Evidence map›Paper›PMID 32643749›Full record

ArticleSoft matter2020

Inflammation product effects on dilatational mechanics can trigger the Laplace instability and acute respiratory distress syndrome.

Sourav Barman, Michael L Davidson, Lynn M Walker, Shelly L Anna, Joseph A Zasadzinski

Open access · greenAbstract read
In one paragraph

Article in Soft matter, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Mechanistic Insights into Pulmonary Surfactant Inactivation.Langmuir : the ACS journal of surfaces and colloids · 2026
    Article
  3. Article
  4. Thermodynamics of Surfactant-Enriched Binary-Fluid Systems.Langmuir : the ACS journal of surfaces and colloids · 2025
    Article
  5. Article
  6. Article
  7. Evolution of interfacial mechanics of lung surfactant mimics progression of acute respiratory distress syndrome.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  8. Article
  9. Article
  10. Polymer Lung Surfactants Attenuate Direct Lung Injury in Mice.ACS biomaterials science & engineering · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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

5 authors at 2 institutions in 1 country.

Sourav BarmanChemical Engineering and Materials Science, University of Minnesota, Minneapolis, Minnesota, USA.
Michael L DavidsonDepartment of Chemical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA.
Lynn M WalkerDepartment of Chemical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-7478-9759
Shelly L AnnaDepartment of Chemical Engineering, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA.
Joseph A ZasadzinskiChemical Engineering and Materials Science, University of Minnesota, Minneapolis, Minnesota, USA.ORCID http://orcid.org/0000-0001-5663-6989
Carnegie Mellon University · USUniversity of Minnesota · US

Funding

LIPID AND PROTEIN EFFECTS ON MONOLAYER STABILITYR01HL051177 · NHLBI · UNIVERSITY OF MINNESOTA · PI Joseph Anthony Zasadzinski · 1994 to 2026
$9.5M
Heterogeneous lung surfactant morphologies: effect on alveolar dynamics, and role in promoting acute respiratory distress syndromeR01HL135065 · NHLBI · UNIVERSITY OF CALIFORNIA SANTA BARBARA · PI SQUIRES, TODD MICHAEL · 2017 to 2020
$1.5M
NHLBI NIH HHS R01 HL051177NHLBI NIH HHS R01 HL135065
6 · The paper itself

Abstract

In the lungs, the Laplace pressure, ΔP = 2γ/R, would be higher in smaller alveoli than larger alveoli unless the surface tension, γ decreases with alveolar interfacial area, A, such that 2ε > γ in which ε = A(dγ/dA) is the dilatational modulus. In Acute Respiratory Distress Syndrome (ARDS), lipase activity due to the immune response to an underlying trauma or disease causes single chain lysolipid concentrations to increase in the alveolar fluids via hydrolysis of double-chain phospholpids in bacterial, viral, and normal cell membranes. Increasing lysolipid concentrations decrease the dilatational modulus dramatically at breathing frequencies if the soluble lysolipid has sufficient time to diffuse off the interface, causing 2ε < γ, thereby potentially inducing the "Laplace Instability", in which larger alveoli have a lower internal pressure than smaller alveoli. This can lead to uneven lung inflation, alveolar flooding, and poor gas exchange, typical symptoms of ARDS. While the ARDS lung contains a number of lipid and protein species in the alveolar fluid in addition to lysolipids, the surface activity and frequency dependent dilatational modulus of lysolipid suggest how inflammation may lead to the lung instabilities associated with ARDS. At high frequencies, even at high lysolipid concentrations, 2ε - γ > 0, which may explain the benefits ARDS patients receive from high frequency oscillatory ventilation.

Indexed as

Respiratory Distress SyndromeHumansInflammationPulmonary AlveoliSurface Tension

Identifiers

PMID32643749
PMCPMC7462632
OpenAlexW3038122367

What OpenQuestion holds

Textmetadata
LicenceTDM
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.