Evidence map›Paper›PMID 29935580›Full record

ArticleBritish journal of anaesthesia2018

Cardiac μ-opioid receptor contributes to opioid-induced cardioprotection in chronic heart failure.

S F He, S Y Jin, W Yang, Y L Pan, J Huang, S J Zhang, L Zhang, Y Zhang

Open access · bronzeAbstract read
In one paragraph

Article in British journal of anaesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
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  6. Article
  7. Review
  8. A Closer Look at Opioid-Induced Adrenal Insufficiency: A Narrative Review.International journal of molecular sciences · 2023
    Review
  9. Article
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  11. Article
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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

8 authors at 2 institutions in 2 countries.

S F HeDepartment of Anaesthesiology, The Second Hospital of Anhui Medical University, Hefei, China.
S Y JinDepartment of Anaesthesiology, The Second Hospital of Anhui Medical University, Hefei, China.
W YangDepartment of Anaesthesiology, The Second Hospital of Anhui Medical University, Hefei, China.
Y L PanDepartment of Anaesthesiology, The Second Hospital of Anhui Medical University, Hefei, China.
J HuangDepartment of Anaesthesiology, The Second Hospital of Anhui Medical University, Hefei, China.
S J ZhangDepartment of Ultrasound, The Second Hospital of Anhui Medical University, Hefei, China.
L ZhangLaboratory for Integrative Neuroscience, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, MD, USA. Electronic address: lzhang@mail.nih.gov.
Y ZhangDepartment of Anaesthesiology, The Second Hospital of Anhui Medical University, Hefei, China. Electronic address: zhangye_hassan@sina.com.
Anhui Medical University · CNNational Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe therapeutic potential of cardiac μ-opioid receptors in ischaemia-reperfusion (I/R) injury during opioid-modulating diseases, such as heart failure, is unknown. We aimed to explore the changes of cardiac μ-opioid receptor expression during heart failure, and its role in opioid-induced cardioprotection.

methodsRats received doxorubicin (DOX) or were subjected to coronary artery ligation to induce heart failure, or received normal saline (NS) as control. Hearts from NS or DOX rats were isolated and subjected to myocardial ischaemia and reperfusion in an in vitro perfusion system. The opioid [D-Ala,

resultsCardiac μ-opioid receptor mRNA concentrations were 3.2 times elevated in DOX-treated rats compared with NS rats, while cardiac μ-opioid receptor protein concentrations showed 6.1- and 3.5-fold increases in DOX-treated and post-infarcted rats, respectively. DAMGO reduced I/R-caused infarct size, expressed as the ratio of area at risk, from 0.50 (0.04) to 0.25 (0.03) in failing rat hearts, but had no effect on infarct size in control hearts. DAMGO promoted phosphorylation of ERK and glycogen synthase kinase (GSK)-3β only in failing hearts. DAMGO-mediated cardioprotection was blocked by an ERK inhibitor. The μ-opioid receptor antagonist D-Pen-Cys-Tyr-D-Trp-Orn-Thr-Pen-Thr-NH2 (CTOP) prevented morphine- and remifentanil-induced cardioprotection and phosphorylation of ERK and GSK-3β in failing hearts. In contrast, δ- and κ-opioid receptor selective antagonists were less potent than CTOP in the failing hearts.

conclusionsCardiac μ-opioid receptors were substantially up-regulated during heart failure, which increased DAMGO-induced cardioprotection against I/R injury.

Indexed as

Analgesics, OpioidAnimalsAntibiotics, AntineoplasticCardiotonic AgentsChronic DiseaseCoronary VesselsDoxorubicinEnkephalin, Ala(2)-MePhe(4)-Gly(5)-Glycogen Synthase Kinase 3HeartHeart FailureLigationMaleMAP Kinase Signaling SystemMorphineMyocardial InfarctionAnalgesics, OpioidAntibiotics, AntineoplasticCardiotonic AgentsDoxorubicinEnkephalin, Ala(2)-MePhe(4)-Gly(5)-Glycogen Synthase Kinase 3MorphineOprm1 protein, ratReceptors, Opioid, muRemifentanilextracellular signal-regulated MAP kinasesglycogen synthase kinasesheart failuremyocardial reperfusion injuryopioid receptors

Identifiers

PMID29935580
PMCPMC6732883
OpenAlexW2793725815

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.