIP)-1α, acid sphingomyelinase (ASM), neuropeptide Y and leukotriene B4 were measured in serial TA samples from postnatal day 2 to 14. Furthermore, TA levels of nitrotyrosine and nitrite were determined under iNO therapy.

resultsThe TA levels of IP-10, IL-6, IL-8, MIP-1α, IL-1β, ASM and albumin increased with advancing postnatal age in critically ill preterm infants, whereas nitrotyrosine TA levels declined in both, iNO-treated and placebo-treated infants. The iNO treatment generally increased nitrite TA levels, whereas nitrotyrosine TA levels were not affected by iNO treatment. Furthermore, iNO treatment transiently reduced early inflammatory and fibrotic markers associated with BPD development including TGF-β1, IP-10 and IL-8, but induced a delayed increase of ASM TA levels.

conclusionTreatment with iNO may have played a role in reducing several inflammatory and fibrotic mediators in TA of preterm infants compared to placebo-treated infants. However, survival without BPD was not affected in the main EUNO trial.

trial registrationNCT00551642.

Indexed as

Administration, InhalationAlbuminsAnalysis of VarianceCase-Control StudiesChemokinesDemographyFemaleHumansInfant, NewbornInfant, PrematureInflammation MediatorsMaleNitric OxideNitritesSphingomyelin PhosphodiesteraseSuction3-nitrotyrosineAlbuminsChemokinesInflammation MediatorsNitric OxideNitritesSphingomyelin PhosphodiesteraseTyrosine

Identifiers

PMID28046032
PMCPMC5207654
OpenAlexW2568796702

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.