Evidence map›Paper›PMID 28433802›Full record

ArticlePsychoneuroendocrinology2017

Role of environmental stressors in determining the developmental outcome of neonatal anesthesia.

Ling-Sha Ju, Jiao-Jiao Yang, Nikolaus Gravenstein, Christoph N Seubert, Timothy E Morey, Colin Sumners, Terrie Vasilopoulos, Jian-Jun Yang, Anatoly E Martynyuk

Abstract read
In one paragraph

Article in Psychoneuroendocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 26 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

9 authors at 3 institutions in 2 countries.

Ling-Sha JuDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Jiao-Jiao YangDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Nikolaus GravensteinDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States; The McKnight Brain Institute, University of Florida College of Medicine, Gainesville, FL, United States.
Christoph N SeubertDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Timothy E MoreyDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Colin SumnersThe McKnight Brain Institute, University of Florida College of Medicine, Gainesville, FL, United States; Department of Physiology and Functional Genomics, University of Florida College of Medicine, Gainesville, FL, United States.
Terrie VasilopoulosDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States.
Jian-Jun YangDepartment of Anesthesiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Anatoly E MartynyukDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, United States; The McKnight Brain Institute, University of Florida College of Medicine, Gainesville, FL, United States. Electronic address: AMartynyuk@anest.ufl.edu.
University of Florida · USFlorida College · USZhongda Hospital Southeast University · CN

Funding

Role of the limbic-hypothalamic-pituitary-adrenal axis and gamma-aminobutyric acid type A receptor-mediated excitation in the developmental central and systemic effects of neonatal anesthesiaR01NS091542 · NINDS · UNIVERSITY OF FLORIDA · PI MARTYNYUK, ANATOLY E · 2015 to 2018
$1.4M
Mechanism of neurological and cognitive side effects of sevoflurane anesthesia atR01GM093036 · NIGMS · UNIVERSITY OF FLORIDA · PI MARTYNYUK, ANATOLY E · 2011 to 2014
$1.1M
NIGMS NIH HHS R01 GM093036NINDS NIH HHS R01 NS091542
6 · The paper itself

Abstract

backgroundThe majority of studies evaluating neurocognition in humans who had procedures under anesthesia early in life found long-term deficits even though the typical anesthesia duration normalized to the human life span is much shorter than that shown to induce developmental abnormalities in rodents. Therefore, we studied whether subsequent environmental stressors contribute to deficiencies programmed by a brief neonatal etomidate exposure.

methodsPostnatal days (P) 4, 5, or 6, Sprague-Dawley rats, pretreated with vehicle or the Na

conclusionsPost-anesthesia stressors may exacerbate/unmask neurodevelopmental abnormalities even after a relatively short anesthetic with etomidate, leading to dysregulated stress response systems and neurobehavioral deficiencies in adulthood. Amelioration by bumetanide suggests a mechanistic role for etomidate-enhanced gamma-aminobutyric acid type A receptor-mediated depolarization in initiating long-lasting alterations in gene expression that are further potentiated by subsequent maternal separation.

Indexed as

Animals, NewbornMaternal DeprivationAnesthesiaAnesthetics, IntravenousAnimalsBehavior, AnimalBumetanideCorticosteroneCorticotropin-Releasing HormoneEtomidateK Cl- CotransportersRatsRestraint, PhysicalSolute Carrier Family 12, Member 2SymportersAnesthetics, IntravenousBumetanideCorticosteroneCorticotropin-Releasing HormoneEtomidateK Cl- CotransportersSlc12a2 protein, ratSolute Carrier Family 12, Member 2SymportersBehaviorDeveloping brainEnvironmental factorEtomidateMaternal separationStress

Identifiers

PMID28433802
PMCPMC5492971
OpenAlexW2605013265

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.