Evidence map›Paper›PMID 31885815›Full record

ArticleOxidative medicine and cellular longevity2019

Toxic Acetaminophen Exposure Induces Distal Lung ER Stress, Proinflammatory Signaling, and Emphysematous Changes in the Adult Murine Lung.

Jeryl Sandoval, David J Orlicky, Ayed Allawzi, Brittany Butler, Cynthia Ju, Caroline T Phan, Roy Toston, Robyn De Dios, Leanna Nguyen, Sarah McKenna and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Oxidative medicine and cellular longevity, 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
1.6field-weighted citation impact, top 16% 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, 18 citations in OpenAlex.

  1. Article
  2. TLR9-mediated innate immune signaling contributes to acetaminophen-induced injury in the developing lung.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. A Single Early-Life Acetaminophen Exposure Causes Persistent Abnormalities in the Murine Lung.American journal of respiratory cell and molecular biology · 2025
    Article
  7. Article
  8. Article
  9. Acetaminophen for the patent ductus arteriosus: has safety been adequately demonstrated?Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  10. Review
  11. APAP-Induced IκBβ/NFκB Signaling Drives Hepatic Il6 Expression and Associated Sinusoidal Dilation.Toxicological sciences : an official journal of the Society of Toxicology · 2022
    Article
  12. Pulmonary implications of acetaminophen exposures independent of hepatic toxicity.American journal of physiology. Lung cellular and molecular physiology · 2021
    Article
  13. The developing murine lung is susceptible to acetaminophen toxicity.American journal of physiology. Lung cellular and molecular physiology · 2021
    Article
  14. 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

12 authors at 3 institutions in 1 country.

Jeryl SandovalSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
David J OrlickyDepartment of Pathology, University of Colorado School of Medicine, Aurora, CO, USA.
Ayed AllawziDevelopmental Lung Biology and Cardiovascular Pulmonary Research Laboratories, Departments of Pediatrics and Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Brittany ButlerSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Cynthia JuDepartment of Anesthesiology, The University of Texas Health Science Center at Houston, McGovern Medical School, Houston, TX, USA.
Caroline T PhanSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Roy TostonSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Robyn De DiosSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Leanna NguyenSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Sarah McKennaSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Eva Nozik-GrayckDevelopmental Lung Biology and Cardiovascular Pulmonary Research Laboratories, Departments of Pediatrics and Medicine, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA.
Clyde J WrightSection of Neonatology, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.ORCID https://orcid.org/0000-0002-8449-5631
University of Colorado Denver · USUniversity of Colorado Anschutz Medical Campus · USThe University of Texas Health Science Center at Houston · US

Funding

SOD3 regulation of redox sensitive signaling in pulmonary vascular diseasesR35HL139726 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI NOZIK, EVA S. · 2018 to 2024
$4.1M
Role of hepatic IkBb-mediated sustained NFkB activation in neonatal lung injury and abnormal developmentR01HL132941 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI WRIGHT, CLYDE JASON · 2017 to 2021
$2.3M
NHLBI NIH HHS R01 HL132941NHLBI NIH HHS R35 HL139726
6 · The paper itself

Abstract

Clinical studies have demonstrated a strong association between both acute toxic exposure and the repetitive, chronic exposure to acetaminophen (APAP) with pulmonary dysfunction. However, the mechanisms underlying this association are unknown. Preclinical reports have demonstrated that significant bronchiolar injury occurs with toxic APAP exposure, but very little information exists on how the distal lung is affected. However, cells in the alveolar space, including the pulmonary epithelium and resident macrophages, express the APAP-metabolizing enzyme CYP2E1 and are a potential source of toxic metabolites and subsequent distal lung injury. Thus, we hypothesized that distal lung injury would occur in a murine model of toxic APAP exposure. Following exposure of APAP (280 mg/kg, IP), adult male mice were found to have significant proximal lung histopathology as well as distal lung inflammation and emphysematous changes. Toxic APAP exposure was associated with increased CYP2E1 expression in the distal lung and accumulation of APAP-protein adducts. This injury was associated with distal lung activation of oxidant stress, endoplasmic reticulum stress, and inflammatory stress response pathways. Our findings confirm that following toxic APAP exposure, distal lung CYP2E1 expression is associated with APAP metabolism, tissue injury, and oxidant, inflammatory, and endoplasmic reticulum signaling. This previously unrecognized injury may help improve our understanding of the relationship between APAP and pulmonary-related morbidity.

Indexed as

AcetaminophenAnimalsCells, CulturedCytochrome P-450 CYP2E1Disease Models, AnimalDrug-Related Side Effects and Adverse ReactionsEmphysemaEndoplasmic Reticulum StressHumansInflammation MediatorsLungMaleMiceMice, Inbred ICRSignal TransductionAcetaminophenCytochrome P-450 CYP2E1Inflammation Mediators

Identifiers

PMID31885815
PMCPMC6914885
OpenAlexW2990587277

What OpenQuestion holds

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LicenceCC BY
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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.