Evidence map›Paper›PMID 33529085›Full record

ArticleClinical toxicology (Philadelphia, Pa.)2021

Alterations in cerebral and cardiac mitochondrial function in a porcine model of acute carbon monoxide poisoning.

David H Jang, Sarah Piel, John C Greenwood, Matthew Kelly, Vanessa M Mazandi, Abhay Ranganathan, Yuxi Lin, Jonathan Starr, Thomas Hallowell, Frances S Shofer and 5 more

Open access · greenAbstract read
In one paragraph

Article in Clinical toxicology (Philadelphia, Pa.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Blood Cells as a Cellular Biomarker for Mitochondrial Function in a Experimental Model of Acute Carbon Monoxide Poisoning with Treatment.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Article
  5. Article
  6. Investigation of Cerebral Mitochondrial Injury in a Porcine Survivor Model of Carbon Monoxide Poisoning.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2024
    Article
  7. Article
  8. Cell-Free DNA as a Biomarker in a Rodent Model of Chlorpyrifos Poisoning Causing Mitochondrial Dysfunction.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  9. Article
  10. Alteration in Cerebral Metabolism in a Rodent Model of Acute Sub-lethal Cyanide Poisoning.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2023
    Article
  11. 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

15 authors at 4 institutions in 2 countries.

David H JangDepartment of Emergency Medicine, Division of Medical Toxicology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0002-1213-6971
Sarah PielResuscitation Science Center, Philadelphia, PA, USA.
John C GreenwoodDepartment of Anesthesiology and Critical Care Medicine, Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Matthew KellyDepartment of Emergency Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Vanessa M MazandiResuscitation Science Center, Philadelphia, PA, USA.
Abhay RanganathanResuscitation Science Center, Philadelphia, PA, USA.
Yuxi LinResuscitation Science Center, Philadelphia, PA, USA.
Jonathan StarrResuscitation Science Center, Philadelphia, PA, USA.
Thomas HallowellResuscitation Science Center, Philadelphia, PA, USA.
Frances S ShoferDepartment of Emergency Medicine, Division of Medical Toxicology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Wesley B BakerDepartment of Pediatric Neurology, The Children's Hospital of Philadelphia (CHOP), Philadelphia, PA, USA.
Alec LafontantDepartment of Pediatric Neurology, The Children's Hospital of Philadelphia (CHOP), Philadelphia, PA, USA.
Kristen AndersenDepartment of Pediatric Neurology, The Children's Hospital of Philadelphia (CHOP), Philadelphia, PA, USA.
Johannes K EhingerMitochondrial Medicine, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-2417-5767
Todd J KilbaughResuscitation Science Center, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0002-4959-3092
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · USLund University · SEUniversity of Alabama at Birmingham · US

Funding

Improving Pediatric Cardiac Arrest Survival and Neurologic OutcomeR01HL141386 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI KILBAUGH, TODD JUSTEN · 2019 to 2023
$4.4M
The Use of Blood Cells as a Biomarker in a Porcine Model of CO Poisoning with Evaluation of an Engineered Succinate-ProdrugR56HL158696 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2021 to 2021
$697k
Abnormal Mitochondrial Bioenergetic and Motility Signatures in Human Blood Cells as Indices of Acute Poisoning in PatientsK08HL136858 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2018 to 2021
$675k
Mitochondrial-Directed Therapy in Carbon Monoxide PoisoningR21ES031243 · NIEHS · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2020 to 2021
$465k
Development of a Porcine Model of Carbon Monoxide Poisoning to Evaluate Cardiac and Mitochondrial DysfunctionR03HL154232 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI JANG, DAVID H · 2020 to 2021
$150k
NHLBI NIH HHS K08 HL136858NHLBI NIH HHS R01 HL141386NHLBI NIH HHS R03 HL154232NHLBI NIH HHS R56 HL158696NIEHS NIH HHS R21 ES031243
6 · The paper itself

Abstract

objectivesThe purpose of this study is the development of a porcine model of carbon monoxide (CO) poisoning to investigate alterations in brain and heart mitochondrial function.

designTwo group large animal model of CO poisoning.

settingLaboratory. SUBJECTS: Ten swine were divided into two groups: Control (

interventionsAdministration of a low dose of CO at 200 ppm to the CO group over 90 min followed by 30 min of re-oxygenation at room air. The Control group received room air for 120 min. MEASUREMENTS: Non-invasive optical monitoring was used to measure cerebral blood flow and oxygenation. Cerebral microdialysis was performed to obtain semi real time measurements of cerebral metabolic status. At the end of the exposure, both fresh brain (cortical and hippocampal tissue) and heart (apical tissue) were immediately harvested to measure mitochondrial respiration and reactive oxygen species (ROS) generation and blood was collected to assess plasma cytokine concentrations. MAIN

resultsAnimals in the CO group showed significantly decreased Complex IV-linked mitochondrial respiration in hippocampal and apical heart tissue but not cortical tissue. There also was a significant increase in mitochondrial ROS generation across all measured tissue types. The CO group showed a significantly higher cerebral lactate-to-pyruvate ratio. Both IL-8 and TNFα were significantly increased in the CO group compared with the Control group obtained from plasma. While not significant there was a trend to an increase in optically measured cerebral blood flow and hemoglobin concentration in the CO group.

conclusionsLow-dose CO poisoning is associated with early mitochondrial disruption prior to an observable phenotype highlighting the important role of mitochondrial function in the pathology of CO poisoning. This may represent an important intervenable pathway for therapy and intervention.

Indexed as

AnimalsCarbon Monoxide PoisoningCell RespirationCerebrovascular CirculationCerebrumDisease Models, AnimalHeartHeart Function TestsHumansMitochondriaSwineCNS/psychologicalcomplications of poisoningmetabolicorgan/tissue specificother

Identifiers

PMID33529085
PMCPMC8326298
OpenAlexW3126265630

What OpenQuestion holds

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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.