Evidence map›Paper›PMID 30630613›Full record

ArticleInternational journal of cardiology2019

Elevated renalase levels in patients with acute coronary microvascular dysfunction - A possible biomarker for ischemia.

Basmah Safdar, Xiaojia Guo, Caitlin Johnson, Gail D'Onofrio, James Dziura, Albert J Sinusas, Jeffrey Testani, Veena Rao, Gary Desir

Abstract read
In one paragraph

Article in International journal of cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Coexistence of Cardiovascular Risk Factors and Blood Renalase Concentration.International journal of molecular sciences · 2023
    Article
  7. Circulating Biomarkers in Coronary Microvascular Dysfunction.Journal of the American Heart Association · 2023
    Review
  8. Review
  9. Plasma renalase levels are associated with the development of acute pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2023
    Article
  10. Review
  11. Review
  12. Review
  13. Inflammation in Coronary Microvascular Dysfunction.International journal of molecular sciences · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Basmah SafdarDepartment of Emergency Medicine, New Haven, CT, United States of America. Electronic address: basmah.safdar@yale.edu.
Xiaojia GuoDepartment of Internal Medicine (Section of Nephrology), New Haven, CT, United States of America.
Caitlin JohnsonDepartment of Emergency Medicine, New Haven, CT, United States of America.
Gail D'OnofrioDepartment of Emergency Medicine, New Haven, CT, United States of America.
James DziuraYale Center for Analytical Sciences, New Haven, CT, United States of America.
Albert J SinusasDepartment of Internal Medicine (Section of Cardiology), New Haven, CT, United States of America.
Jeffrey TestaniDepartment of Internal Medicine (Section of Cardiology), New Haven, CT, United States of America.
Veena RaoDepartment of Internal Medicine (Section of Nephrology), New Haven, CT, United States of America; Department of Internal Medicine (Section of Cardiology), New Haven, CT, United States of America.
Gary DesirDepartment of Internal Medicine (Section of Nephrology), New Haven, CT, United States of America.
University of New Haven · USYale University · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Renalase inhibition for treatment of unresectable melanomaR01CA216846 · NCI · YALE UNIVERSITY · PI DESIR, GARY V., KLUGER, HARRIET M. · 2017 to 2021
$2.4M
The Molecular Physiology of RenalaseR01DK081037 · NIDDK · YALE UNIVERSITY · PI DESIR, GARY V. · 2009 to 2010
$646k
RENALASE DEFICIENCY AND CARDIOVASCULAR COMPLICATIONS OF CHRONIC KIDNEY DISEASERC1DK086402 · NIDDK · YALE UNIVERSITY · PI DESIR, GARY V. · 2010 to 2010
$500k
RENALASE IN ACUTE KIDNEY INJURY: UTILITY AS A BIOMARKER, AND THERAPEUTIC AGENTRC1DK086465 · NIDDK · YALE UNIVERSITY · PI DESIR, GARY V. · 2010 to 2010
$500k
NCATS NIH HHS UL1 TR000142NCI NIH HHS R01 CA216846NIDDK NIH HHS R01 DK081037NIDDK NIH HHS RC1 DK086402NIDDK NIH HHS RC1 DK086465
6 · The paper itself

Abstract

aimsWe explored the relationship between inflammation, renalase an anti-inflammatory protein, and acute chest pain with coronary microvascular dysfunction (CMD). METHODS AND

resultsWe used cardiac Rb-82 PET/CT imaging to diagnose coronary artery disease (CAD/CALC) (defect or coronary calcification) and CMD (depressed coronary flow reserve without CAD) in patients with chest pain in an emergency department (ED). Blood samples were collected pre-imaging within 24 h of ED presentation and were analyzed for renalase and inflammatory markers including C-reactive protein, interleukins, interferon gamma, tumor necrosis factor, vascular endothelial growth factor, and metalloproteinases. Exclusions were age ≤30 years, myocardial infarction, hemodynamic instability, hypertensive crisis, heart failure or dialysis. Between 6/2014 and 11/2015, 80 patients undergoing PET/CT provided blood and were categorized as normal (18%), CAD/CALC (27%) and CMD (55%). Median renalase values were highest in patients with CMD (5503 ng/ml; IQR 3070) compared to patients with normal flows (4266 ng/ml; IQR 1503; p = 0.02) or CAD/CALC (4069 ng/ml IQR 1850; p = 0.004). CMD patients had similar median values for inflammatory markers as normal patients (p > 0.05). Renalase remained an independent predictor of CMD (OR 1.34; 95% CI = 1.1-1.7, per 1000 ng/ml) after adjustment for smoking, family history, obesity and Framingham risk score. In a model for CMD diagnosis with Framingham risk score, typical angina history and CRP, renalase improved discrimination from C-statistic = 0.60 (95% CI 0.47, 0.73) to 0.70 (95% CI, 0.59-0.82).

conclusionWe found elevated renalase in response to ischemia from acute CMD. Its role as a biomarker needs validation in larger trials.

Indexed as

Acute DiseaseAdultAgedBiomarkersCoronary Artery DiseaseCoronary CirculationCross-Sectional StudiesFemaleHumansMaleMicrocirculationMiddle AgedMonoamine OxidaseMyocardial IschemiaPositron Emission Tomography Computed TomographyBiomarkersMonoamine OxidaserenalaseBiomarkerChest painCoronary microvascular dysfunctionInflammationPETRenalase

Identifiers

PMID30630613
PMCPMC6482834
OpenAlexW2908301190

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.