Evidence map›Paper›PMID 30482190›Full record

ArticleBMC pediatrics2018

Necrotizing enterocolitis leads to disruption of tight junctions and increase in gut permeability in a mouse model.

Srikanth Ravisankar, Rodney Tatum, Parvesh M Garg, Maja Herco, Prem S Shekhawat, Yan-Hua Chen

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.5field-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

30 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Tight junction proteins and intestinal health in preterm infants.Journal of neonatal-perinatal medicine · 2025
    Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. International journal of molecular sciences · 2023
    Article
  14. Review
  15. State-of-the-art review and update ofFrontiers in pediatrics · 2023
    Review
  16. In Vitro Apical-Out Enteroid Model of Necrotizing Enterocolitis.Journal of visualized experiments : JoVE · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Review
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

6 authors at 4 institutions in 1 country.

Srikanth RavisankarDepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC, 27834, USA.
Rodney TatumDepartment of Anatomy and Cell Biology, Brody School of Medicine, East Carolina University, Greenville, NC, 27834, USA.
Parvesh M GargDepartment of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, NC, 27834, USA.
Maja HercoDepartment of Anatomy and Cell Biology, Brody School of Medicine, East Carolina University, Greenville, NC, 27834, USA.
Prem S ShekhawatDepartment of Pediatrics, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH, 44109, USA. pshekhawat@metrohealth.org.
Yan-Hua ChenDepartment of Anatomy and Cell Biology, Brody School of Medicine, East Carolina University, Greenville, NC, 27834, USA. cheny@ecu.edu.
East Carolina University · USMercy Medical Center · USMetroHealth Medical Center · USUniversity of Mississippi Medical Center · US

Funding

Role of claudin-7 in intestinal structure and inflammationR15DK103166 · NIDDK · EAST CAROLINA UNIVERSITY · PI CHEN, YAN-HUA · 2016 to 2016
$436k
NIDDK NIH HHS R15 DK103166
6 · The paper itself

Abstract

backgroundNecrotizing enterocolitis (NEC) is a leading cause of death in preterm infants. Neonates weighing <1500 grams are at the highest risk for acquiring NEC, with a prevalence of nearly 7-10%, mortality up to 30%, and several long-term complications among survivors. Despite advancements in neonatal medicine, this disease remains a challenge to treat. The aim of this study is to investigate the effect of NEC on gut epithelial tight junctions and its barrier function using a NEC mouse model.

methodsThree-day old C57BL/6 mouse pups were fed with Esbilac formula every 3 hours and then subjected to hypoxia twice daily followed by cold stress. Dam fed pups from the same litters served as controls. Pups were observed and sacrificed 96 hours after the treatments and intestines were removed for experiments. The successful induction of NEC was confirmed by histopathology. Changes in tight junction proteins in NEC intestines were studied by western blotting and immunofluorescent microscopy using specific protein markers. The gut leakage in NEC was visualized using biotin tracer molecules.

resultsOur study results demonstrate that we induced NEC in >50% of experimental pups, pups lost nearly 40% of weight and their intestines showed gross changes and microscopic changes associated with NEC. There were inflammatory changes with loss of tight junction barrier function and disruption of tight junction claudin proteins in the intestines of NEC mouse model. We have demonstrated for the first time that NEC intestines develop increased leakiness as visualized by biotin tracer leakage.

conclusionsNEC leads to breakdown of epithelial barrier due to changes in tight junction proteins with increased leakiness which may explain the transmigration of microbes and microbial products from the gut lumen into the blood stream leading to sepsis like signs clinically witnessed.

Indexed as

AnimalsCapillary PermeabilityClaudinsDisease Models, AnimalEnterocolitis, NecrotizingInflammation MediatorsIntestinal MucosaMiceMice, Inbred C57BLTight JunctionsClaudinsInflammation MediatorsBiotin tracer moleculesClaudin proteinsEpithelial barrier functionNecrotizing enterocolitisTight junctions

Identifiers

PMID30482190
PMCPMC6260703
OpenAlexW2902049322

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.