Evidence map›Paper›PMID 33793328›Full record

ReviewCirculation research2021

Pathophysiology of Hypertension: The Mosaic Theory and Beyond.

David G Harrison, Thomas M Coffman, Christopher S Wilcox

Abstract readReview
In one paragraph

Review in Circulation research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 173 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

173 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Effect of vitamin BBMJ open · 2024
    Pooled it
  4. Pooled it
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Article
  10. Salt and chronic kidney disease.Nature reviews. Nephrology · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Radial Artery Pseudoaneurysm Following Transradial Catheterization: Recognition, Management, and Prevention.Journal of the Society for Cardiovascular Angiography & Interventions · 2026
    Review
  15. Article
  16. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  17. Article
  18. Article
  19. Review
  20. Review

113 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

3 authors.

David G HarrisonDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (D.G.H.).
Thomas M CoffmanCardiovascular and Metabolic Disorders Research Program, Duke-National University of Singapore Medical School, Singapore (T.M.C.).
Christopher S WilcoxDivision of Nephrology and Hypertension Center, Georgetown University, District of Columbia (C.S.W.).

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
The Role of Inflammation in Cardiovascular DiseaseP01HL129941 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARRISON, DAVID G · 2016 to 2020
$12.4M
Mechanisms of Immune Activation in HypertensionR35HL140016 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HARRISON, DAVID G · 2018 to 2024
$5.3M
Accelerated aging of microvessels and perivascular adipose tissue in women with HIVR01HL134511 · NHLBI · GEORGETOWN UNIVERSITY · PI WANG, DAN, WILCOX, CHRISTOPHER S · 2016 to 2019
$2.2M
Vanderbilt Hypertension and Blood Pressure Regulation ProgramT32HL144446 · NHLBI · VANDERBILT UNIVERSITY · PI HARRISON, DAVID G · 2019 to 2023
$1.7M
Placental Microvasculature in Pregnancies Complicated by HIVR21HD101340 · NICHD · GEORGETOWN UNIVERSITY · PI SCOTT, RACHEL K, WANG, DAN · 2020 to 2021
$445k
NCATS NIH HHS UL1 TR001881NHLBI NIH HHS P01 HL129941NHLBI NIH HHS R01 HL134511NHLBI NIH HHS R35 HL140016NHLBI NIH HHS T32 HL144446NICHD NIH HHS R21 HD101340
6 · The paper itself

Abstract

Dr Irvine Page proposed the Mosaic Theory of Hypertension in the 1940s advocating that hypertension is the result of many factors that interact to raise blood pressure and cause end-organ damage. Over the years, Dr Page modified his paradigm, and new concepts regarding oxidative stress, inflammation, genetics, sodium homeostasis, and the microbiome have arisen that allow further refinements of the Mosaic Theory. A constant feature of this approach to understanding hypertension is that the various nodes are interdependent and that these almost certainly vary between experimental models and between individuals with hypertension. This review discusses these new concepts and provides an introduction to other reviews in this compendium of

Indexed as

AldosteroneAngiotensin IIBlood PressureBlood VesselsBody FluidsCentral Nervous SystemHumansHypertensionInflammationKidneyMicrobiotaReactive Oxygen SpeciesRisk FactorsSodium ChlorideVasoconstrictor AgentsAldosteroneAngiotensin IIReactive Oxygen SpeciesSodium ChlorideVasoconstrictor Agentsblood pressurehistoryhypertensioninflammationreactive oxygen species

Identifiers

PMID33793328
PMCPMC8023760

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.