Evidence map›Paper›PMID 34195274›Full record

ArticleBioMed research international2021

Effect of Intravenous Lidocaine on Inflammatory and Apoptotic Response of Ischemia-Reperfusion Injury in Pigs Undergoing Lung Resection Surgery.

Andrea Romera, María Cebollero, Bárbara Romero-Gómez, Francisco Carricondo, Sara Zapatero, Uxío García-Aldao, Lorena Martín-Albo, Javier Ortega, Elena Vara, Ignacio Garutti and 1 more

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2021. 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
1.5field-weighted citation impact, top 18% 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, 12 citations in OpenAlex.

  1. Review
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  5. Pig Sedation and Anesthesia for Medical Research.Animals : an open access journal from MDPI · 2023
    Review
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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

11 authors at 2 institutions in 1 country.

Andrea RomeraDepartment of Anesthesiology, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0002-9062-2377
María CebolleroDepartment of Anatomic Pathology, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0003-0696-3572
Bárbara Romero-GómezDepartment of Immunology, Ophthalmology and Otorhinolaryngology, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-2963-183X
Francisco CarricondoDepartment of Immunology, Ophthalmology and Otorhinolaryngology, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0003-1651-3356
Sara ZapateroDepartment of Anesthesiology, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0003-0094-7571
Uxío García-AldaoDepartment of Anesthesiology, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0001-9743-4304
Lorena Martín-AlboDepartment of Thoracic Surgery, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0002-6312-7346
Javier OrtegaDepartment of Thoracic Surgery, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0001-6122-0072
Elena VaraDepartment of Biochemistry and Molecular Biology III, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain.ORCID https://orcid.org/0000-0002-5361-5215
Ignacio GaruttiDepartment of Anesthesiology, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0001-8284-2903
Carlos SimónDepartment of Thoracic Surgery, Gregorio Marañón University Hospital, Madrid, Spain.ORCID https://orcid.org/0000-0002-9337-6167
Hospital General Universitario Gregorio Marañón · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIschemia-reperfusion injury is one of the most critical phenomena in lung transplantation and causes primary graft failure. Its pathophysiology remains incompletely understood, although the inflammatory response and apoptosis play key roles. Lidocaine has anti-inflammatory properties. The aim of this research is to evaluate the effect of intravenous lidocaine on the inflammatory and apoptotic responses in lung ischemia-reperfusion injury.

methodsWe studied the histological and immunohistochemical changes in an experimental model of lung transplantation in pigs. Twelve pigs underwent left pneumonectomy, cranial lobectomy, caudal lobe reimplantation, and 60 minutes of graft reperfusion. Six of the pigs made up the control group, while six other pigs received 1.5 mg/kg of intravenous lidocaine after induction and a 1.5 mg/kg/h intravenous lidocaine infusion during surgery. In addition, six more pigs underwent simulated surgery. Lung biopsies were collected from the left caudal lobe 60 minutes after reperfusion. We conducted a double study on these biopsies and assessed the degree of inflammation, predominant cell type (monocyte-macrophage, lymphocytes, or polymorphous), the degree of congestion, and tissue edema by hematoxylin and eosin stain. We also conducted an immunohistochemical analysis with antibodies against CD68 antigens, monocyte chemoattractant protein-1 (MCP-1), Bcl-2, and caspase-9.

resultsThe lungs subjected to ischemia-reperfusion injury exhibited a higher degree of inflammatory infiltration. The predominant cell type was monocyte-macrophage cells. Both findings were mitigated by intravenous lidocaine administration. Immunohistochemical detection of anti-CD68 and anti-MCP-1 showed higher infiltration in the lungs subjected to ischemia-reperfusion injury, while intravenous lidocaine decreased the expression. Ischemia-reperfusion induced apoptotic changes and decreased Bcl-2 expression. The group treated with lidocaine showed an increased number of Bcl-2-positive cells. No differences were observed in caspase-9 expression.

conclusionsIn our animal model, intravenous lidocaine was associated with an attenuation of the histological markers of lung damage in the early stages of reperfusion.

Indexed as

Injections, IntravenousAnimalsAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-Inflammatory AgentsApoptosisBiopsyCaspase 9CD68 MoleculeChemokine CCL2HemodynamicsInflammationLidocaineLungProto-Oncogene Proteins c-bcl-2Reperfusion InjuryAntigens, CDAntigens, Differentiation, MyelomonocyticAnti-Inflammatory AgentsCaspase 9CD68 antigen, humanCD68 MoleculeChemokine CCL2LidocaineProto-Oncogene Proteins c-bcl-2

Identifiers

PMID34195274
PMCPMC8203341
OpenAlexW3172067527

What OpenQuestion holds

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LicenceCC BY
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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.