Evidence map›Paper›PMID 34455420›Full record

ArticlePediatric research2022

Neonatal intermittent hypoxia, fish oil, and/or antioxidant supplementation on gut microbiota in neonatal rats.

Darren Bodkin, Charles L Cai, Alex Manlapaz-Mann, Ghassan Mustafa, Jacob V Aranda, Kay D Beharry

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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 12 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

6 authors at 1 institution in 1 country.

Darren BodkinDepartment of Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.ORCID http://orcid.org/0000-0001-8834-5238
Charles L CaiDepartment of Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.
Alex Manlapaz-MannDepartment of Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.
Ghassan MustafaDepartment of Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.
Jacob V ArandaDepartment of Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, NY, USA.
Kay D BeharryDepartment of Pediatrics, State University of New York, Downstate Medical Center, Brooklyn, NY, USA. kbeharry@downstate.edu.
State University of New York · US

Funding

Synergistic Pharmacologicjntervention for Prevention of ROP (SPIPROP STUDY)U54HD071594 · NICHD · SUNY DOWNSTATE MEDICAL CENTER · PI ARANDA, JACOB V · 2011 to 2015
$3.6M
NICHD NIH HHS U54 HD071594
6 · The paper itself

Abstract

backgroundPreterm infants frequently experience intermittent hypoxia (IH) episodes, rendering them susceptible to oxidative stress and gut dysbiosis. We tested the hypothesis that early supplementation with antioxidants and/or fish oil promotes gut biodiversity and mitigates IH-induced gut injury.

methodsNewborn rats were exposed to neonatal IH from birth (P0) to P14 during which they received daily oral supplementation with: (1) coenzyme Q10 (CoQ10) in olive oil, (2) fish oil, (3) glutathione nanoparticles (nGSH), (4) CoQ10 + fish oil, or (5) olive oil (placebo control). Pups were placed in room air (RA) from P14 to P21 with no further treatment. RA controls were similarly treated. Stool samples were assessed for microbiota and terminal ileum for histopathology and morphometry, total antioxidant capacity, lipid peroxidation, and biomarkers of gut injury.

resultsNeonatal IH induced histopathologic changes consistent with necrotizing enterocolitis, which were associated with increased lipid peroxidation, toll-like receptor, transforming growth factor, and nuclear factor kappa B. Combination of CoQ10 + fish oil and nGSH were most effective for preserving gut integrity, reducing biomarkers of gut injury, and increasing commensal organisms.

conclusionsCombination of antioxidants and fish oil may confer synergistic benefits to mitigate IH-induced injury in the terminal ileum. IMPACT: Antioxidant and fish oil (PUFA) co-treatment was most beneficial for reducing neonatal IH-induced gut injury. The synergistic effects of antioxidant and fish oil is likely due to prevention of IH-induced ROS attack on lipids, thus preserving and augmenting its therapeutic benefits. Combination treatment was also effective for increasing the abundance of the non-pathogenic Firmicutes phylum, which is associated with a healthy gastrointestinal system of the newborn. Extremely low gestational age neonates who are at high risk for frequent, repetitive neonatal IH and oxidative stress-induced diseases may benefit from this combination therapy.

Indexed as

Asphyxia NeonatorumGastrointestinal MicrobiomeAnimalsAnimals, NewbornAntioxidantsBiomarkersDietary SupplementsFish OilsHumansHypoxiaInfant, NewbornInfant, PrematureOlive OilRatsAntioxidantsBiomarkersFish OilsOlive Oil

Identifiers

PMID34455420
PMCPMC8882692
OpenAlexW3197224628

What OpenQuestion holds

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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.