Evidence map›Paper›PMID 33549320›Full record

ArticleBritish journal of anaesthesia2021

General anaesthesia during infancy reduces white matter micro-organisation in developing rhesus monkeys.

Jeffrey T Young, Roza M Vlasova, Brittany R Howell, Rebecca C Knickmeyer, Elyse Morin, Kaela I Kuitchoua, Gabriele R Lubach, Jean Noel, Xiaoping Hu, Yundi Shi and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in British journal of anaesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Long term structural and functional neural changes following a single infusion of Ketamine in PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2023
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  6. [Establishment and application of a UPLC-MS/MS method for the determination of tiletamine and its metabolite in biological samples].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Jeffrey T YoungDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Roza M VlasovaDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: roza_vlasova@med.unc.edu.
Brittany R HowellYerkes National Primate Research Center, Emory University, Atlanta, GA, USA.
Rebecca C KnickmeyerDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Elyse MorinYerkes National Primate Research Center, Emory University, Atlanta, GA, USA.
Kaela I KuitchouaYerkes National Primate Research Center, Emory University, Atlanta, GA, USA.
Gabriele R LubachHarlow Center for Biological Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Jean NoelDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Xiaoping HuDepartment of Bioengineering, University of California, Riverside, CA, USA.
Yundi ShiDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Gibson CaudillDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Andrew L AlexanderWaisman Laboratory for Brain Imaging and Behavior, University of Wisconsin-Madison, Madison, WI, USA.
Marc NiethammerDepartment of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Biomedical Research Imaging Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Merle G PauleDivision of Neurotoxicology, National Center for Toxicological Research, US Food & Drug Administration, Jefferson, AR, USA.
Christopher L CoeHarlow Center for Biological Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Mar SanchezYerkes National Primate Research Center, Emory University, Atlanta, GA, USA; Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Emory University, Atlanta, GA, USA.
Martin StynerDepartment of Psychiatry University of North Carolina at Chapel Hill, Chapel Hill, NC, USA; Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USEmory University · USUniversity of Wisconsin–Madison · USNational Center for Toxicological Research · USUniversity of California, Riverside · US

Funding

Yerkes National Primate Research Center Role of type-I IFN in regulating COVID-19 induced inflammation and pathogenesisP51OD011132 · OD · EMORY UNIVERSITY · PI Joon Sup Lee · 2012 to 2026
$167.0M
Washington University ConsoritumU54EB005149 · NIBIB · BRIGHAM AND WOMEN'S HOSPITAL · PI KIKINIS, RON · 2004 to 2013
$39.3M
UNC MRDD Research CenterP30HD003110 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL · 1985 to 2012
$28.7M
WISCONSIN CENTER ON MENTAL RETARDATION: CORE SUPPORTP30HD003352 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 1985 to 2015
$25.2M
Prospective study of the onset of schizophreniaP50MH064065 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GILMORE, JOHN HORACE · 2002 to 2011
$19.6M
Summer Research ExperienceP50MH100031 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI KALIN, NED H · 2013 to 2017
$10.4M
Project 3: The neurobiology of adverse early care in rhesus infants....P50MH078105 · NIMH · UNIVERSITY OF MINNESOTA · PI GUNNAR, MEGAN R · 2009 to 2013
$9.9M
Preclinical CoreP50HD103573 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Mark D Shen · 2020 to 2026
$9.7M
Preclinical CoreU54HD079124 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL · 2013 to 2019
$8.0M
Early Brain Development in TwinsR01MH070890 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GILMORE, JOHN HORACE · 2004 to 2014
$5.3M
Early Brain Development in One and Two Year OldsR01HD053000 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GILMORE, JOHN HORACE · 2007 to 2018
$4.4M
Statistical Analysis of Biomedical Imaging Data in Curved SpaceR01MH086633 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI IBRAHIM, JOSEPH G · 2010 to 2018
$2.9M
NIBIB NIH HHS U54 EB005149NICHD NIH HHS P30 HD003110NICHD NIH HHS P30 HD003352NICHD NIH HHS P50 HD103573NICHD NIH HHS R01 HD053000NICHD NIH HHS R21 HD055255NICHD NIH HHS U54 HD079124NIH HHS P51 OD011132NIMH NIH HHS P50 MH064065NIMH NIH HHS P50 MH078105NIMH NIH HHS P50 MH100031NIMH NIH HHS R01 MH070890NIMH NIH HHS R01 MH086633
6 · The paper itself

Abstract

backgroundNon-human primates are commonly used in neuroimaging research for which general anaesthesia or sedation is typically required for data acquisition. In this analysis, the cumulative effects of exposure to ketamine, Telazol® (tiletamine and zolazepam), and the inhaled anaesthetic isoflurane on early brain development were evaluated in two independent cohorts of typically developing rhesus macaques.

methodsDiffusion MRI scans were analysed from 43 rhesus macaques (20 females and 23 males) at either 12 or 18 months of age from two separate primate colonies.

resultsSignificant, widespread reductions in fractional anisotropy with corresponding increased axial, mean, and radial diffusivity were observed across the brain as a result of repeated anaesthesia exposures. These effects were dose dependent and remained after accounting for age and sex at time of exposure in a generalised linear model. Decreases of up to 40% in fractional anisotropy were detected in some brain regions.

conclusionsMultiple exposures to commonly used anaesthetics were associated with marked changes in white matter microstructure. This study is amongst the first to examine clinically relevant anaesthesia exposures on the developing primate brain. It will be important to examine if, or to what degree, the maturing brain can recover from these white matter changes.

Indexed as

Anesthesia, GeneralAnimalsAnimals, NewbornBrainDiffusion Tensor ImagingFemaleMacaca mulattaMaleWhite Matterdiffusion MRIgeneral anaesthesia isofluraneketamineneurotoxicityrhesus monkeyswhite matter

Identifiers

PMID33549320
PMCPMC8132881
OpenAlexW3127716942

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.