Evidence map›Paper›PMID 32401673›Full record

ArticleAmerican journal of physiology. Lung cellular and molecular physiology2020

Urgent reconsideration of lung edema as a preventable outcome in COVID-19: inhibition of TRPV4 represents a promising and feasible approach.

Wolfgang M Kuebler, Sven-Eric Jordt, Wolfgang B Liedtke

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of physiology. Lung cellular and molecular physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05304702 (Lung Injury), which is not on this map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
4.0field-weighted citation impact, top 4% 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.

NCT05304702 completednot on this mapstarted 2021, after this paper: background citation

Lung Injury (Pulmonary Edema) in COVID-19: Treatment With Furosemide and Negative Fluid Balance (NEGBAL): a Case-Control Study

TypeobservationalSponsorClinica ColonRan2021 to 2022Enrolled120ConditionsCOVID-19
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 73 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. TRP Ion Channels in Immune Cells and Their Implications for Inflammation.International journal of molecular sciences · 2024
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. ARDS in the time of corona: context and perspective.American journal of physiology. Lung cellular and molecular physiology · 2022
    Article
  17. Review
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Wolfgang M KueblerInstitute of Physiology, Charité Medical University of Berlin, Berlin, Germany.
Sven-Eric JordtDepartment of Anesthesiology, Duke University, Durham, North Carolina.
Wolfgang B LiedtkeDepartment of Anesthesiology, Duke University, Durham, North Carolina.ORCID 0000-0003-4166-5394
Duke University · USCharité - Universitätsmedizin Berlin · DE

Funding

Targeting Injury Pathways to Counteract Pulmonary Agent and Vesicant ToxicityU01ES015674 · NIEHS · YALE UNIVERSITY · PI JORDT, SVEN-ERIC · 2006 to 2016
$6.0M
HHS | NIH | National Institute of Environmental Health Sciences (NIEHS) U01ES015674NIEHS NIH HHS U01 ES015674
6 · The paper itself

Abstract

Lethality of coronavirus disease (COVID-19) during the 2020 pandemic, currently still in the exponentially accelerating phase in most countries, is critically driven by disruption of the alveolo-capillary barrier of the lung, leading to lung edema as a direct consequence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We argue for inhibition of the transient receptor potential vanilloid 4 (TRPV4) calcium-permeable ion channel as a strategy to address this issue, based on the rationale that TRPV4 inhibition is protective in various preclinical models of lung edema and that TRPV4 hyperactivation potently damages the alveolo-capillary barrier, with lethal outcome. We believe that TRPV4 inhibition has a powerful prospect at protecting this vital barrier in COVID-19 patients, even to rescue a damaged barrier. A clinical trial using a selective TRPV4 inhibitor demonstrated a benign safety profile in healthy volunteers and in patients suffering from cardiogenic lung edema. We argue for expeditious clinical testing of this inhibitor in COVID-19 patients with respiratory malfunction and at risk for lung edema. Perplexingly, among the currently pursued therapeutic strategies against COVID-19, none is designed to directly protect the alveolo-capillary barrier. Successful protection of the alveolo-capillary barrier will not only reduce COVID-19 lethality but will also preempt a distressing healthcare scenario with insufficient capacity to provide ventilator-assisted respiration.

Indexed as

BetacoronavirusCoronavirus InfectionsPandemicsPneumonia, ViralCalciumCOVID-19HumansLungPulmonary EdemaRespiration, ArtificialSARS-CoV-2TRPV Cation ChannelsCalciumTRPV4 protein, humanTRPV Cation ChannelsCOVID-19pulmonary edemaSARS-CoV-2TRPV4TRPV4 inhibitor

Identifiers

PMID32401673
PMCPMC7276984
OpenAlexW3024695741

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.