Evidence map›Paper›PMID 30882140›Full record

ArticleThe American journal of clinical nutrition2019

Fish oil-based injectable lipid emulsions containing medium-chain triglycerides or added α-tocopherol offer anti-inflammatory benefits in a murine model of parenteral nutrition-induced liver injury.

Meredith A Baker, Bennet S Cho, Lorenzo Anez-Bustillos, Duy T Dao, Amy Pan, Alison A O'Loughlin, Zachary M Lans, Paul D Mitchell, Vania Nosé, Kathleen M Gura and 2 more

Open access · greenAbstract read
In one paragraph

Article in The American journal of clinical nutrition, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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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

12 authors at 4 institutions in 1 country.

Meredith A BakerVascular Biology Program and Department of Surgery.
Bennet S ChoVascular Biology Program and Department of Surgery.
Lorenzo Anez-BustillosVascular Biology Program and Department of Surgery.
Duy T DaoVascular Biology Program and Department of Surgery.
Amy PanVascular Biology Program and Department of Surgery.
Alison A O'LoughlinVascular Biology Program and Department of Surgery.
Zachary M LansRobert Wood Johnson Medical School, Piscataway, NJ.
Paul D MitchellInstitutional Centers for Clinical and Translational Research.
Vania NoséDepartment of Pathology, Massachusetts General Hospital, Boston, MA.
Kathleen M GuraDepartment of Pharmacy, Boston Children's Hospital, Boston, MA.
Mark PuderVascular Biology Program and Department of Surgery.
Gillian L FellVascular Biology Program and Department of Surgery.
Center for Vascular Biology Research · USBoston Children's Hospital · USJohnson University · USMassachusetts General Hospital · US

Funding

Howard Hughes Medical Institute
6 · The paper itself

Abstract

backgroundFish oil (FO) intravenous lipid emulsions (ILEs) are used as a monotherapy to treat parenteral nutrition (PN)-associated liver disease and provide essential fatty acids (EFAs) needed to sustain growth and prevent EFA deficiency (EFAD). Studies have suggested that medium-chain triglycerides (MCTs) and α-tocopherol have anti-inflammatory properties.

objectiveThe purpose of this study was to test whether FO-ILEs containing MCTs and/or additional α-tocopherol decrease the inflammatory response to an endotoxin challenge compared with FO-ILE alone and preserve the ability to prevent PN-induced liver injury in mice.

methodsA murine model of PN-induced hepatosteatosis was used to compare the effects of ILEs formulated in the laboratory containing varying ratios of FO and MCTs, and subsequently FO- and 50:50 FO:MCT-ILE plus 500 mg/L α-tocopherol (FO + AT and 50:50 + AT, respectively). C57BL/6 mice receiving unpurified diet (UPD), PN-equivalent diet (PN) + saline, and PN + soybean oil (SO)-ILE served as controls. After 19 d, mice received an intraperitoneal saline or endotoxin challenge 4 h before being killed. Serum and livers were harvested for histologic analysis, fatty acid profiling, and measurement of systemic inflammatory markers (tumor necrosis factor-α, interleukin-6).

resultsAll ILEs were well tolerated and prevented biochemical EFAD. Livers of mice that received saline and SO developed steatosis. Mice that received 30:70 FO:MCT developed mild hepatosteatosis. All other FO-containing ILEs preserved normal hepatic architecture. Mice that received FO- or SO-ILE had significantly elevated systemic inflammatory markers after endotoxin challenge compared with UPD-fed controls, whereas 50:50 FO:MCT, 30:70 FO:MCT, FO + AT, and 50:50 + AT groups had significantly lower inflammatory markers similar to those seen in UPD-fed controls.

conclusionsMixed FO/MCT and the addition of α-tocopherol to FO improved the inflammatory response to endotoxin challenge compared with FO-ILE alone while still preventing PN-induced liver injury and EFAD in mice. There was no synergistic relation between α-tocopherol and MCTs.

Indexed as

alpha-TocopherolAnimalsAnti-Inflammatory AgentsDisease Models, AnimalFat Emulsions, IntravenousFish OilsHumansInterleukin-6Liver DiseasesMaleMiceMice, Inbred C57BLParenteral NutritionTriglyceridesTumor Necrosis Factor-alphaalpha-TocopherolAnti-Inflammatory AgentsFat Emulsions, IntravenousFish OilsInterleukin-6TriglyceridesTumor Necrosis Factor-alphafish oilhepatosteatosisinjectable lipid emulsionsintestinal failure–associated liver diseaseintravenous fat emulsionsmedium-chain triglyceridesparenteral nutritionparenteral nutrition–associated liver diseaseα-tocopherol

Identifiers

PMID30882140
PMCPMC6462433
OpenAlexW2921105730

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.