Evidence map›Paper›PMID 29634396›Full record

ArticleJournal of dental research2018

Localized Delivery of Amifostine Enhances Salivary Gland Radioprotection.

J J Varghese, I L Schmale, D Mickelsen, M E Hansen, S D Newlands, D S W Benoit, V A Korshunov, C E Ovitt

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Journal of dental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

31 citing papers in PubMed, 54 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

J J Varghese1 Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA.
I L Schmale2 Department of Otolaryngology, University of Rochester, Rochester, NY, USA.
D Mickelsen3 Aab Cardiovascular Research Institute, University of Rochester, Rochester, NY, USA.
M E Hansen1 Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA.
S D Newlands2 Department of Otolaryngology, University of Rochester, Rochester, NY, USA.
D S W Benoit1 Department of Biomedical Engineering, University of Rochester, Rochester, NY, USA.
V A Korshunov3 Aab Cardiovascular Research Institute, University of Rochester, Rochester, NY, USA.
C E Ovitt6 Center for Oral Biology, University of Rochester, Rochester, NY, USA.
University of Rochester · US

Funding

Engineered salivary gland tissue chips (Administrative Supplement)UH3DE027695 · NIDCR · UNIVERSITY OF ROCHESTER · PI BENOIT, DANIELLE S., DELOUISE, LISA A · 2019 to 2021
$3.0M
Engineered salivary gland tissue chipsUG3DE027695 · NIDCR · UNIVERSITY OF ROCHESTER · PI BENOIT, DANIELLE S., DELOUISE, LISA A · 2017 to 2018
$1.5M
Salivary gland-specific radioprotectionR56DE025098 · NIDCR · UNIVERSITY OF ROCHESTER · PI BENOIT, DANIELLE S., OVITT, CATHERINE · 2016 to 2016
$531k
Engineered Nanoparticles to Radioprotect Salivary TissueF30CA206296 · NCI · UNIVERSITY OF ROCHESTER · PI VARGHESE, JOMY JO · 2016 to 2019
$192k
NCI NIH HHS F30 CA206296NIDCR NIH HHS R56 DE025098NIDCR NIH HHS UG3 DE027695NIDCR NIH HHS UH3 DE027695
6 · The paper itself

Abstract

Radiotherapy for head and neck cancers commonly causes damage to salivary gland tissue, resulting in xerostomia (dry mouth) and numerous adverse medical and quality-of-life issues. Amifostine is the only Food and Drug Administration-approved radioprotective drug used clinically to prevent xerostomia. However, systemic administration of amifostine is limited by severe side effects, including rapid decrease in blood pressure (hypotension), nausea, and a narrow therapeutic window. In this study, we demonstrate that retroductal delivery of amifostine and its active metabolite, WR-1065, to murine submandibular glands prior to a single radiation dose of 15 Gy maintained gland function and significantly increased acinar cell survival. Furthermore, in vivo stimulated saliva secretion was maintained in retrograde-treated groups at levels significantly higher than irradiated-only and systemically treated groups. In contrast to intravenous injections, retroductal delivery of WR-1065 or amifostine significantly attenuated hypotension. We conclude that localized delivery to salivary glands markedly improves radioprotection at the cellular level, as well as mitigates the adverse side effects associated with systemic administration. These results support the further development of a localized delivery system that would be compatible with the fractionated dose regimen used clinically.

Indexed as

Acinar CellsAmifostineAnimalsFemaleFluorescent Antibody TechniqueInjectionsMercaptoethylaminesMiceMice, Inbred C57BLRadiation Injuries, ExperimentalRadiation-Protective AgentsSalivary GlandsSubmandibular GlandAmifostineMercaptoethylaminesN-(2-mercaptoethyl)-1,3-diaminopropaneRadiation-Protective Agentsacinar cellshypotensionradiationsalivasalivary ductssubmandibular gland

Identifiers

PMID29634396
PMCPMC6151913
OpenAlexW2798170249

What OpenQuestion holds

Textmetadata
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.