Evidence map›Paper›PMID 29268623›Full record

ArticleAmerican journal of respiratory and critical care medicine2018

Anti-sFlt-1 Therapy Preserves Lung Alveolar and Vascular Growth in Antenatal Models of Bronchopulmonary Dysplasia.

Bradley Wallace, Amelie Peisl, Gregory Seedorf, Taylor Nowlin, Christina Kim, Jennifer Bosco, Jon Kenniston, Dennis Keefe, Steven H Abman

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing 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

51 citing papers in PubMed.

  1. Early dysanapsis in experimental bronchopulmonary dysplasia: implications for lifelong lung disease.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  2. Article
  3. Toward precision for bronchopulmonary dysplasia: Moving past current definitions.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  4. Review
  5. Review
  6. Observational
  7. Article
  8. Surviving birth at high altitude.The Journal of physiology · 2024
    Review
  9. Metformin Promotes Angiogenesis in Neonatal Lung Injury: A New Deal of an Old Drug.American journal of respiratory cell and molecular biology · 2024
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
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  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Bradley Wallace1 Pediatric Heart Lung Center.
Amelie Peisl1 Pediatric Heart Lung Center.
Gregory Seedorf1 Pediatric Heart Lung Center.
Taylor Nowlin1 Pediatric Heart Lung Center.
Christina Kim1 Pediatric Heart Lung Center.
Jennifer Bosco4 Shire Pharmaceuticals, Lexington, Massachusetts.
Jon Kenniston4 Shire Pharmaceuticals, Lexington, Massachusetts.
Dennis Keefe4 Shire Pharmaceuticals, Lexington, Massachusetts.
Steven H Abman1 Pediatric Heart Lung Center.

Funding

Role of VEGF in Perinatal Pulmonary HypertensionR01HL068702 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT, SHEPHERD, DOUGLAS · 2001 to 2021
$6.7M
Role of VEGF in Perinatal HypertensionR56HL068702 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI ABMAN, STEVEN HERBERT, SHEPHERD, DOUGLAS · 2018 to 2018
$765k
NHLBI NIH HHS R01 HL068702NHLBI NIH HHS R56 HL068702
6 · The paper itself

Abstract

rationalePregnancies complicated by antenatal stress, including preeclampsia (PE) and chorioamnionitis (CA), increase the risk for bronchopulmonary dysplasia (BPD) in preterm infants, but biologic mechanisms linking prenatal factors with BPD are uncertain. Levels of sFlt-1 (soluble fms-like tyrosine kinase 1), an endogenous antagonist to VEGF (vascular endothelial growth factor), are increased in amniotic fluid and maternal blood in PE and associated with CA.

objectivesBecause impaired VEGF signaling has been implicated in the pathogenesis of BPD, we hypothesized that fetal exposure to sFlt-1 decreases lung growth and causes abnormal lung structure and pulmonary hypertension during infancy.

methodsTo test this hypothesis, we studied the effects of anti-sFlt-1 monoclonal antibody (mAb) treatment on lung growth in two established antenatal models of BPD that mimic PE and CA induced by intraamniotic (i.a.) injections of sFlt-1 or endotoxin, respectively. In experimental PE, mAb was administered by three different approaches, including antenatal treatment by either i.a. instillation or maternal uterine artery infusion, or by postnatal intraperitoneal injections.

resultsWith each strategy, mAb therapy improved infant lung structure as assessed by radial alveolar count, vessel density, right ventricular hypertrophy, and lung function. As found in the PE model, the adverse lung effects of i.a. endotoxin were also reduced by antenatal or postnatal mAb therapy.

conclusionsWe conclude that treatment with anti-sFlt-1 mAb preserves lung structure and function and prevents right ventricular hypertrophy in two rat models of BPD of antenatal stress and speculate that early mAb therapy may provide a novel strategy for the prevention of BPD.

Indexed as

AnimalsAnimals, NewbornBronchopulmonary DysplasiaDisease Models, AnimalEndothelium, VascularFemaleHumansLungPregnancyPulmonary AlveoliRatsRats, Sprague-DawleyVascular Endothelial Growth Factor Receptor-1Vascular Endothelial Growth Factor Receptor-1bronchopulmonary dysplasiachorioamnionitispreeclampsiapulmonary hypertensionvascular endothelial growth factor

Identifiers

PMID29268623
PMCPMC5855071

What OpenQuestion holds

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Registered trials

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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.