Evidence map›Paper›PMID 31694668›Full record

ArticleRespiratory research2019

Synthetic surfactant with a recombinant surfactant protein C analogue improves lung function and attenuates inflammation in a model of acute respiratory distress syndrome in adult rabbits.

J Zebialowicz Ahlström, F Massaro, P Mikolka, R Feinstein, G Perchiazzi, O Basabe-Burgos, T Curstedt, A Larsson, J Johansson, A Rising

Open access · goldAbstract readComparative Study
In one paragraph

Article in Respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
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  6. Moving on from clinical animal-derived surfactants to peptide-based synthetic pulmonary surfactant.American journal of physiology. Lung cellular and molecular physiology · 2024
    Review
  7. What is new in synthetic lung surfactant protein technology?Expert review of respiratory medicine · 2024
    Article
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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

10 authors at 5 institutions in 3 countries.

J Zebialowicz AhlströmDivision for Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
F MassaroAnesthesia and Intesive Care, Villa Anthea Hospital, Bari, Italy.
P MikolkaDivision for Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
R FeinsteinDepartment of Pathology, The Swedish National Veterinary Institute, Uppsala, Sweden.
G PerchiazziHedenstierna Laboratory, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
O Basabe-BurgosDivision for Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
T CurstedtDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
A LarssonHedenstierna Laboratory, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
J JohanssonDivision for Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
A RisingDivision for Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden. anna.rising@ki.se.ORCID http://orcid.org/0000-0002-1872-1207
Karolinska Institutet · SEUppsala University · SEKarolinska University Hospital · SESwedish Veterinary Agency · SEVilla Torri Hospital · IT

Funding

CIMED -Hjärt-Lungfonden 20150627Hjärt-Lungfonden 20170531Svenska Forskningsrådet Formas 2015-629Vetenskapsrådet 2014-2408Vetenskapsrådet K2015-99X-22731-01-4VINNOVA -
6 · The paper itself

Abstract

aimIn acute respiratory distress syndrome (ARDS) damaged alveolar epithelium, leakage of plasma proteins into the alveolar space and inactivation of pulmonary surfactant lead to respiratory dysfunction. Lung function could potentially be restored with exogenous surfactant therapy, but clinical trials have so far been disappointing. These negative results may be explained by inactivation and/or too low doses of the administered surfactant. Surfactant based on a recombinant surfactant protein C analogue (rSP-C33Leu) is easy to produce and in this study we compared its effects on lung function and inflammation with a commercial surfactant preparation in an adult rabbit model of ARDS.

methodsARDS was induced in adult New Zealand rabbits by mild lung-lavages followed by injurious ventilation (V

resultsBoth surfactant preparations improved lung function vs. the control group and also reduced inflammation scores, production of pro-inflammatory cytokines, and formation of lung oedema to similar degrees. Poractant alfa improved compliance at 1 h, P/F ratio and PaO

conclusionThis study indicates that treatment of experimental ARDS with synthetic lung surfactant based on rSP-C33Leu improves lung function and attenuates inflammation.

Indexed as

AnimalsAnti-Inflammatory AgentsBiological ProductsCytokinesDisease Models, AnimalInflammation MediatorsLungPhospholipidsPneumoniaPulmonary EdemaPulmonary Surfactant-Associated Protein CPulmonary SurfactantsRabbitsRecombinant ProteinsRespiratory Distress SyndromeAnti-Inflammatory AgentsBiological ProductsCytokinesInflammation MediatorsPhospholipidsporactant alfaPulmonary Surfactant-Associated Protein CPulmonary SurfactantsRecombinant ProteinsARDS modelLung functionSurfactant protein analoguesSynthetic pulmonary surfactant

Identifiers

PMID31694668
PMCPMC6836435
OpenAlexW2987108340

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.