Evidence map›Paper›PMID 31537010›Full record

ArticlePediatric research2020

The developing gut-lung axis: postnatal growth restriction, intestinal dysbiosis, and pulmonary hypertension in a rodent model.

Stephen Wedgwood, Cris Warford, Sharleen R Agvatisiri, Phung N Thai, Nipavan Chiamvimonvat, Karen M Kalanetra, Satyan Lakshminrusimha, Robin H Steinhorn, David A Mills, Mark A Underwood

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
9.5field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 49 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Circulation. Heart failure · 2025
    Article
  6. Review
  7. Article
  8. Article
  9. Hyperoxia as a driver of gut dysbiosis.Frontiers in microbiology · 2025
    Review
  10. Impact of hyperoxia on the gut during critical illnesses.Critical care (London, England) · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Regulatory effect of gut microbes on blood pressure.Animal models and experimental medicine · 2022
    Review
  20. 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

10 authors at 4 institutions in 1 country.

Stephen WedgwoodDepartment of Pediatrics, UC Davis School of Medicine, Sacramento, CA, USA.
Cris WarfordDepartment of Pediatrics, UC Davis School of Medicine, Sacramento, CA, USA.
Sharleen R AgvatisiriDepartment of Pediatrics, UC Davis School of Medicine, Sacramento, CA, USA.
Phung N ThaiDepartment of Internal Medicine, Division of Cardiovascular Medicine, UC Davis Health System, Sacramento, CA, USA.
Nipavan ChiamvimonvatDepartment of Internal Medicine, Division of Cardiovascular Medicine, UC Davis Health System, Sacramento, CA, USA.
Karen M KalanetraDepartment of Food Science and Technology, UC Davis, Davis, CA, USA.
Satyan LakshminrusimhaDepartment of Pediatrics, UC Davis School of Medicine, Sacramento, CA, USA.
Robin H SteinhornDepartment of Hospitalist Medicine, Children's National Health System, Washington, DC, USA.
David A MillsDepartment of Food Science and Technology, UC Davis, Davis, CA, USA.
Mark A UnderwoodDepartment of Pediatrics, UC Davis School of Medicine, Sacramento, CA, USA. munderwood@ucdavis.edu.
University of California, Davis · USChildren's National · USUC Davis Health System · USVA Northern California Health Care System · US

Funding

Functional Interactions of Cardiac Ion ChannelsR01HL085844 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHIAMVIMONVAT, NIPAVAN · 2007 to 2025
$7.3M
Training Program In Basic & Translational Cardiovascular ScienceT32HL086350 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Martin Cadeiras, David A. Liem · 2008 to 2026
$7.1M
Translational Study of Cardiac DysfunctionR01HL085727 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHIAMVIMONVAT, NIPAVAN, SIRISH, PADMINI · 2008 to 2022
$5.7M
Decoding the enigma of cardiac amplificationR01HL137228 · NHLBI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHIAMVIMONVAT, NIPAVAN · 2017 to 2020
$2.2M
Post-natal nutrition, intestinal dysbiosis and pulmonary hypertension in premature infants: the role of the developing gut-lung axisR21HD096247 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI UNDERWOOD, MARK ALAN · 2018 to 2019
$432k
In Vivo Ultrasound Imaging System (VEVO 2100, VisualSonics)S10OD010389 · OD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHIAMVIMONVAT, NIPAVAN · 2013 to 2013
$397k
Metabolomics study in patients post myocardial infarctionI01CX001490 · VA · VA NORTHERN CALIFORNIA HEALTH CARE SYS · PI CHIAMVIMONVAT, NIPAVAN · 2017 to 2021
–
BLRD VA I01 BX000576CSRD VA I01 CX001490NHLBI NIH HHS R01 HL085727NHLBI NIH HHS R01 HL085844NHLBI NIH HHS R01 HL137228NHLBI NIH HHS T32 HL086350NICHD NIH HHS R21 HD096247NIH HHS S10 OD010389
6 · The paper itself

Abstract

backgroundPostnatal growth restriction (PNGR) in premature infants increases risk of pulmonary hypertension (PH). In a rodent model, PNGR causes PH, while combining PNGR and hyperoxia increases PH severity. We hypothesized that PNGR causes intestinal dysbiosis and that treatment with a probiotic attenuates PNGR-associated PH.

methodPups were randomized at birth to room air or 75% oxygen (hyperoxia), to normal milk intake (10 pups/dam) or PNGR (17 pups/dam), and to probiotic Lactobacillus reuteri DSM 17938 or phosphate-buffered saline. After 14 days, PH was assessed by echocardiography and right ventricular hypertrophy (RVH) was assessed by Fulton's index (right ventricular weight/left ventricle + septal weight). The small bowel and cecum were analyzed by high-throughput 16S ribosomal RNA gene sequencing.

resultsPNGR with or without hyperoxia (but not hyperoxia alone) altered the microbiota of the distal small bowel and cecum. Treatment with DSM 17938 attenuated PH and RVH in pups with PNGR, but not hyperoxia alone. DSM 17938 treatment decreased α-diversity. The intestinal microbiota differed based on oxygen exposure, litter size, and probiotic treatment.

conclusionPNGR causes intestinal dysbiosis and PH. Treatment with DSM 17938 prevents PNGR-associated RVH and PH. Changes in the developing intestine and intestinal microbiota impact the developing lung vasculature and RV.

Indexed as

Gastrointestinal MicrobiomeAnimal Nutritional Physiological PhenomenaAnimalsAnimals, NewbornCaloric RestrictionCecumDisease Models, AnimalDysbiosisFemaleHyperoxiaHypertension, PulmonaryHypertrophy, Right VentricularIntestine, SmallLimosilactobacillus reuteriLitter SizeLung

Identifiers

PMID31537010
PMCPMC7035999
OpenAlexW2973806344

What OpenQuestion holds

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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.