Evidence map›Paper›PMID 30534957›Full record

GuidelineCardiovascular research2019

Identifying the anti-inflammatory response to lipid lowering therapy: a position paper from the working group on atherosclerosis and vascular biology of the European Society of Cardiology.

José Tuñón, Lina Badimón, Marie-Luce Bochaton-Piallat, Bertrand Cariou, Mat J Daemen, Jesus Egido, Paul C Evans, Imo E Hoefer, Daniel F J Ketelhuth, Esther Lutgens and 7 more

Registry-linked trialOpen access · bronzeAbstract readPractice GuidelineReview
In one paragraph

Guideline in Cardiovascular research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07331103 (RESOLving INflammation Through Diet for Health Multicenter, Prospective Randomized, Controlled and Open- Label to Examine the Impact of a Diet Enriched in Omega 3 Fatty Acids of Animal and Vegetal Origin on Circulating Lipid-driven Pro-/Antiinflammatory Balance in Subjects at Moderate to High Cardiovascular Risk.), which is not on this map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
4.5field-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.

NCT07331103 narecruitingnot on this mapstarted 2025, after this paper: background citation

RESOLving INflammation Through Diet for Health Multicenter, Prospective Randomized, Controlled and Open- Label to Examine the Impact of a Diet Enriched in Omega 3 Fatty Acids of Animal and Vegetal Origin on Circulating Lipid-driven Pro-/Antiinflammatory Balance in Subjects at Moderate to High Cardiovascular Risk.

TypeinterventionalSponsorMario Negri Institute for Pharmacological ResearchRan2025 to 2026Enrolled324ConditionsCardiovascualr Disease, Lipids, Inflammation, n-3 Polyunsatured Fatty Acids (n-3 PUFA)ArmsFish Oil, Camelina oil, Vitamin E
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 114 citations in OpenAlex.

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1 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

17 authors at 14 institutions in 7 countries.

José TuñónDepartment of Cardiology, Fundación Jiménez Díaz, Autónoma University and CiberCV, Avenida Reyes Católicos 2, Madrid, Spain.
Lina BadimónCardiovascular Sciences Institute (ICCC) and CiberCV, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Marie-Luce Bochaton-PiallatUniversity of Geneva, Geneva, Switzerland.
Bertrand CariouL'Institut du Thorax, INSERM, CNRS, UNIV Nantes, CHU Nantes, Nantes, France.
Mat J DaemenAcademic Medical Center, Amsterdam, The Netherlands.
Jesus EgidoFundación Jiménez Díaz, Autónoma University and CIBERDEM, Madrid, Spain.
Paul C EvansUniversity of Sheffield, Sheffield, UK.
Imo E HoeferUniversity Medical Centre Utrecht, Utrecht, Netherlands.
Daniel F J KetelhuthKarolinska Institutet, Stockholm, Sweden.
Esther LutgensAcademic Medical Center, Amsterdam, The Netherlands.
Christian M MatterUniversity Heart Center, University Hospital Zurich, Zurich, Switzerland.
Claudia MonacoKennedy Institute, NDORMS, University of Oxford, Oxford, UK.
Sabine SteffensLudwig-Maximilians-University, Munich, Germany.
Erik StroesUniversity of Sheffield, Sheffield, UK.
Cécile VindisINSERM UMR-1048, Institute of Metabolic and Cardiovascular Diseases, Toulouse, France.
Christian WeberLudwig-Maximilians-University, Munich, Germany.
Magnus BäckKarolinska Institutet, Stockholm, Sweden.
Ludwig-Maximilians-Universität München · DEUniversity of Sheffield · GBAmsterdam UMC Location University of Amsterdam · NLGerman Centre for Cardiovascular Research · DEHospital de Sant Pau · ESHospital Universitario Fundación Jiménez Díaz · ESInstitut des Maladies Métaboliques et Cardiovasculaires · FRInstitut du Thorax · FRKarolinska Institutet · SEKarolinska University Hospital · SEUniversity Hospital of Zurich · CHUniversity Medical Center Utrecht · NLUniversity of Geneva · CHUniversity of Oxford · GB

Funding

British Heart Foundation PG/11/46/28979British Heart Foundation PG/18/1/33430
6 · The paper itself

Abstract

Dysregulated lipid metabolism induces an inflammatory and immune response leading to atherosclerosis. Conversely, inflammation may alter lipid metabolism. Recent treatment strategies in secondary prevention of atherosclerosis support beneficial effects of both anti-inflammatory and lipid-lowering therapies beyond current targets. There is a controversy about the possibility that anti-inflammatory effects of lipid-lowering therapy may be either independent or not of a decrease in low-density lipoprotein cholesterol. In this Position Paper, we critically interpret and integrate the results obtained in both experimental and clinical studies on anti-inflammatory actions of lipid-lowering therapy and the mechanisms involved. We highlight that: (i) besides decreasing cholesterol through different mechanisms, most lipid-lowering therapies share anti-inflammatory and immunomodulatory properties, and the anti-inflammatory response to lipid-lowering may be relevant to predict the effect of treatment, (ii) using surrogates for both lipid metabolism and inflammation as biomarkers or vascular inflammation imaging in future studies may contribute to a better understanding of the relative importance of different mechanisms of action, and (iii) comparative studies of further lipid lowering, anti-inflammation and a combination of both are crucial to identify effects that are specific or shared for each treatment strategy.

Indexed as

AnimalsAnti-Inflammatory AgentsAtherosclerosisBiomarkersDyslipidemiasHumansHypolipidemic AgentsInflammationInflammation MediatorsLipidsPCSK9 InhibitorsProprotein Convertase 9Risk FactorsSerine Proteinase InhibitorsTreatment OutcomeAnti-Inflammatory AgentsBiomarkersHypolipidemic AgentsInflammation MediatorsLipidsPCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9Serine Proteinase Inhibitors

Identifiers

PMID30534957
PMCPMC6302260
OpenAlexW2904065723

What Socratic holds

Texttitle and abstract
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.