Evidence map›Paper›PMID 21617137›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2011

Aging causes collateral rarefaction and increased severity of ischemic injury in multiple tissues.

James E Faber, Hua Zhang, Roberta M Lassance-Soares, Pranay Prabhakar, Amir H Najafi, Mary Susan Burnett, Stephen E Epstein

Abstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 145 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 1 pooled it
–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

145 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Network analysis identifies consensus physiological measures of neurovascular coupling in humans.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2020
    Trial
  3. Article
  4. Review
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  8. Observational
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  10. Genetic determinants of insufficiency of the collateral circulation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  11. [Research progress on the metabolic regulatory mechanisms of coronary collateral circulation].Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  12. Article
  13. Article
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  16. Immature Acta2Nature communications · 2025
    Article
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  18. Article
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  20. Article

85 more citing papers are in PubMed but not listed here.

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.

James E FaberDepartment of Physiology, McAllister Heart Institute, University of North Carolina, Chapel Hill, 27599-7545, USA. jefaber@med.unc.edu
Hua Zhang
Roberta M Lassance-Soares
Pranay Prabhakar
Amir H Najafi
Mary Susan Burnett
Stephen E Epstein

Funding

ALPHA ADRENOCEPTORS IN VASCULAR WALL GROWTHR01HL062584 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FABER, JAMES E · 1999 to 2011
$4.6M
Mechanisms of Collateral Development and Collateral Growth in IschemiaR01HL090655 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FABER, JAMES E · 2008 to 2011
$2.0M
Collaterals in Aging: Enhanced by Genetic/Cell Therapy?R01HL085003 · NHLBI · MEDSTAR RESEARCH INSTITUTE · PI EPSTEIN, STEPHEN E · 2005 to 2008
$1.7M
NHLBI NIH HHS HL085003NHLBI NIH HHS HL090655NHLBI NIH HHS HL62584NHLBI NIH HHS R01 HL062584NHLBI NIH HHS R01 HL085003NHLBI NIH HHS R01 HL090655
6 · The paper itself

Abstract

objectiveAging is a major risk factor for increased ischemic tissue injury. Whether collateral rarefaction and impaired remodeling contribute to this is unknown. We quantified the number and diameter of native collaterals and their remodeling in 3-, 16-, 24-, and 31-month-old mice. METHODS AND

resultsAging caused an "age-dose-dependent" greater drop in perfusion immediately after femoral artery ligation, followed by a diminished recovery of flow and increase in tissue injury. These effects were associated with a decline in collateral number, diameter, and remodeling. Angiogenesis was also impaired. Mechanistically, these changes were not accompanied by reduced recruitment of T cells or macrophages to remodeling collaterals. However, endothelial nitric oxide synthase signaling was dysfunctional, as indicated by increased protein nitrosylation and less phosphorylated endothelial nitric oxide synthase and vasodilator-stimulated phosphoprotein in collateral wall cells. The cerebral circulation exhibited a similar age-dose-dependent loss of collateral number and diameter and increased tortuosity, resulting in an increase in collateral resistance and infarct volume (eg, 6- and 3-fold, respectively, in 24-month-old mice) after artery occlusion. This was not associated with rarefaction of similarly sized arterioles. Collateral remodeling was also reduced.

conclusionsOur findings demonstrate that aging causes rarefaction and insufficiency of the collateral circulation in multiple tissues, resulting in more severe ischemic tissue injury.

Indexed as

Collateral CirculationAgingAnimalsBrainBrain InfarctionDisease Models, AnimalFemoral ArteryHindlimbIschemiaMaleMiceMice, Inbred C57BLNeovascularization, PhysiologicNitric Oxide Synthase Type IIIReperfusion InjurySignal TransductionNitric Oxide Synthase Type IIINos3 protein, mouse

Identifiers

PMID21617137
PMCPMC3141082

What Socratic holds

Textmetadata
LicenceTDM
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.