Evidence map›Paper›PMID 41467062›Full record

ArticleResuscitation plus2025

Temporal profiling of myocardial inflammation and recovery in a murine model of cardiac arrest and adrenaline exposure.

Soumya Panigrahi, Siyi Jiang, Angela Enriquez, Sanjana Tummala, Donald Rempinski, Kenneth E Remy, Cody A Rutledge

Abstract read
In one paragraph

Article in Resuscitation plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Soumya PanigrahiBlood, Heart, Lung, and Immunology Research Center, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Siyi JiangDivision of Cardiology, Vascular Medicine Institute, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Angela EnriquezDivision of Cardiology, Vascular Medicine Institute, Department of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Sanjana TummalaBlood, Heart, Lung, and Immunology Research Center, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Donald RempinskiBlood, Heart, Lung, and Immunology Research Center, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Kenneth E RemyBlood, Heart, Lung, and Immunology Research Center, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Cody A RutledgeBlood, Heart, Lung, and Immunology Research Center, Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA.

Funding

BLRD VA IK2 BX005785
6 · The paper itself

Abstract

Background: Myocardial dysfunction after cardiac arrest (CA) is a major contributor to poor outcomes, yet the underlying inflammatory mechanisms within cardiac tissue remain incompletely defined. We sought to delineate the temporal evolution of myocardial inflammation following CA, distinguishing the effects of ischemia-reperfusion injury from those of adrenaline exposure alone. Methods and Results: Using a murine model of CA and resuscitation, we profiled transcriptomic, immunologic, and functional cardiac changes in mice exposed to either CA followed by resuscitation with adrenaline (Arrest group), adrenaline alone (Adr group), or anesthesia alone (Naïve group). Animals were assessed at 0.5-, 1-, 3-, and 7-days via echocardiography, RNA-sequencing, flow cytometry, immunohistochemistry, and multiplex cytokine analysis. CA elicited a robust, early myocardial inflammatory response characterized by neutrophil infiltration, systemic cytokine surges (IL-6, TNF-α, IL-1β), and downregulation of mitochondrial and metabolic pathways. This immune activation peaked at 0.5 days and resolved by day 7, coinciding with transient myocardial dysfunction and recovery of ejection fraction. In contrast, adrenaline alone induced a delayed, attenuated response peaking at 1 day. Transcriptomic and immunophenotypic signatures distinguished ischemia-driven injury from catecholaminergic effects. Conclusions: CA induces a distinct, self-limited myocardial inflammatory cascade that parallels functional cardiac recovery. These findings identify a narrow therapeutic window for immunomodulatory interventions and provide a mechanistic foundation for targeted therapies to mitigate cardiac injury after resuscitation.

Indexed as

Cardiac arrestHeartInflammationMouse

Identifiers

PMID41467062
PMCPMC12744645

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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.