Evidence map›Paper›PMID 33641166›Full record

ArticleJournal of anatomy2021

Development of the sympathetic trunks in human embryos.

Nutmethee Kruepunga, Jill P J M Hikspoors, Cindy J M Hülsman, Greet M C Mommen, S Eleonore Köhler, Wouter H Lamers

Open access · hybridAbstract read
In one paragraph

Article in Journal of anatomy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 32% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
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

6 authors at 3 institutions in 2 countries.

Nutmethee KruepungaDepartment of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-3871-1209
Jill P J M HikspoorsDepartment of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-2940-1812
Cindy J M HülsmanDepartment of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.
Greet M C MommenDepartment of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.
S Eleonore KöhlerDepartment of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-1977-9977
Wouter H LamersDepartment of Anatomy & Embryology, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-3032-7824
Maastricht University · NLAmsterdam UMC Location University of Amsterdam · NLMahidol University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although the development of the sympathetic trunks was first described >100 years ago, the topographic aspect of their development has received relatively little attention. We visualised the sympathetic trunks in human embryos of 4.5-10 weeks post-fertilisation, using Amira 3D-reconstruction and Cinema 4D-remodelling software. Scattered, intensely staining neural crest-derived ganglionic cells that soon formed longitudinal columns were first seen laterally to the dorsal aorta in the cervical and upper thoracic regions of Carnegie stage (CS)14 embryos. Nerve fibres extending from the communicating branches with the spinal cord reached the trunks at CS15-16 and became incorporated randomly between ganglionic cells. After CS18, ganglionic cells became organised as irregular agglomerates (ganglia) on a craniocaudally continuous cord of nerve fibres, with dorsally more ganglionic cells and ventrally more fibres. Accordingly, the trunks assumed a "pearls-on-a-string" appearance, but size and distribution of the pearls were markedly heterogeneous. The change in position of the sympathetic trunks from lateral (para-aortic) to dorsolateral (prevertebral or paravertebral) is a criterion to distinguish the "primary" and "secondary" sympathetic trunks. We investigated the position of the trunks at vertebral levels T2, T7, L1 and S1. During CS14, the trunks occupied a para-aortic position, which changed into a prevertebral position in the cervical and upper thoracic regions during CS15, and in the lower thoracic and lumbar regions during CS18 and CS20, respectively. The thoracic sympathetic trunks continued to move further dorsally and attained a paravertebral position at CS23. The sacral trunks retained their para-aortic and prevertebral position, and converged into a single column in front of the coccyx. Based on our present and earlier morphometric measurements and literature data, we argue that differential growth accounts for the regional differences in position of the sympathetic trunks.

Indexed as

Embryonic DevelopmentEmbryo, MammalianHumansSympathetic Nervous Systemganglionic cellsnerve fibresneural crest cellspara-aorticpara-vertebralprimary and secondary sympathetic trunks

Identifiers

PMID33641166
PMCPMC8197954
OpenAlexW3135632469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.