Evidence map›Paper›PMID 33027804›Full record

ArticlePediatric research2021

Choline supplementation prevents the effects of bilirubin on cerebellar-mediated behavior in choline-restricted Gunn rat pups.

Jaylyn Waddell, Nicholas C Rickman, Min He, Ningfeng Tang, Cynthia F Bearer

Open access · greenAbstract read
In one paragraph

Article in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Jaylyn WaddellDepartment of Pediatrics, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
Nicholas C RickmanDepartment of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA.
Min HeDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, 21218, USA.
Ningfeng TangDepartment of Orthopedics, University of Maryland School of Medicine, Baltimore, MD, 21201, USA.
Cynthia F BearerDepartment of Pediatrics, Case Western Reserve University School of Medicine, Cleveland, OH, 44106, USA. cfb3@case.edu.
University of Maryland, Baltimore · USUniversity School · USJohns Hopkins University · US

Funding

The Role of Lipid Rafts in Billirubin NeurotoxicityR21HD085061 · NICHD · UNIVERSITY OF MARYLAND BALTIMORE · PI BEARER, CYNTHIA FRANCES · 2016 to 2017
$427k
NICHD NIH HHS R21 HD085061
6 · The paper itself

Abstract

backgroundBilirubin is produced by the breakdown of hemoglobin and is normally catabolized and excreted. Neurotoxic accumulation of serum bilirubin often occurs in premature infants. The homozygous Gunn rat lacks uridine diphosphate glucuronosyltransferase 1A1 (UGT1A1), the enzyme needed to biotransform bilirubin. This rodent model of hyperbilirubinemia emulates many aspects of bilirubin toxicity observed in the human infant. We demonstrate that choline supplementation in early postnatal development is neuroprotective in the choline-restricted Gunn rat, when hyperbilirubinemia is induced on postnatal day 5.

methodsWe first compared behaviors and cerebellar weight of pups born to dams consuming regular rat chow to those of dams consuming choline-restricted diets. Second, we measured behaviors and cerebellar weights of pups born to choline-restricted dams, reared on a choline-restricted diet, supplemented with or without choline, and treated with or without sulfadimethoxine (SDMX).

resultsA choline-restricted diet did not change the behavioral outcomes, but cerebellar weight was reduced in the choline-restricted group regardless of genotype or SDMX administration. SDMX induced behavioral deficits in jj pups, and choline supplementation improved most behavioral effects and cerebellar weight in SDMX-treated jj rats.

conclusionsThese results suggest that choline may be used as a safe and effective neuroprotective intervention against hyperbilirubinemia in the choline-deficient premature infant. IMPACT: This article investigates the effect of neonatal jaundice/bilirubin neurotoxicity on cerebellar-mediated behaviors. This article explores the potential use of choline as an intervention capable of ameliorating the effect of bilirubin on the choline-restricted developing brain. This article opens the door for future studies on the action of choline in the presence of hyperbilirubinemia, especially in preterm neonates.

Indexed as

Behavior, AnimalDietary SupplementsAnimalsAnimals, NewbornBilirubinCerebellumCholineJaundice, NeonatalRatsRats, GunnBilirubinCholine

Identifiers

PMID33027804
PMCPMC8024424
OpenAlexW3092556835

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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.