Evidence map›Paper›PMID 27695713›Full record

ArticleJACC. Basic to translational science2016

Intracoronary Poloxamer 188 Prevents Reperfusion Injury in a Porcine Model of ST-Segment Elevation Myocardial Infarction.

Jason A Bartos, Timothy R Matsuura, Adamantios Tsangaris, Matthew Olson, Scott H McKnite, Jennifer N Rees, Karen Haman, Kadambari Chandra Shekar, Matthias L Riess, Frank S Bates and 2 more

Open access · goldAbstract read
In one paragraph

Article in JACC. Basic to translational science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

33 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
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  5. Effects of poloxamer 188 on traumatic brain injury.Brain, behavior, & immunity - health · 2024
    Review
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  10. Consequences of poly(ethylene oxide) and poloxamer P188 on transcription in healthy and stressed myoblasts.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  11. Article
  12. P188 Therapy in In Vitro Models of Traumatic Brain Injury.International journal of molecular sciences · 2023
    Review
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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

12 authors at 2 institutions in 1 country.

Jason A BartosDepartment of Medicine-Cardiovascular Division, University of Minnesota, Minneapolis, MN.
Timothy R MatsuuraDepartment of Integrative Biology and Physiology, University of Minnesota, Minneapolis, MN.
Adamantios TsangarisDepartment of Medicine-Cardiovascular Division, University of Minnesota, Minneapolis, MN.
Matthew OlsonDepartment of Medicine-Cardiovascular Division, University of Minnesota, Minneapolis, MN.
Scott H McKniteDepartment of Medicine-Cardiovascular Division, University of Minnesota, Minneapolis, MN.
Jennifer N ReesDepartment of Medicine-Cardiovascular Division, University of Minnesota, Minneapolis, MN.
Karen HamanDepartment of Chemical Engineering and Materials Science, University of Minnesota, Minneapolis, MN.
Kadambari Chandra ShekarDepartment of Integrative Biology and Physiology, University of Minnesota, Minneapolis, MN.
Matthias L RiessAnesthesiology, TVHS VA Medical Center, Nashville, TN; Departments of Anesthesiology and Pharmacology, Vanderbilt University, Nashville, TN.
Frank S BatesDepartment of Chemical Engineering and Materials Science, University of Minnesota, Minneapolis, MN.
Joseph M MetzgerDepartment of Integrative Biology and Physiology, University of Minnesota, Minneapolis, MN.
Demetris YannopoulosDepartment of Medicine-Cardiovascular Division, University of Minnesota, Minneapolis, MN.
University of Minnesota · USVanderbilt University · US

Funding

Targeted membrane integrity in cardiac ischemia and reperfusionR01HL122323 · NHLBI · UNIVERSITY OF MINNESOTA · PI METZGER, JOSEPH MARK · 2015 to 2022
$5.1M
Genetic Mechanisms of Resistance against Cardiac PreconditioningIK2BX001278 · VA · CLEMENT J. ZABLOCKI VA MEDICAL CENTER · PI RIESS, MATTHIAS L. · 2011 to 2014
–
BLRD VA IK2 BX001278NHLBI NIH HHS R01 HL122323United States NHLBI
6 · The paper itself

Abstract

backgroundPoloxamer 188 (P188) is a nonionic triblock copolymer believed to prevent cellular injury after ischemia and reperfusion.

objectivesThis study compared intracoronary infusion of P188 immediately after reperfusion with delayed infusion through a peripheral intravenous catheter in a porcine model of ST segment elevation myocardial infarction (STEMI). Cellular and mitochondrial injury were assessed.

methodsSTEMI was induced in 55 pigs using 45 minutes of endovascular coronary artery occlusion. Pigs were then randomized to four groups: control, immediate intracoronary (IC) P188, delayed peripheral P188, and polyethylene glycol (PEG) infusion. Heart tissue was collected after 4 hours of reperfusion. Assessment of mitochondrial function or infarct size was performed.

resultsMitochondrial yield improved significantly with IC P188 treatment compared to control animals (0.25% vs. 0.13%) suggesting improved mitochondrial morphology and survival. Mitochondrial respiration and calcium retention were also significantly improved with immediate IC P188 compared to controls (complex I RCI: 7.4 vs. 3.7 and calcium retention (nmol): 1152 vs. 386). This benefit was only observed with activation of complex I of the mitochondrial respiratory chain suggesting a specific impact of ischemia and reperfusion on this complex. Infarct size and serum troponin I were significantly reduced by immediate IC P188 infusion (infarct size: 13.9% vs. 41.1% and troponin I (μg/L): 19.2 vs. 77.4 μg/L). Delayed P188 and PEG infusion did not provide a significant benefit.

conclusionsIntracoronary infusion of P188 immediately upon reperfusion significantly reduces cellular and mitochondrial injury after ischemia and reperfusion in this clinically relevant porcine model of STEMI. The timing and route of delivery were critical to achieve the benefit.

Indexed as

mitochondriamyocardial infarctionpoloxamer 188reperfusion injurySTEMI

Identifiers

PMID27695713
PMCPMC5042154
OpenAlexW2386485109

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.