Evidence map›Paper›PMID 31366973›Full record

ArticleScientific reports2019

Enterovirus 71 targets the cardiopulmonary system in a robust oral infection mouse model.

Chih-Shin Chang, Chun-Che Liao, An-Ting Liou, Ya-Shu Chang, Ya-Ting Chang, Bing-Hsiean Tzeng, Chien-Chang Chen, Chiaho Shih

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-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

14 citing papers in PubMed, 15 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Chih-Shin ChangProgram in Molecular Medicine, National Yang-Ming University and Academia Sinica, Taipei, Taiwan.
Chun-Che LiaoInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
An-Ting LiouInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Ya-Shu ChangInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Ya-Ting ChangInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Bing-Hsiean TzengInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Chien-Chang ChenInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.
Chiaho ShihInstitute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan. cshih@ibms.sinica.edu.tw.
Institute of Biomedical Sciences, Academia Sinica · TWInstitute of Molecular Biology, Academia Sinica · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe infection with the re-emerging enterovirus 71 (EV71 or EV-A71) can cause cardiopulmonary failure. However, in patients' heart and lung, viral protein has not been detected. In mouse models, heart disease has not been reported. EV71-infected brainstem is generally believed to be responsible for the cardiopulmonary collapse. One major limitation in EV71 research is the lack of an efficient oral infection system using non-mouse-adapted clinical isolates. In a robust oral infection NOD/SCID mouse model, we detected EV71 protein at multiple organs, including heart and lung, in 100% of moribund mice with limb paralysis. Infiltrating leukocytes were always detected in heart and muscle, and VP1-positive M2 macrophages were abundant in the lung. Functional dissection on the pathogenesis mechanism revealed severe apoptosis, inflammatory cytokines, and abnormal electrocardiogram (EKG) in orally infected hearts. Therefore, cardiopulmonary disease could be one plausible cause of death in this mouse model. Inoculation of EV71 through an oral route resulted in viral infection in the intestine, viremia, and EV71 appeared to spread to peripheral tissues via blood circulation. Infectious virus was no longer detected in the blood on day 5 post-infection by the plaque formation assay. We demonstrated that both EV71 clinical isolate and cloned virus can target the cardiopulmonary system via a natural infection-like oral route.

Indexed as

Administration, OralAnimalsCytokinesDisease Models, AnimalEnterovirusEnterovirus InfectionsHeartHumansInflammationLungMiceMice, Inbred NODMice, SCIDCytokines

Identifiers

PMID31366973
PMCPMC6668393
OpenAlexW2964873447

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.