Evidence map›Paper›PMID 40148266›Full record

ArticleShock (Augusta, Ga.)2025

METHANE ADMINISTRATION DURING OXYGENATION MITIGATES ACUTE KIDNEY INJURY IN A PIG MODEL OF 24-H VENO-VENOUS EXTRACORPOREAL MEMBRANE OXYGENATION.

Noémi Vida, Zoltán Varga, Antal Szabó-Biczók, Gábor Bari, Gyöngyvér Vigyikán, Ádám Hodoniczki, Ámos Gajda, Attila Rutai, László Juhász, Szabolcs Péter Tallósy and 7 more

Abstract read
In one paragraph

Article in Shock (Augusta, Ga.), 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

17 authors.

Noémi VidaInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Zoltán VargaDepartment of Anaesthesiology and Intensive Therapy, University of Szeged, Szeged, Hungary.
Antal Szabó-BiczókDivision of Cardiac Surgery, Second Department of Internal Medicine and Cardiology Center, University of Szeged, Szeged, Hungary.
Gábor BariDivision of Cardiac Surgery, Second Department of Internal Medicine and Cardiology Center, University of Szeged, Szeged, Hungary.
Gyöngyvér VigyikánInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Ádám HodoniczkiInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Ámos GajdaInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Attila RutaiInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
László JuhászInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Szabolcs Péter TallósyInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Sándor Turkevi-NagyDepartment of Pathology, University of Szeged, Szeged, Hungary.
Anett BársonyInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Nándor ÖvegesDepartment of Anaesthesiology and Intensive Therapy, University of Szeged, Szeged, Hungary.
Andrea SzabóInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Mihály BorosInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Gabriella VargaInstitute of Surgical Research, University of Szeged, Szeged, Hungary.
Dániel ÉrcesInstitute of Surgical Research, University of Szeged, Szeged, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractBackground: Severe respiratory failure often requires veno-venous extracorporeal membrane oxygenation (v-v ECMO) treatment, a procedure frequently associated with acute kidney injury (AKI). Preclinical studies have demonstrated the anti-inflammatory properties of inhaled methane (CH 4 ). This experimental protocol aimed to investigate whether CH 4 gas administration could mitigate the development of AKI in a clinically relevant large animal model of v-v ECMO. Methods: Anesthetized miniature pigs were divided into three groups (n = 6 each). Following cannulation of the right femoral and internal jugular veins, v-v ECMO was initiated and maintained for 24 h, followed by a 6-h post-ECMO observation. The control group underwent cannulation without ECMO, while the v-v ECMO+CH 4 group received a 2% CH 4 -air mixture via the oxygenator. Urine output was recorded, and kidney injury was assessed using plasma and urine neutrophil gelatinase-associated lipocalin levels. Inflammatory activation was evaluated through plasma interleukin-1β (IL-1β) and interleukin-8 (IL-8) levels. Kidney tissue samples were analyzed for histopathological changes, xanthine oxidoreductase and myeloperoxidase activities, and nitrite/nitrate levels. Results: The CH 4 -treated group exhibited significantly higher post-ECMO renal arterial flow (244.7 ± 70 vs. 96.3 ± 21 mL/min) and increased average urine output (5.75 ± 1.6 vs. 3.25 ± 0.4 mL/h/kg) compared to the v-v ECMO group. CH 4 administration reduced urine and plasma neutrophil gelatinase-associated lipocalin levels and demonstrated lower histological damage scores (0.8 ± 0.3 vs. 3.3 ± 0.8). Furthermore, CH 4 treatment decreased xanthine oxidoreductase and myeloperoxidase activities and reduced inflammatory mediators, including IL-1β, IL-8, and nitrite/nitrate. Conclusion: CH 4 admixture significantly mitigates inflammatory activation and renal injury associated with v-v ECMO. These findings suggest that CH 4 may serve as an effective adjunctive means to reduce renal complications of v-v ECMO therapy.

Indexed as

Acute Kidney InjuryExtracorporeal Membrane OxygenationMethaneAnimalsDisease Models, AnimalFemaleInterleukin-1betaInterleukin-8SwineSwine, MiniatureInterleukin-1betaInterleukin-8MethaneExtracorporeal membrane oxygenationinflammationkidney injurymethaneoxidative stressrenal artery flow

Identifiers

PMID40148266
PMCPMC12105969

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.