Evidence map›Paper›PMID 33331125›Full record

ArticleJournal of biomedical materials research. Part B, Applied biomaterials2021

Analysis of N-acetyl cysteine modified polydimethylsiloxane shunt for improved treatment of hydrocephalus.

Saja Al-Saloum, Mira Zaranek, Jeff Horbatiuk, Pranav Gopalakrishnan, Andrea Dumitrescu, James P McAllister, Carolyn A Harris

Open access · greenAbstract read
In one paragraph

Article in Journal of biomedical materials research. Part B, Applied biomaterials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Saja Al-SaloumWayne State University Department of Chemical Engineering and Materials Science, Detroit, Michigan, USA.
Mira ZaranekWayne State University Department of Chemical Engineering and Materials Science, Detroit, Michigan, USA.ORCID 0000-0003-4448-1670
Jeff HorbatiukWayne State University Department of Chemical Engineering and Materials Science, Detroit, Michigan, USA.
Pranav GopalakrishnanWayne State University Department of Chemical Engineering and Materials Science, Detroit, Michigan, USA.
Andrea DumitrescuWayne State University Department of Chemical Engineering and Materials Science, Detroit, Michigan, USA.
James P McAllisterWashington University St. Louis, St. Louis, Missouri, USA.
Carolyn A HarrisWayne State University Department of Chemical Engineering and Materials Science, Detroit, Michigan, USA.
Wayne State University · USWashington University in St. Louis · US

Funding

Investigating the source and the action behind shunt obstruction in the treatment of pediatric hydrocephalusR01NS094570 · NINDS · WAYNE STATE UNIVERSITY · PI Carolyn A Harris · 2016 to 2026
$4.2M
Reducing infections and blockage associated with long-term implantation of ventriculoperitoneal and related shuntsR44NS139774 · NINDS · WYNNVISION, LLC · PI HARRIS, CAROLYN A, MCALLISTER, JAMES PATTERSON · 2025 to 2025
$306k
NINDS NIH HHS R01 NS094570NINDS NIH HHS R01NS094570NINDS NIH HHS R44 NS139774
6 · The paper itself

Abstract

A major cause of hydrocephalus shunt failure is cell adhesion and obstruction of shunt catheter holes. An estimated 50% of pediatric shunts fail in the first 2 years of insertion, decreasing cell attachment and catheter obstruction can prolong the lifetime and effectiveness of the device. From previous studies, it was shown that treatment of the polydimethylsiloxane (PDMS) surface of a standard catheter with an N-acetyl-cysteine (NAC/1-ethyl-3-(3-dimethylanimopropyl)carbodiimide hydrochloride/N-hydroxysuccinimide) layer increases the wettability of the surface and has been shown to decrease cell adhesion. Other studies indicate that NAC's antioxidant behavior induces glutathione and in turn modulates cell inflammatory pathways. The current study explores the longevity of the NAC coating from the surface of the catheter over time and shows its effect on valve function. Using SEM imaging, contact angle testing, and nanodrop spectrophotometry, this release was quantified for shunt samples incubated for 0, 10, 30, 60, and 90 days. Contact angle showed a significant increase in wettability of the surface when shunts were treated with NAC, confirming successful surface modification. Pressure assays determined that if the coating is release it had no detrimental downstream effects, such as on the shunt valve mechanism. SEM imaging revealed slight deformations in surface coating indicative of salt deposition on the modified shunt samples, while nanodrop spectrophotometry and contact angle data trends suggested some discharge of the NAC coating from the catheter surfaces. The effects of NAC on cell activity may transform the way hydrocephalus is treated in the future by increasing the longevity of the shunt to protect from obstruction.

Indexed as

CathetersAcetylcysteineCerebrospinal Fluid ShuntsDimethylpolysiloxanesHumansHydrocephalusAcetylcysteinebaysilonDimethylpolysiloxanescatheterhydrocephalusNAC (N-acetyl-L-cysteine)release

Identifiers

PMID33331125
PMCPMC8197730
OpenAlexW3111775322

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.