Evidence map›Paper›PMID 31035686›Full record

ArticleInternational journal of molecular sciences2019

The Impact of a Nitric Oxide Synthase Inhibitor (L-NAME) on Ischemia⁻Reperfusion Injury of Cholestatic Livers by Pringle Maneuver and Liver Resection after Bile Duct Ligation in Rats.

Junji Iwasaki, Mamdouh Afify, Christian Bleilevens, Uwe Klinge, Ralf Weiskirchen, Julia Steitz, Michael Vogt, Shintaro Yagi, Kazuyuki Nagai, Shinji Uemoto and 1 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Induction of Obstructive Cholestasis in Mice.Methods in molecular biology (Clifton, N.J.) · 2023
    Article
  7. Review
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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

11 authors at 3 institutions in 3 countries.

Junji IwasakiInstitute for Laboratory Animal Science and Experimental Surgery, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. junji.i@kuhp.kyoto-u.ac.jp.ORCID 0000-0002-4359-0069
Mamdouh AfifyInstitute for Laboratory Animal Science and Experimental Surgery, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. mamdouh.afify@gmail.com.
Christian BleilevensDepartment of Anesthesiology, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. cbleilevens@ukaachen.de.ORCID 0000-0002-2104-1843
Uwe KlingeDepartment of General, Visceral and Transplantation Surgery, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. uklinge@ukaachen.de.ORCID 0000-0002-3261-5240
Ralf WeiskirchenInstitute of Molecular Pathobiochemistry, Experimental Gene Therapy and Clinical Chemistry, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. rweiskirchen@ukaachen.de.ORCID 0000-0003-3888-0931
Julia SteitzInstitute for Laboratory Animal Science and Experimental Surgery, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. jsteitz@ukaachen.de.ORCID 0000-0001-7088-1972
Michael VogtInstitute for Laboratory Animal Science and Experimental Surgery, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. mvogt@ukaachen.de.ORCID 0000-0003-3535-5293
Shintaro YagiDivision of Hepatobiliary Pancreatic and Transplant Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. shintaro@kuhp.kyoto-u.ac.jp.
Kazuyuki NagaiDivision of Hepatobiliary Pancreatic and Transplant Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. kaznagai@kuhp.kyoto-u.ac.jp.
Shinji UemotoDivision of Hepatobiliary Pancreatic and Transplant Surgery, Graduate School of Medicine, Kyoto University, Kyoto 606-8501, Japan. uemoto@kuhp.kyoto-u.ac.jp.ORCID 0000-0003-0126-9346
Rene H TolbaInstitute for Laboratory Animal Science and Experimental Surgery, RWTH-Aachen University, Medical Faculty, 52074 Aachen, Germany. rtolba@ukaachen.de.ORCID 0000-0002-0383-3994
RWTH Aachen University · DEKyoto University · JPCairo University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Pringle maneuver (PM) has been widely used to control blood loss during liver resection. However, hepatic inflow occlusion can also result in hepatic ischemia-reperfusion injury (IRI), especially in patients with a cholestatic, fibrotic, or cirrhotic liver. Here we investigate a nitric oxide synthase (NOS) inhibitor N-Nitroarginine methyl ester (L-NAME) on IRI after the PM and partial hepatectomy of cholestatic livers induced by bile duct ligation (BDL) in rats. Control group (non-BDL/no treatment), BDL + T group (BDL/L-NAME treatment) and BDL group (BDL/no treatment) were analyzed. Cholestasis was induced by BDL in the L-NAME and BDL group and a 50% partial hepatectomy with PM was performed. L-NAME was injected before PM in the BDL + T group. Hepatocellular damage, portal venous flow, microcirculation, endothelial lining, and eNOS, iNOS, interleukin (IL)-6, and transforming growth factor-β (TGF-β) were evaluated. Microcirculation of the liver in the BDL + T group tended to be higher. Liver damage and apoptotic index were significantly lower and Ki-67 labeling index was higher in the BDL + T group while iNOS and TGF-β expression was decreased. This was corroborated by a better preserved endothelial lining. L-NAME attenuated IRI following PM and improved proliferation/regeneration of cholestatic livers. These positive effects were considered as the result of improved hepatic microcirculation, prevention of iNOS formation, and TGF-β mRNA upregulation.

Indexed as

AnimalsBiomarkersCholestasis, IntrahepaticCytokinesDisease Models, AnimalHyaluronic AcidHypoxia-Inducible Factor 1, alpha SubunitImmunohistochemistryInflammation MediatorsLipid PeroxidationMicrocirculationNG-Nitroarginine Methyl EsterNitric OxideNitric Oxide SynthaseRatsReperfusion InjuryBiomarkersCytokinesHif1a protein, ratHyaluronic AcidHypoxia-Inducible Factor 1, alpha SubunitInflammation MediatorsNG-Nitroarginine Methyl EsterNitric OxideNitric Oxide Synthasebile duct ligationischemia–reperfusion injurylivernitric oxide synthasePringle maneuver

Identifiers

PMID31035686
PMCPMC6539833
OpenAlexW2940488660

What OpenQuestion holds

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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.