Evidence map›Paper›PMID 29847820›Full record

ArticleCardiorenal medicine2018

Determinants of Monocyte Apoptosis in Cardiorenal Syndrome Type 1.

Andrea Breglia, Grazia Maria Virzì, Silvia Pastori, Alessandra Brocca, Massimo de Cal, Chiara Bolin, Giorgio Vescovo, Claudio Ronco

Open access · bronzeAbstract read
In one paragraph

Article in Cardiorenal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. 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

8 authors at 4 institutions in 1 country.

Andrea BregliaDepartment of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.
Grazia Maria VirzìDepartment of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.
Silvia PastoriDepartment of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.
Alessandra BroccaDepartment of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.
Massimo de CalDepartment of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.
Chiara BolinInternal Medicine, San Bortolo Hospital, Vicenza, Italy.
Giorgio VescovoInternal Medicine, San Bortolo Hospital, Vicenza, Italy.
Claudio RoncoDepartment of Nephrology, Dialysis and Transplant, San Bortolo Hospital, Vicenza, Italy.
Ospedale San Bortolo · ITOspedale Sant Antonio · ITUniversity of Padua · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiorenal syndrome type 1 (CRS type 1) is characterized by a rapid worsening of cardiac function leading to acute kidney injury (AKI). Its pathophysiology is complex and not completely understood. In this study, we examined the role of apoptosis and the caspase pathways involved. MATERIAL AND

methodsWe enrolled 40 acute heart failure (AHF) patients, 11 of whom developed AKI characterizing CRS type 1. We exposed the human cell line U937 to plasma from the CRS type 1 and AHF groups and then we evaluated apoptotic activity by annexin-V evaluation, determination of caspase-3, -8 and -9 levels, and BAX, BAD, and FAS gene expression.

resultsWe observed significant upregulation of apoptosis in monocytes exposed to CRS type 1 plasma compared to AHF, with increased levels of caspase-3 (p < 0.01), caspase-9 (p < 0.01), and caspase-8 (p < 0.03) showing activation of both intrinsic and extrinsic pathways. Furthermore, monocytes exposed to CRS type 1 plasma had increased gene expression of BAX and BAD (intrinsic pathways) (p = 0.010 for both). Furthermore, strong significant correlations between the caspase-9 levels and BAD and BAX gene expression were observed (Spearman ρ = - 0.76, p = 0.011, and ρ = - 0.72, p = 0.011).

conclusionCRS type 1 induces dual apoptotic pathway activation in monocytes; the two pathways converged on caspase-3. Many factors may induce activation of both intrinsic and extrinsic apoptotic pathways in CRS type 1 patients, such as upregulation of proinflammatory cytokines and hypoxia/ischemia. Further investigations are necessary to corroborate the present findings, and to better understand the pathophysiological mechanism and consequent therapeutic and prognostic implications for CRS type 1.

Indexed as

ApoptosisAgedAged, 80 and overbcl-2-Associated X Proteinbcl-Associated Death ProteinCardio-Renal SyndromeCaspase 3Caspase 8Caspase 9CaspasesEnzyme ActivationFas Ligand ProteinFemaleGene ExpressionHeart FailureHumansBAD protein, humanBAX protein, humanbcl-2-Associated X Proteinbcl-Associated Death ProteinCASP3 protein, humanCASP8 protein, humanCASP9 protein, humanCaspase 3Caspase 8Caspase 9CaspasesFASLG protein, humanFas Ligand ProteinApoptosisCardiorenal syndromeCaspaseMonocytes

Identifiers

PMID29847820
PMCPMC6170906
OpenAlexW2807095655

What Socratic holds

Textmetadata
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.