Evidence map›Paper›PMID 33223844›Full record

ArticleClinical and experimental gastroenterology2020

Barrier Effect of a New Topical Agent on Damaged Esophageal Mucosa: Experimental Study on an ex vivo Swine Model.

Roberta Salaroli, Domenico Ventrella, Chiara Bernardini, Alberto Elmi, Augusta Zannoni, Maria Laura Bacci, Monica Forni, Fiorella Calanni, Antonella Ferrieri, Fabio Baldi

Open access · goldAbstract read
In one paragraph

Article in Clinical and experimental gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 2 institutions in 1 country.

Roberta SalaroliDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0002-8819-2857
Domenico VentrellaDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0002-9330-979X
Chiara BernardiniDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0003-3384-0244
Alberto ElmiDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0002-7827-5034
Augusta ZannoniDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0002-2972-4921
Maria Laura BacciDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0001-6702-5868
Monica ForniDepartment of Veterinary Medical Science, University of Bologna, Ozzano Emilia, Bologna, Italy.ORCID 0000-0003-1310-6202
Fiorella CalanniPre-Clinical Research Department, Alfasigma, Bologna, Italy.
Antonella FerrieriDivision of Clinical Research, Department of Research and Development, Alfasigma, Bologna, Italy.
Fabio BaldiCenter for the Study of Diseases of the Esophagus, University of Bologna and Gruppo Villa Maria Care & Research, Ravenna, Italy.ORCID 0000-0002-4003-6230
University of Bologna · ITAlfasigma (Italy) · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAL2106 is a new medical device based on a mixture of chondroitin sulphate in a xyloglucan and glycerol solution made to maximize its bioadhesive capability to the esophageal mucosa. The aim of the present study was twofold to evaluate the AL2106 protective effect on the esophageal mucosa when exposed to an acidic solution mimicking gastric reflux and to assess the resilience of this effect to saline washing. MATERIALS AND

methodsA porcine ex vivo model was used and the effects of the new medical device were compared to a sodium alginate suspension (SAS) already present on the market which was assumed as reference. Mucosal damage was induced in 19 porcine esophagi by perfusion with an acidic solution added with pepsin, and Evans blue dye (EBD) tissue uptake was used as an indicator of mucosal permeability. The EBD penetration, expressed as EBD µg/g of dry tissue, was assessed in specimens of untreated damaged mucosa and in specimens treated with AL2106 or SAS. The same evaluation was carried out after washing with normal saline.

resultsBoth topical agents tested significantly reduced the EBD uptake by more than 60% (AL2106 8.4±4.5, SAS 3.6±2.7 vs control 23.2±13.1, p<0.01). The saline washing did not cause any significant reduction in the protective effect of AL2106 (8.6±5.9), while it significantly reduced that of SAS (5.9±4.3, p<0.05).

conclusionThe new AL2106 medical device showed a good barrier effect against a reflux-like damaging solution and preserved this effect after the mucosal washing test, thus suggesting its possible relevance for the treatment of gastroesophageal reflux disease.

Indexed as

animal modelbioadhesionEBDesophagusEvans blue dyegastroesophageal reflux diseaseGERD

Identifiers

PMID33223844
PMCPMC7671490
OpenAlexW3098064908

What OpenQuestion holds

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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.