Evidence map›Paper›PMID 33654278›Full record

ArticlePediatric research2022

Low maternal vitamin A intake increases the incidence of teratogen induced congenital diaphragmatic hernia in mice.

Ayanna W Rocke, Tianna G Clarke, Timothy R A Dalmer, Sydney A McCluskey, Juan F Garcia Rivas, Robin D Clugston

Open access · hybridAbstract read
In one paragraph

Article in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Mesenchymal retinoic acid signaling is required for normal diaphragm development in mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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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 2 institutions in 1 country.

Ayanna W RockeDepartment of Physiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Tianna G ClarkeDepartment of Physiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Timothy R A DalmerDepartment of Physiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Sydney A McCluskeyDepartment of Physiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Juan F Garcia RivasDepartment of Physiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
Robin D ClugstonDepartment of Physiology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada. clugston@ualberta.ca.
University of Alberta · CAWomen and Children’s Health Research Institute · CA

Funding

CIHR PJT-169060
6 · The paper itself

Abstract

backgroundCongenital diaphragmatic hernia (CDH) is a severe birth defect associated with high perinatal mortality and long-term morbidity. The etiology of CDH is poorly understood although abnormal retinoid signaling has been proposed to contribute to abnormal diaphragm development. Existing epidemiological data suggest that inadequate dietary vitamin A intake is a risk factor for developing CDH.

methodsUsing a mouse model of teratogen-induced CDH, the objective of this study was to test the hypothesis that low maternal vitamin A intake contributes to abnormal diaphragm development. To test this hypothesis, we optimized a model of altered maternal dietary vitamin A intake and a teratogenic model of CDH in mice that recapitulates the hallmark features of posterolateral diaphragmatic hernia in humans.

resultsOur data uniquely show that low maternal dietary vitamin A intake and marginal vitamin A status increases the incidence of teratogen-induced CDH in mice.

conclusionLow dietary vitamin A intake and marginal vitamin A status lead to an increased incidence of teratogen-induced CDH in mice, highlighting the importance of adequate dietary vitamin A intake and CDH risk. IMPACT: This study describes and validates a mouse model of altered maternal and fetal vitamin A status. This study links existing epidemiological data with a mouse model of teratogen-induced congenital diaphragmatic hernia, highlighting the importance of low maternal vitamin A intake as a risk factor for the development of congenital diaphragmatic hernia. This study supports the Retinoid Hypothesis, which posits that the etiology of congenital diaphragmatic hernia is linked to abnormal retinoid signaling in the developing diaphragm.

Indexed as

AnimalsDietFemaleHernias, Diaphragmatic, CongenitalIncidenceMiceMice, Inbred BALB CPregnancyTeratogensVitamin ATeratogensVitamin A

Identifiers

PMID33654278
PMCPMC8770141
OpenAlexW3135835921

What OpenQuestion holds

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LicenceCC BY
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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.