Evidence map›Paper›PMID 34172773›Full record

ArticleScientific reports2021

A patient-like swine model of gastrointestinal fibrotic strictures for advancing therapeutics.

Ling Li, Mohamad I Itani, Kevan J Salimian, Yue Li, Olaya Brewer Gutierrez, Haijie Hu, George Fayad, Jean A Donet, Min Kyung Joo, Laura M Ensign and 2 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Ling LiDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Mohamad I ItaniDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Kevan J SalimianDepartment of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Yue LiDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Olaya Brewer GutierrezDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Haijie HuDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
George FayadDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Jean A DonetDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Min Kyung JooDepartment of Ophthalmology, The Center for Nanomedicine At the Wilmer Eye Institute, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Laura M EnsignDepartment of Ophthalmology, The Center for Nanomedicine At the Wilmer Eye Institute, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Vivek KumbhariDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA.
Florin M SelaruDepartment of Medicine and Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, 720 Rutland Avenue, Ross Building, Room 950, Baltimore, MD, 21205, USA. fselaru1@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Tissue biopsying with wireless microgrippers within gastrointestinal tractR01EB017742 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI David H Gracias, Florin Selaru · 2014 to 2026
$6.6M
(PQC-1) Driver Events In IBD-Associated Neoplastic ProgressionR01CA190040 · NCI · JOHNS HOPKINS UNIVERSITY · PI MELTZER, STEPHEN J, SELARU, FLORIN · 2014 to 2017
$2.5M
NCI NIH HHS R01 CA190040NIBIB NIH HHS R01 EB017742
6 · The paper itself

Abstract

Gastrointestinal (GI) strictures are difficult to treat in a variety of disease processes. Currently, there are no Food and Drug Administration (FDA) approved drugs for fibrosis in the GI tract. One of the limitations to developing anti-fibrotic drugs has been the lack of a reproducible, relatively inexpensive, large animal model of fibrosis-driven luminal stricture. This study aimed to evaluate the feasibility of creating a model of luminal GI tract strictures. Argon plasma coagulation (APC) was applied circumferentially in porcine esophagi in vivo. Follow-up endoscopy (EGD) was performed at day 14 after the APC procedure. We noted high grade, benign esophageal strictures (n = 8). All 8 strictures resembled luminal GI fibrotic strictures in humans. These strictures were characterized, and then successfully dilated. A repeat EGD was performed at day 28 after the APC procedure and found evidence of recurrent, high grade, fibrotic, strictures at all 8 locations in all pigs. Pigs were sacrificed and gross and histologic analyses performed. Histologic examination showed extensive fibrosis, with significant collagen deposition in the lamina propria and submucosa, as well as extensive inflammatory infiltrates within the strictures. In conclusion, we report a porcine model of luminal GI fibrotic stricture that has the potential to assist with developing novel anti-fibrotic therapies as well as endoscopic techniques to address recurring fibrotic strictures in humans.

Indexed as

AnimalsConstriction, PathologicDisease Models, AnimalEndoscopyFibrosisGastrointestinal DiseasesHumansMucous MembraneSwine

Identifiers

PMID34172773
PMCPMC8233336
OpenAlexW3175396401

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.