Evidence map›Paper›PMID 34356867›Full record

ReviewBiomedicines2021

Ultrasound and Microbubbles for Targeted Drug Delivery to the Lung Endothelium in ARDS: Cellular Mechanisms and Therapeutic Opportunities.

Rajiv Sanwal, Kushal Joshi, Mihails Ditmans, Scott S H Tsai, Warren L Lee

Open access · goldAbstract readReview
In one paragraph

Review in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.6field-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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Acute lung injury: a view from the perspective of necroptosis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Review
  9. Article
  10. Review
  11. Smart stimuli-responsive drug delivery systems in spotlight of COVID-19.Asian journal of pharmaceutical sciences · 2023
    Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. 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

5 authors at 1 institution in 1 country.

Rajiv SanwalKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1T8, Canada.
Kushal JoshiKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1T8, Canada.
Mihails DitmansKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1T8, Canada.
Scott S H TsaiKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1T8, Canada.
Warren L LeeKeenan Research Centre for Biomedical Science, St. Michael's Hospital, Unity Health Toronto, Toronto, ON M5B 1T8, Canada.ORCID 0000-0002-1788-6587
St. Michael's Hospital · CA

Funding

CIHR CIHR 158284Natural Sciences and Engineering Research Council of Canada NSERC 523598-18Natural Sciences and Engineering Research Council of Canada RGPIN-2019-04618
6 · The paper itself

Abstract

Acute respiratory distress syndrome (ARDS) is characterized by increased permeability of the alveolar-capillary membrane, a thin barrier composed of adjacent monolayers of alveolar epithelial and lung microvascular endothelial cells. This results in pulmonary edema and severe hypoxemia and is a common cause of death after both viral (e.g., SARS-CoV-2) and bacterial pneumonia. The involvement of the lung in ARDS is notoriously heterogeneous, with consolidated and edematous lung abutting aerated, less injured regions. This makes treatment difficult, as most therapeutic approaches preferentially affect the normal lung regions or are distributed indiscriminately to other organs. In this review, we describe the use of thoracic ultrasound and microbubbles (USMB) to deliver therapeutic cargo (drugs, genes) preferentially to severely injured areas of the lung and in particular to the lung endothelium. While USMB has been explored in other organs, it has been under-appreciated in the treatment of lung injury since ultrasound energy is scattered by air. However, this limitation can be harnessed to direct therapy specifically to severely injured lungs. We explore the cellular mechanisms governing USMB and describe various permutations of cargo administration. Lastly, we discuss both the challenges and potential opportunities presented by USMB in the lung as a tool for both therapy and research.

Indexed as

acute respiratory distress syndromedrug and gene deliveryendothelial cellsmicrobubblesultrasoundvascular leak

Identifiers

PMID34356867
PMCPMC8301318
OpenAlexW3179285598

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.