Evidence map›Paper›PMID 31318405›Full record

ArticleBiology of reproduction2019

Effect of maternal betamethasone administration on feto-placental vascular resistance in the mouse†.

Lindsay S Cahill, Clare L Whitehead, Sebastian R Hobson, Greg Stortz, John C Kingdom, Ahmet Baschat, Kellie E Murphy, Lena Serghides, Christopher K Macgowan, John G Sled

Open access · bronzeAbstract read
In one paragraph

Article in Biology of reproduction, 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
1.0field-weighted citation impact, top 21% 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, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Administration of Antenatal Corticosteroids: Optimal Timing.Geburtshilfe und Frauenheilkunde · 2024
    Article
  5. Review
  6. Understanding the role of placental pathophysiology in the development of bronchopulmonary dysplasia.American journal of physiology. Lung cellular and molecular physiology · 2022
    Review
  7. FIGO (international Federation of Gynecology and obstetrics) initiative on fetal growth: best practice advice for screening, diagnosis, and management of fetal growth restriction.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    Article
  8. Article
  9. Article
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

10 authors at 5 institutions in 2 countries.

Lindsay S CahillMouse Imaging Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.
Clare L WhiteheadMount Sinai Hospital, Toronto, Ontario, Canada.
Sebastian R HobsonMount Sinai Hospital, Toronto, Ontario, Canada.
Greg StortzTranslational Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
John C KingdomMount Sinai Hospital, Toronto, Ontario, Canada.
Ahmet BaschatCentre for Fetal Therapy, Johns Hopkins Medicine, Baltimore, Maryland, USA.
Kellie E MurphyMount Sinai Hospital, Toronto, Ontario, Canada.
Lena SerghidesToronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Christopher K MacgowanTranslational Medicine, The Hospital for Sick Children, Toronto, Ontario, Canada.
John G SledMouse Imaging Centre, The Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CAMount Sinai Hospital · CAUniversity of Toronto · CAJohns Hopkins University · USWomen's College Hospital · CA

Funding

Environmental factors in placental pathology: a new diagnostic method based on umbilical vessel wave mechanicsU01HD087177 · NICHD · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI SLED, JOHN G · 2015 to 2015
$2.5M
NICHD NIH HHS U01 HD087177
6 · The paper itself

Abstract

Antenatal corticosteroids are often administered to women at risk of preterm birth to accelerate fetal lung development; however, there is evidence that this treatment may adversely affect placental function in some fetuses. Our group has recently demonstrated that wave reflections in the umbilical artery (UA), measured using high-frequency ultrasound, are sensitive to placental vascular abnormalities. In the present study, we used this approach to investigate the effect of maternal administration of betamethasone, a clinically relevant corticosteroid, on the feto-placental vasculature of the mouse. Fetuses were assessed at embryonic day (E)15.5 and E17.5 in C57BL6/J mice. At both gestational ages, the UA diameter, UA blood flow, and the wave reflection coefficient were significantly elevated in the betamethasone-treated mice compared to vehicle-treated controls. These observations support the interpretation that placental vascular resistance dropped with betamethasone treatment to an extent that could not be explained by vasodilation of the UA alone. Consistent with clinical studies, the effect of betamethasone on UA end-diastolic velocity was heterogeneous. Our results suggest that UA wave reflections are more sensitive to acute changes in placental vascular resistance compared with the UA pulsatility index, and this technique may have clinical application to identify a favorable placental vascular response to fetal therapies such as antenatal corticosteroids, where the fetal heart rate is likely to vary.

Indexed as

AnimalsBetamethasoneFemaleGestational AgeHeart Rate, FetalHemodynamicsMaleMiceMice, Inbred C57BLMothersPlacentaPlacental CirculationPregnancyUmbilical ArteriesVascular ResistanceBetamethasonecorticosteroidsmouseplacentaultrasoundumbilical arterywave reflection

Identifiers

PMID31318405
PMCPMC6864118
OpenAlexW2962735164

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.