Evidence map›Paper›PMID 29278640›Full record

ArticlePediatric research2018

Infant cardiopulmonary bypass: CD73 kinetics, association with clinical outcomes, and influence on serum adenosine production capacity.

Jessica N Persson, Christine H Baird, Suhong Tong, Tracy T Urban, Jelena Klawitter, Paul E Wischmeyer, Jesse A Davidson

Open access · hybridAbstract read
In one paragraph

Article in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

7 authors at 3 institutions in 1 country.

Jessica N PerssonDepartment of Pediatrics, University of Colorado, Aurora, Colorado.
Christine H BairdDepartment of Pediatrics, University of Colorado, Aurora, Colorado.
Suhong TongDepartment of Biostatistics, University of Colorado, Aurora, Colorado.
Tracy T UrbanResearch Institute, Children's Hospital Colorado/Department of Pediatrics, University of Colorado, Aurora, Colorado.
Jelena KlawitterDepartment of Anesthesiology, University of Colorado, Aurora, Colorado.
Paul E WischmeyerDepartment of Anesthesiology and Surgery, Duke Clinical Research Institute, Duke University, Durham, North Carolina.
Jesse A DavidsonDepartment of Pediatrics, University of Colorado, Aurora, Colorado.
University of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USClinical Research Institute · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Alkaline Phosphatase in Infant Cardiopulmonary Bypass: Kinetics and RelationshipK23HL123634 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI DAVIDSON, JESSE · 2014 to 2018
$826k
American Heart Association-American Stroke Association 13CRP17300016NCATS NIH HHS UL1 TR001082NCRR NIH HHS UL1 RR025780NHLBI NIH HHS K23 HL123634
6 · The paper itself

Abstract

BackgroundExtracellular adenine nucleotides contribute to ischemia-reperfusion injury following infant cardiopulmonary bypass (CPB), whereas conversion to adenosine may be protective. Alkaline phosphatase (AP), a key enzyme responsible for this conversion, decreases after infant CPB. Indirect evidence suggests that soluble CD73 may simultaneously increase and partially offset this loss of AP. We sought to measure CD73 levels in infants undergoing CPB and determine its association with adenosine production capacity and postoperative support requirements.MethodsA prospective cohort study of infants ≤120 days of age undergoing CPB. CD73 was measured before CPB and during rewarming. Multivariable modeling evaluated the contributions of CD73/AP to adenosine production capacity and postoperative support requirements.ResultsSerum samples from 85 subjects were analyzed. The median CD73 concentration increased following CPB (95.2 vs. 179.8 ng/ml; P<0.0001). Rewarming CD73 was independently inversely associated with vasoactive inotropic support (P<0.005) and length of intensive care unit stay (P<0.005). Combined AP activity and CD73 concentration predicted adenosine production capacity (P<0.0001).ConclusionsSerum CD73 increases following infant CPB. Low rewarming CD73 is independently associated with increased postoperative support requirements. CD73 and AP together predict serum adenosine production capacity and may represent potential therapeutic targets to clear extracellular adenine nucleotides and improve outcomes following infant CPB.

Indexed as

Cardiopulmonary Bypass5'-NucleotidaseAdenosineAlkaline PhosphataseFemaleGPI-Linked ProteinsHumansInfantInfant, NewbornKineticsMaleMultivariate AnalysisProspective StudiesRespiration, ArtificialRewarmingTreatment Outcome5'-NucleotidaseAdenosineAlkaline PhosphataseGPI-Linked ProteinsNT5E protein, human

Identifiers

PMID29278640
PMCPMC5935543
OpenAlexW2777822460

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.