Evidence map›Paper›PMID 32695013›Full record

ArticleFrontiers in physiology2020

Three Alveolar Phenotypes Govern Lung Function in Murine Ventilator-Induced Lung Injury.

Bradford J Smith, Gregory S Roy, Alyx Cleveland, Courtney Mattson, Kayo Okamura, Chantel M Charlebois, Katharine L Hamlington, Michael V Novotny, Lars Knudsen, Matthias Ochs and 2 more

Abstract read
In one paragraph

Article in Frontiers in physiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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

23 citing papers in PubMed.

  1. Review
  2. Article
  3. 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
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Antenatal Endotoxin Induces Dysanapsis in Experimental Bronchopulmonary Dysplasia.American journal of respiratory cell and molecular biology · 2024
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Impact of E-cig aerosol vaping on fetal and neonatal respiratory development and function.Translational research : the journal of laboratory and clinical medicine · 2022
    Article
  18. Review
  19. Article
  20. 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

12 authors.

Bradford J SmithDepartment of Bioengineering, College of Engineering, Design & Computing, University of Colorado Denver | Anschutz Medical Campus, Aurora, CO, United States.
Gregory S RoyVermont Lung Center, Larner College of Medicine, The University of Vermont, Burlington, VT, United States.
Alyx ClevelandVermont Lung Center, Larner College of Medicine, The University of Vermont, Burlington, VT, United States.
Courtney MattsonDepartment of Bioengineering, College of Engineering, Design & Computing, University of Colorado Denver | Anschutz Medical Campus, Aurora, CO, United States.
Kayo OkamuraDepartment of Bioengineering, College of Engineering, Design & Computing, University of Colorado Denver | Anschutz Medical Campus, Aurora, CO, United States.
Chantel M CharleboisVermont Lung Center, Larner College of Medicine, The University of Vermont, Burlington, VT, United States.
Katharine L HamlingtonDepartment of Pediatric Pulmonary and Sleep Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Michael V NovotnyLerner Research Institute, Cleveland Clinic, Cleveland, OH, United States.
Lars KnudsenInstitute of Functional and Applied Anatomy, Hannover Medical School, Hanover, Germany.
Matthias OchsInstitute of Functional Anatomy, Charité Medical University of Berlin, Berlin, Germany.
R Duncan HiteLerner Research Institute, Cleveland Clinic, Cleveland, OH, United States.
Jason H T BatesVermont Lung Center, Larner College of Medicine, The University of Vermont, Burlington, VT, United States.

Funding

Preserving Epithelial Barrier Integrity in Ventilator-Induced Lung InjuryR01HL142702 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Jason HT Bates, DONALD P. GAVER · 2018 to 2026
$4.6M
Personalized Mechanical Ventilation for the Injured LungR01HL124052 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI BATES, JASON HT · 2014 to 2017
$2.4M
Impact of Trauma and its Products on Vascular Endothelial FunctionR01GM123010 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI FREEMAN, KALEV · 2017 to 2021
$1.5M
The Importance of Inhomogeneity in the Pathogenesis of Lung InjuryR00HL128944 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SMITH, BRADFORD J · 2017 to 2019
$747k
The Importance of Inhomogeneity in the Pathogenesis of Lung InjuryK99HL128944 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SMITH, BRADFORD J · 2015 to 2016
$224k
Spatiotemporal evolution of lung injury during ventilator-induced lung injuryF31HL149268 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MATTSON, COURTNEY · 2019 to 2021
$122k
NHLBI NIH HHS F31 HL149268NHLBI NIH HHS K99 HL128944NHLBI NIH HHS R00 HL128944NHLBI NIH HHS R01 HL124052NHLBI NIH HHS R01 HL142702NIGMS NIH HHS R01 GM123010
6 · The paper itself

Abstract

Mechanical ventilation is an essential lifesaving therapy in acute respiratory distress syndrome (ARDS) that may cause ventilator-induced lung injury (VILI) through a positive feedback between altered alveolar mechanics, edema, surfactant inactivation, and injury. Although the biophysical forces that cause VILI are well documented, a knowledge gap remains in the quantitative link between altered parenchymal structure (namely alveolar derecruitment and flooding), pulmonary function, and VILI. This information is essential to developing diagnostic criteria and ventilation strategies to reduce VILI and improve ARDS survival. To address this unmet need, we mechanically ventilated mice to cause VILI. Lung structure was measured at three air inflation pressures using design-based stereology, and the mechanical function of the pulmonary system was measured with the forced oscillation technique. Assessment of the pulmonary surfactant included total surfactant, distribution of phospholipid aggregates, and surface tension lowering activity. VILI-induced changes in the surfactant included reduced surface tension lowering activity in the typically functional fraction of large phospholipid aggregates and a significant increase in the pool of surface-inactive small phospholipid aggregates. The dominant alterations in lung structure at low airway pressures were alveolar collapse and flooding. At higher airway pressures, alveolar collapse was mitigated and the flooded alveoli remained filled with proteinaceous edema. The loss of ventilated alveoli resulted in decreased alveolar gas volume and gas-exchange surface area. These data characterize three alveolar phenotypes in murine VILI: flooded and non-recruitable alveoli, unstable alveoli that derecruit at airway pressures below 5 cmH

Indexed as

alveolar mechanicslung functionpulmonary surfactantstereologyventilator-induced lung injury

Identifiers

PMID32695013
PMCPMC7338482

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Registered trials

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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.