Evidence map›Paper›PMID 34253193›Full record

ArticleBMC pulmonary medicine2021

Rheological effects of hypertonic saline and sodium bicarbonate solutions on cystic fibrosis sputum in vitro.

Mária Budai-Szűcs, Szilvia Berkó, Anita Kovács, Pongsiri Jaikumpun, Rita Ambrus, Adrien Halász, Piroska Szabó-Révész, Erzsébet Csányi, Ákos Zsembery

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

9 authors at 3 institutions in 1 country.

Mária Budai-SzűcsInstitute of Pharmaceutical Technology and Regulatory Affairs, University of Szeged, Szeged, Hungary. budai-szucs.maria@szte.hu.
Szilvia BerkóInstitute of Pharmaceutical Technology and Regulatory Affairs, University of Szeged, Szeged, Hungary.
Anita KovácsInstitute of Pharmaceutical Technology and Regulatory Affairs, University of Szeged, Szeged, Hungary.
Pongsiri JaikumpunDepartment of Oral Biology, Semmelweis University, Budapest, Hungary.
Rita AmbrusInstitute of Pharmaceutical Technology and Regulatory Affairs, University of Szeged, Szeged, Hungary.
Adrien HalászNational Korányi Institute for Pulmonology, Budapest, Hungary.
Piroska Szabó-RévészInstitute of Pharmaceutical Technology and Regulatory Affairs, University of Szeged, Szeged, Hungary.
Erzsébet CsányiInstitute of Pharmaceutical Technology and Regulatory Affairs, University of Szeged, Szeged, Hungary.
Ákos ZsemberyDepartment of Oral Biology, Semmelweis University, Budapest, Hungary.
University of Szeged · HUSemmelweis University · HUOrszágos Korányi Tbc és Pulmonológiai Intézet · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) is a life-threatening multiorgan genetic disease, particularly affecting the lungs, where recurrent infections are the main cause of reduced life expectancy. In CF, mutations in the gene encoding the cystic fibrosis transmembrane conductance regulator (CFTR) protein impair transepithelial electrolyte and water transport, resulting in airway dehydration, and a thickening of the mucus associated with abnormal viscoelastic properties. Our aim was to develop a rheological method to assess the effects of hypertonic saline (NaCl) and NaHCO

methodsSputum samples were mixed with hypertonic salt solutions in vitro in a ratio of either 10:4 or 10:1. Distilled water was applied as a reference treatment. The rheological properties of sputum from CF patients, and the effects of these in vitro treatments, were studied with a rheometer at constant frequency and strain, followed by frequency sweep tests, where storage modulus (G'), loss modulus (G″) and loss factor were determined.

resultsWe identified three distinct categories of sputum: (i) highly elastic (G' > 100,000 Pa), (ii) elastic (100,000 Pa > G' > 1000 Pa), and (iii) viscoelastic (G' < 1000). At the higher additive ratio (10:4), all of the added solutions were found to significantly reduce the gel strength of the sputum, but the most pronounced changes were observed with NaHCO

conclusionBased on the rheological properties of the initial sputum samples, we can predict with some confidence the treatment efficacy of each of the alternative additives. The marked differences between the three categories suggest that it is advisable to evaluate each sample individually using a rheological approach such as that described here.

Indexed as

Cystic FibrosisElasticityFemaleHumansIn Vitro TechniquesMaleRheologySaline Solution, HypertonicSodium BicarbonateSpecimen HandlingSputumViscositySaline Solution, HypertonicSodium BicarbonateBicarbonateCystic fibrosisHypertonic salt solutionsIn vitro treatmentRheology

Identifiers

PMID34253193
PMCPMC8276516
OpenAlexW3178836746

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.