Evidence map›Paper›PMID 30902457›Full record

ArticleJournal of pediatric surgery2019

Splenic development and injury in premature lambs supported by the artificial placenta.

Jennifer S McLeod, Joseph T Church, Megan A Coughlin, Benjamin Carr, Clinton Poling, Ellery Sarosi, Elena M Perkins, Matias Caceres Quinones, Pavel Hala, Raja Rabah and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Artificial womb technology - A more physiologic solution to treating extreme prematurity.European journal of obstetrics & gynecology and reproductive biology: X · 2025
    Review
  4. Review
  5. Article
  6. The artificial placenta and EXTEND technologies: one of these things is not like the other.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Article
  7. Article
  8. Review
  9. 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

14 authors at 2 institutions in 1 country.

Jennifer S McLeodExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI. Electronic address: mcleodj@umich.edu.
Joseph T ChurchExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Megan A CoughlinExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Benjamin CarrExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Clinton PolingExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Ellery SarosiExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Elena M PerkinsRush Medical School, Chicago, IL.
Matias Caceres QuinonesExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Pavel HalaExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Raja RabahDepartment of Pathology, Michigan Medicine, Ann Arbor, MI.
Elizabeth FreiheitDepartment of Statistics, Michigan Medicine, Ann Arbor, MI.
Alvaro Rojas-PenaExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
Robert H BartlettExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI.
George B MychaliskaExtracorporeal Life Support Laboratory, Department of Surgery, Michigan Medicine, Ann Arbor, MI; Fetal Diagnosis and Treatment Center, C.S. Mott Children's Hospital, Michigan Medicine, Ann Arbor, MI.
Michigan Medicine · USC. S. Mott Children's Hospital · US

Funding

Development of an Artificial Placenta for Support of Premature InfantsR01HD073475 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MYCHALISKA, GEORGE BORIS · 2014 to 2018
$2.7M
NICHD NIH HHS R01 HD073475
6 · The paper itself

Abstract

introductionThe purpose of this study is to evaluate splenic effects during artificial placenta (AP) support.

methodsAP lambs (118-121 d, n = 14) were delivered and placed on the AP support for a goal of 10-14 days. Cannulation used right jugular drainage and umbilical vein reinfusion. Early (ETC; 115-120 d; n = 7) and late (LTC; 125-131 d; n = 7) tissue controls were delivered and immediately sacrificed. Spleens were formalin fixed, H&E stained, and graded for injury, response to inflammation, and extramedullary hematopoiesis (EMH). CD68 and CD163 stains were used to assess for macrophage activation and density. Clinical variables were correlated with splenic scores. Groups were compared using Fisher's Exact Test and descriptive statistics. p < 0.05 indicated significance.

resultsMean survival for AP lambs was 12 ± 5 d. There was no necrosis found in any of the groups. Vascular congestion and sinusoidal histiocytosis did not significantly differ between AP and control groups (p = 0.72; p = 0.311). There were significantly more pigmented macrophages (p = 0.008), CD163 (p = <0.001), and CD68 (p = <0.001) stained cells in the AP group. ETC and LTC demonstrated more EMH than AP spleens (p = <0.001).

conclusionsDuring AP support, spleens appear to develop normally and exhibit an appropriate inflammatory response. After initiation of AP support, EMH transitions away from the spleen. STUDY TYPE: Research Paper/Therapeutic Potential. LEVEL OF EVIDENCE: N/A.

Indexed as

Artificial OrgansPremature BirthSpleenAnimalsFemalePlacentaPregnancySheepSheep, DomesticArtificial placentaExtracorporeal membrane oxygenationPremature lambsPremature spleenSplenic developmentSplenic injury

Identifiers

PMID30902457
PMCPMC6545267
OpenAlexW2920061788

What OpenQuestion holds

Textmetadata
LicenceTDM
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.