Evidence mapPaperPMID 29728014Full record

SynthesisJournal of the American Heart Association2018

Ceramide Remodeling and Risk of Cardiovascular Events and Mortality.

Linda R Peterson, Vanessa Xanthakis, Meredith S Duncan, Stefan Gross, Nele Friedrich, Henry Völzke, Stephan B Felix, Hui Jiang, Rohini Sidhu, Matthias Nauck and 5 more

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06424119 (Multi-Center Randomized Study of Clinical and Inflammatory Outcomes in Intensive Cardiac Rehabilitation and Traditional Cardiac Rehabilitation Programs), which is not on this map. Cited by 119 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% 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.

NCT06424119 narecruitingnot on this mapstarted 2024, after this paper: background citation

Multi-Center Randomized Study of Clinical and Inflammatory Outcomes in Intensive Cardiac Rehabilitation and Traditional Cardiac Rehabilitation Programs (CREDIBLE Study)

TypeinterventionalSponsorPritikin ICRRan2024 to 2027Enrolled450ConditionsCardiovascular DiseasesArmsTraditional Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, C2life® Food
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 1 synthesis or guideline pooled it, 173 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. The Role of Ceramides in Metabolic and Cardiovascular Diseases.Journal of cardiovascular development and disease · 2026
    Review
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. Ceramide as a Biomarker for HFpEF in Women: Menopause, Aging, and Pregnancy.International journal of molecular sciences · 2025
    Review

59 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

15 authors at 5 institutions in 2 countries.

Linda R PetersonDiabetic Cardiovascular Disease Center and Department of Medicine, Washington University, St Louis, MO.
Vanessa XanthakisFramingham Heart Study, Framingham, MA.
Meredith S DuncanFramingham Heart Study, Framingham, MA.
Stefan GrossDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Nele FriedrichDZHK (German Centre for Cardiovascular Research), partner site, Greifswald, Germany.
Henry VölzkeDZHK (German Centre for Cardiovascular Research), partner site, Greifswald, Germany.
Stephan B FelixDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Hui JiangDiabetic Cardiovascular Disease Center and Department of Medicine, Washington University, St Louis, MO.
Rohini SidhuDiabetic Cardiovascular Disease Center and Department of Medicine, Washington University, St Louis, MO.
Matthias NauckDZHK (German Centre for Cardiovascular Research), partner site, Greifswald, Germany.
Xuntian JiangDiabetic Cardiovascular Disease Center and Department of Medicine, Washington University, St Louis, MO.
Daniel S OryDiabetic Cardiovascular Disease Center and Department of Medicine, Washington University, St Louis, MO.
Marcus DörrDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Ramachandran S VasanFramingham Heart Study, Framingham, MA vasan@bu.edu jschaff@wustl.edu.
Jean E SchafferDiabetic Cardiovascular Disease Center and Department of Medicine, Washington University, St Louis, MO vasan@bu.edu jschaff@wustl.edu.
Washington University in St. Louis · USUniversitätsmedizin Greifswald · DEBoston University · USGerman Centre for Cardiovascular Research · DEFramingham Heart Study · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · WASHINGTON UNIVERSITY · 1999 to 2025
$5.7M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · 2022 to 2025
$5.6M
Interdisciplinary Training for BiostatisticansT32GM074905 · BOSTON UNIVERSITY MEDICAL CAMPUS · 2005 to 2005
$139k
NHLBI NIH HHS HHSN268201500001INHLBI NIH HHS P20 HL113444NHLBI NIH HHS R34 HL138253NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIGMS NIH HHS T32 GM074905
6 · The paper itself

Abstract

backgroundRecent studies suggest that circulating concentrations of specific ceramide species may be associated with coronary risk and mortality. We sought to determine the relations between the most abundant plasma ceramide species of differing acyl chain lengths and the risk of coronary heart disease (CHD) and mortality in community-based samples. METHODS AND

resultsWe developed a liquid chromatography/mass spectrometry assay to quantify plasma C24:0, C22:0, and C16:0 ceramides and ratios of these very-long-chain/long-chain ceramides in 2642 FHS (Framingham Heart Study) participants and in 3134 SHIP (Study of Health in Pomerania) participants. Over a mean follow-up of 6 years in FHS, there were 88 CHD and 90 heart failure (HF) events and 239 deaths. Over a median follow-up time in SHIP of 5.75 years for CHD and HF and 8.24 years for mortality, there were 209 CHD and 146 HF events and 377 deaths. In meta-analysis of the 2 cohorts and adjusting for standard CHD risk factors, C24:0/C16:0 ceramide ratios were inversely associated with incident CHD (hazard ratio per average SD increment, 0.79; 95% confidence interval, 0.71-0.89;

conclusionsThe ratio of C24:0/C16:0 ceramides in blood may be a valuable new biomarker of CHD risk, HF risk, and all-cause mortality in the community.

Indexed as

AdultAgedBiomarkersCause of DeathCeramidesCoronary DiseaseEuropeFemaleHeart FailureHumansIncidenceMaleMassachusettsMiddle AgedObservational Studies as TopicPrognosisBiomarkersCeramidescardiovascular disease risk factorsceramidesmortality

Identifiers

PMID29728014
PMCPMC6015315
OpenAlexW2800320377

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.