Evidence mapPaperPMID 39545902Full record

SynthesisJournal of the American College of Cardiology2024

Oxidized Phospholipids and Calcific Aortic Valvular Disease.

Harpreet S Bhatia, Marc R Dweck, Neil Craig, Romain Capoulade, Philippe Pibarot, Patrick J Trainor, Seamus P Whelton, Rishi Rikhi, Karita C F Lidani, Wendy S Post and 7 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Journal of the American College of Cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. The biology of lipoprotein(a): From genetics to molecular mechanisms.European journal of clinical investigation · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
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.

Harpreet S BhatiaDivision of Cardiology, Department of Medicine, University of California-San Diego, La Jolla, California, USA.
Marc R DweckCentre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Neil CraigCentre for Cardiovascular Science, University of Edinburgh, Edinburgh, United Kingdom.
Romain CapouladeNantes Université, CHU Nantes, CNRS, INSERM, l'institut du thorax, Nantes, France.
Philippe PibarotDepartment of Cardiology, Institut universitaire de cardiologie et de pneumologie de Québec, Laval University, Québec, Québec, Canada.
Patrick J TrainorDepartment of Chemistry and Biochemistry, New Mexico State University, Las Cruces, New Mexico, USA.
Seamus P WheltonDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Rishi RikhiSection of Cardiovascular Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA.
Karita C F LidaniDivision of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Wendy S PostDivision of Cardiology, Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Michael Y TsaiDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA.
Michael H CriquiDivision of Cardiology, Department of Medicine, University of California-San Diego, La Jolla, California, USA; Division of Preventive Medicine, Department of Family Medicine, University of California-San Diego, La Jolla, California, USA.
Michael D ShapiroSection of Cardiovascular Medicine, Department of Internal Medicine, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA.
Matthew J BudoffDivision of Cardiology, Lundquist Institute at Harbor-UCLA Medical Center, Torrance, California, USA.
Andrew P DeFilippisDivision of Cardiovascular Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
George ThanassoulisDepartment of Medicine, Division of Experimental Medicine, McGill University Health Center, Montreal, Québec, Canada.
Sotirios TsimikasDivision of Cardiology, Department of Medicine, University of California-San Diego, La Jolla, California, USA. Electronic address: stsimikas@health.ucsd.edu.

Funding

Aspirin for Primary Prevention of Cardiovascular Disease in Patients with Elevated Lipoprotein(a)K08HL166962 · UNIVERSITY OF CALIFORNIA, SAN DIEGO · 2025 to 2025
$169k
NHLBI NIH HHS K08 HL166962
6 · The paper itself

Abstract

backgroundOxidized phospholipids (OxPLs) are carried by apolipoprotein B-100-containing lipoproteins (OxPL-apoB) including lipoprotein(a) (Lp[a]). Both OxPL-apoB and Lp(a) have been associated with calcific aortic valve disease (CAVD).

objectivesThis study aimed to evaluate the associations between OxPL-apoB, Lp(a) and the prevalence, incidence, and progression of CAVD.

methodsOxPL-apoB and Lp(a) were evaluated in MESA (Multi-Ethnic Study of Atherosclerosis) and a participant-level meta-analysis of 4 randomized trials of participants with established aortic stenosis (AS). In MESA, the association of OxPL-apoB and Lp(a) with aortic valve calcium (AVC) at baseline and 9.5 years was evaluated using multivariable ordinal regression models. In the meta-analysis, the association between OxPL-apoB and Lp(a) with AS progression (annualized change in peak aortic valve jet velocity) was evaluated using multivariable linear regression models.

resultsIn MESA, both OxPL-apoB and Lp(a) were associated with prevalent AVC (OR per SD: 1.19 [95% CI: 1.07-1.32] and 1.13 [95% CI: 1.01-1.27], respectively) with a significant interaction between the two (P < 0.01). Both OxPL-apoB and Lp(a) were associated with incident AVC at 9.5 years when evaluated individually (interaction P < 0.01). The OxPL-apoB∗Lp(a) interaction demonstrated higher odds of prevalent and incident AVC for OxPL-apoB with increasing Lp(a) levels. In the meta-analysis, when analyzed separately, both OxPL-apoB and Lp(a) were associated with faster increase in peak aortic valve jet velocity, but when evaluated together, only OxPL-apoB remained significant (ß: 0.07; 95% CI: 0.01-0.12).

conclusionsOxPL-apoB is a predictor of the presence, incidence, and progression of AVC and established AS, particularly in the setting of elevated Lp(a) levels, and may represent a novel therapeutic target for CAVD.

Indexed as

Aortic ValveAortic Valve StenosisCalcinosisLipoprotein(a)PhospholipidsAgedAged, 80 and overAortic Valve DiseaseApolipoprotein B-100Disease ProgressionFemaleHumansIncidenceMaleMiddle AgedOxidation-ReductionApolipoprotein B-100Lipoprotein(a)Phospholipidsaortic valvecalcificationcomputed tomographylipoprotein(a)oxidized phospholipidssubclinical atherosclerosis

Identifiers

PMID39545902
PMCPMC13390106

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.