Evidence mapPaperPMID 24936646Full record

ArticlePloS one2014

Inflammatory biomarkers in atherosclerosis: pentraxin 3 can become a novel marker of plaque vulnerability.

Akihiro Shindo, Hiroshi Tanemura, Kenichiro Yata, Kazuhide Hamada, Masunari Shibata, Yasuyuki Umeda, Fumio Asakura, Naoki Toma, Hiroshi Sakaida, Takao Fujisawa and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Review
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  7. Review
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  12. Review
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  14. Article
  15. Serum Biomarkers in Carotid Artery Disease.Diagnostics (Basel, Switzerland) · 2021
    Review
  16. Novel Therapeutical Approaches to Managing Atherosclerotic Risk.International journal of molecular sciences · 2021
    Review
  17. Article
  18. Review
  19. 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

12 authors at 2 institutions in 1 country.

Akihiro ShindoDepartment of Neurology, Mie University Graduate School of Medicine, 2-174 Edobasih, Tsu, Mie, Japan.
Hiroshi TanemuraDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Kenichiro YataDepartment of Neurology, Mie University Graduate School of Medicine, 2-174 Edobasih, Tsu, Mie, Japan.
Kazuhide HamadaDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Masunari ShibataDepartment of Neurology, Mie University Graduate School of Medicine, 2-174 Edobasih, Tsu, Mie, Japan.
Yasuyuki UmedaDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Fumio AsakuraDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Naoki TomaDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Hiroshi SakaidaDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Takao FujisawaInstitute for Clinical Research, Mie National Hospital, 357 Ozatokubota, Tsu, Mie, Japan.
Waro TakiDepartment of Neurosurgery, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, Japan.
Hidekazu TomimotoDepartment of Neurology, Mie University Graduate School of Medicine, 2-174 Edobasih, Tsu, Mie, Japan.
Mie University · JPNational Mie Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation is crucially involved in the development of carotid plaques. We examined the relationship between plaque vulnerability and inflammatory biomarkers using intraoperative blood and tissue specimens. We examined 58 patients with carotid stenosis. Following carotid plaque magnetic resonance imaging, 41 patients underwent carotid artery stenting (CAS) and 17 underwent carotid endarterectomy (CEA). Blood samples were obtained from the femoral artery (systemic) and common carotid artery immediately before and after CAS (local). Seventeen resected CEA tissue samples were embedded in paraffin, and histopathological and immunohistochemical analyses for IL-6, IL-10, E-selectin, adiponectin, and pentraxin 3 (PTX3) were performed. Serum levels of IL-6, IL-1β, IL-10, TNFα, E-selectin, VCAM-1, adiponectin, hs-CRP, and PTX3 were measured by multiplex bead array system and ELISA. CAS-treated patients were classified as stable plaques (n = 21) and vulnerable plaques (n = 20). The vulnerable group showed upregulation of the proinflammatory cytokines (IL-6 and TNFα), endothelial activation markers (E-selectin and VCAM-1), and inflammation markers (hs-CRP and PTX3) and downregulation of the anti-inflammatory markers (adiponectin and IL-10). PTX3 levels in both systemic and intracarotid samples before and after CAS were higher in the vulnerable group than in the stable group. Immunohistochemical analysis demonstrated that IL-6 was localized to inflammatory cells in the vulnerable plaques, and PTX3 was observed in the endothelial and perivascular cells. Our findings reveal that carotid plaque vulnerability is modulated by the upregulation and downregulation of proinflammatory and anti-inflammatory factors, respectively. PTX3 may thus be a potential predictive marker of plaque vulnerability.

Indexed as

AgedBiomarkersCarotid StenosisC-Reactive ProteinFemaleHumansInflammation MediatorsMagnetic Resonance ImagingMaleMiddle AgedPentraxinsPlaque, AtheroscleroticSerum Amyloid P-ComponentBiomarkersC-Reactive ProteinInflammation MediatorsPentraxinsSerum Amyloid P-Component

Identifiers

PMID24936646
PMCPMC4061039
OpenAlexW2018499838

What Socratic holds

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LicenceCC BY
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.