Evidence map›Paper›PMID 34440638›Full record

ReviewCells2021

HDL in Atherosclerotic Cardiovascular Disease: In Search of a Role.

Manuela Casula, Ornella Colpani, Sining Xie, Alberico L Catapano, Andrea Baragetti

Open access · goldAbstract readReview
In one paragraph

Review in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
12.9field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

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  20. Radiolabeling lipoproteins to study and manage disease.European journal of nuclear medicine and molecular imaging · 2025
    Review

12 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

5 authors at 1 institution in 1 country.

Manuela CasulaEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, 20133 Milan, Italy.ORCID 0000-0002-5124-5361
Ornella ColpaniEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, 20133 Milan, Italy.ORCID 0000-0002-3253-4459
Sining XieEpidemiology and Preventive Pharmacology Service (SEFAP), Department of Pharmacological and Biomolecular Sciences, University of Milan, 20133 Milan, Italy.ORCID 0000-0003-2893-9135
Alberico L CatapanoIRCCS MultiMedica, Sesto S. Giovanni, 20099 Milan, Italy.ORCID 0000-0002-7593-2094
Andrea BaragettiIRCCS MultiMedica, Sesto S. Giovanni, 20099 Milan, Italy.ORCID 0000-0002-6216-1999
University of Milan · IT

Funding

Fondazione Umberto Veronesi 2020-3318Vini di Batasiolo S.p.A. AL_RIC19ABARA_01
6 · The paper itself

Abstract

For a long time, high-density lipoprotein cholesterol (HDL-C) has been regarded as a cardiovascular disease (CVD) protective factor. Recently, several epidemiological studies, while confirming low plasma levels of HDL-C as an established predictive biomarker for atherosclerotic CVD, indicated that not only people at the lowest levels but also those with high HDL-C levels are at increased risk of cardiovascular (CV) mortality. This "U-shaped" association has further fueled the discussion on the pathophysiological role of HDL in CVD. In fact, genetic studies, Mendelian randomization approaches, and clinical trials have challenged the notion of HDL-C levels being causally linked to CVD protection, independent of the cholesterol content in low-density lipoproteins (LDL-C). These findings have prompted a reconsideration of the biological functions of HDL that can be summarized with the word "HDL functionality", a term that embraces the many reported biological activities beyond the so-called reverse cholesterol transport, to explain this lack of correlation between HDL levels and CVD. All these aspects are summarized and critically discussed in this review, in an attempt to provide a background scenario for the "HDL story", a lipoprotein still in search of a role.

Indexed as

AnimalsArteriesAtherosclerosisBiomarkersCholesterol, HDLDyslipidemiasGenetic Predisposition to DiseaseGenetic VariationHeart Disease Risk FactorsHumansPlaque, AtheroscleroticPrognosisProtective FactorsRisk AssessmentBiomarkersCholesterol, HDLgeneticsHDL cholesterolHDL lipoproteinspharmacological trials

Identifiers

PMID34440638
PMCPMC8394469
OpenAlexW3186657927

What Socratic holds

Textmetadata
LicenceCC BY
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.