Evidence map›Paper›PMID 34465875›Full record

ArticlePediatric research2022

A novel surgical toxicological-free model of diaphragmatic hernia in fetal rats.

Lourenço Sbragia, Marc Oria, Federico Scorletti, Maria Del Mar Romero Lopez, Augusto F Schmidt, Brittany Levy, Jose L Peiro

Abstract read
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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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 26% 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, 5 citations in OpenAlex.

  1. Mechanical compression causes lung hypoplasia in congenital diaphragmatic hernia with GATA4 genetic variants.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
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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

7 authors at 4 institutions in 2 countries.

Lourenço SbragiaCenter for Fetal and Placental Research. Division of Pediatric General and Thoracic Surgery. Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA.
Marc OriaCenter for Fetal and Placental Research. Division of Pediatric General and Thoracic Surgery. Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA.
Federico ScorlettiCenter for Fetal and Placental Research. Division of Pediatric General and Thoracic Surgery. Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA.
Maria Del Mar Romero LopezCenter for Fetal and Placental Research. Division of Pediatric General and Thoracic Surgery. Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA.
Augusto F SchmidtDivision of Neonatology, University of Miami Miller School of Medicine, Miami, FL, USA.
Brittany LevyCenter for Fetal and Placental Research. Division of Pediatric General and Thoracic Surgery. Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA.
Jose L PeiroCenter for Fetal and Placental Research. Division of Pediatric General and Thoracic Surgery. Cincinnati Children's Hospital Medical Center (CCHMC), Cincinnati, OH, USA. jose.peiro@cchmc.org.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati Medical Center · USUniversidade de São Paulo · BRUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTeratogen-induced congenital diaphragmatic hernia (CDH) rat models are commonly used to study the pathophysiology. We have created a new and reliable surgically induced diaphragmatic hernia (DH) model to obtain a purely mechanical DH rat model, and avoid the confounding teratogen-induced effects on the lung development.

methodsFetal DH was surgically created on fetuses at E18.5 and harvested at E21.5 in rats. Four groups were evaluated (n = 16): control (CONT), control exposed to Nitrofen (CONT NIT), DH surgically created (DH SURG), and CDH Nitrofen (CDH NIT). Body weight, total lung weights, and their ratio (BW, TLW, and TLBR) were compared. Air space (AS), parenchyma (PA), total protein, and DNA contents were measured to verify lung hypoplasia. Medial wall thickness (MWT) of pulmonary arterioles was also analyzed.

resultsDH SURG showed significant hypoplasia (decreased in total protein and DNA) vs CONT (p < 0.05); DH SURG vs CDH NIT were similar in TLW and TLBR. DH SURG has less AS than CONT (p < 0.05) and similar PA compared to CONT NIT and CDH NIT, MWT were similarly increased in CONT NIT, DH SURG, and CDH NIT.

conclusionsThis novel surgical model generates fetal lung hypoplasia contributing to the study of the mechanical compression effect on fetal lung development in DH. IMPACT: There is a critical need to develop a surgical model in rat to complement the findings of the well-known Nitrofen-induced CDH model. This experimental study is pioneer and can help to understand better the CDH pathophysiological changes caused by herniated abdominal viscera compression against the lung during the final stage of gestation in CDH fetuses, and also to develop more efficient treatments in near future.

Indexed as

Hernias, Diaphragmatic, CongenitalAnimalsDisease Models, AnimalDNAFetusLungModels, AnatomicPhenyl EthersRatsRats, Sprague-DawleyTeratogensDNAPhenyl EthersTeratogens

Identifiers

PMID34465875
OpenAlexW3197585466

What OpenQuestion holds

Textmetadata
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.