Evidence map›Paper›PMID 28355201›Full record

ArticlePediatric research2017

Sex and age differences in phenylephrine mechanisms and outcomes after piglet brain injury.

Victor Curvello, Hugh Hekierski, John Riley, Monica Vavilala, William M Armstead

RetractedOpen access · bronzeAbstract readRetracted Publication
In one paragraph

Article in Pediatric research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.8field-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.

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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Sex Differences in Animal Models of Traumatic Brain Injury.Journal of experimental neuroscience · 2019
    Review
  8. Angiopoietin/Tie2 Axis Regulates the Age-at-Injury Cerebrovascular Response to Traumatic Brain Injury.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2018
    Article
  9. Review
  10. Pre-clinical models in pediatric traumatic brain injury-challenges and lessons learned.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2017
    Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Victor CurvelloDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
Hugh HekierskiDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
John RileyDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
Monica VavilalaDepartment of Anesthesiology, University of Washington, Seattle, Washington.
William M ArmsteadDepartment of Anesthesiology and Critical Care, University of Pennsylvania, Philadelphia, Pennsylvania.
University of Pennsylvania · USUniversity of Washington · US

Funding

Pressor Choice Influences Protection Of Autoregulation in Brain InjuryR01NS090998 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI ARMSTEAD, WILLIAM M · 2015 to 2019
$1.8M
NINDS NIH HHS R01 NS090998
6 · The paper itself

Abstract

BackgroundTraumatic brain injury (TBI) is the leading cause of injury-related death in children, with boys and children under 4 years of age having particularly poor outcomes. Cerebral autoregulation is often impaired after TBI, contributing to poor outcome. In prior studies on newborn pigs, phenylephrine (Phe) preferentially protected cerebral autoregulation in female but not in male subjects after TBI. We hypothesized that, in contrast to the newborn, Phe prevents impairment of autoregulation and tissue injury following TBI in both sexes of older pigs.MethodsCerebral autoregulation, cerebrospinal fluid (CSF) extracellular signal-related kinase (ERK) and endothelin, and histopathology were determined after moderate fluid percussion brain injury (FPI) in male and female juvenile pigs after Phe.ResultsAutoregulation was more impaired in male than in female subjects. Phe protects autoregulation in both sexes after FPI, blocks ERK and endothelin, and decreases the number of necrotic neurons in male and female subjects after FPI.ConclusionsThese data indicate that Phe protects autoregulation and limits neuronal necrosis via blockage of ERK and endothelin after FPI in male and female subjects. Together with prior observations in newborn pigs where Phe protected autoregulation in female but not in male subjects, these data suggest that use of Phe to improve outcomes after TBI is both sex- and age-dependent.

Indexed as

Age FactorsSex FactorsAnimalsAnimals, NewbornBrainBrain InjuriesCerebrospinal FluidCerebrovascular CirculationEndothelinsExtracellular Signal-Regulated MAP KinasesFemaleHomeostasisHypotensionMaleNecrosisPhenylephrineEndothelinsExtracellular Signal-Regulated MAP KinasesPhenylephrineVasoconstrictor Agents

Identifiers

PMID28355201
PMCPMC5509507
OpenAlexW2600106170

What OpenQuestion holds

Textmetadata
LicenceTDM
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.