Evidence map›Paper›PMID 40047074›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2025

ApoM and Major Adverse Cardiovascular Events in Chronic Kidney Disease: A Prospective Cohort Study.

Julia T Stadler, Andrea Borenich, Line Stattau Bisgaard, Sasha S Bjergfelt, Sarunja Vijayakumar, Line Melholt, Insa E Emrich, Ditte Hansen, Susanne Bro, Christina Christoffersen and 2 more

Abstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

12 authors.

Julia T StadlerDivision of Pharmacology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation (J.T.S., G.M.), Medical University of Graz, Austria.ORCID 0000-0003-1156-631X
Andrea BorenichInstitute for Medical Informatics, Statistics and Documentation (A.B.), Medical University of Graz, Austria.ORCID 0000-0002-2966-253X
Line Stattau BisgaardDepartments of Clinical Biochemistry (L.S.B., S.V., L.M., C.C.), Copenhagen University Hospital, Rigshospitalet, Denmark.
Sasha S BjergfeltNephrology (S.S.B., S.B.), Copenhagen University Hospital, Rigshospitalet, Denmark.ORCID 0000-0003-2769-4201
Sarunja VijayakumarDepartments of Clinical Biochemistry (L.S.B., S.V., L.M., C.C.), Copenhagen University Hospital, Rigshospitalet, Denmark.
Line MelholtDepartments of Clinical Biochemistry (L.S.B., S.V., L.M., C.C.), Copenhagen University Hospital, Rigshospitalet, Denmark.
Insa E EmrichFaculty of Medicine, Saarland University, Homburg/Saarbrücken, Germany (I.E.E., G.H.H.).ORCID 0000-0002-5048-3659
Ditte HansenClinical Medicine (D.H.), University of Copenhagen, Denmark.ORCID 0000-0003-4929-7901
Susanne BroNephrology (S.S.B., S.B.), Copenhagen University Hospital, Rigshospitalet, Denmark.ORCID 0000-0003-3002-4188
Christina ChristoffersenDepartments of Clinical Biochemistry (L.S.B., S.V., L.M., C.C.), Copenhagen University Hospital, Rigshospitalet, Denmark.
Gunnar H HeineFaculty of Medicine, Saarland University, Homburg/Saarbrücken, Germany (I.E.E., G.H.H.).
Gunther MarscheDivision of Pharmacology, Otto Loewi Research Center for Vascular Biology, Immunology and Inflammation (J.T.S., G.M.), Medical University of Graz, Austria.ORCID 0000-0002-2422-5381

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease is the leading cause of mortality in patients with chronic kidney disease (CKD). APOM plays a critical role in reverse cholesterol transport by facilitating the formation of pre-β-HDL (high-density lipoprotein) and enabling the binding of S1P (sphingosine-1-phosphate) to HDL, a complex involved in several antiatherogenic processes. In this study, we sought to investigate the potential association between plasma APOM levels and the risk of adverse cardiovascular outcomes in individuals with CKD.

methodsPlasma APOM levels were quantified using a sandwich ELISA-based assay. Plasma S1P levels were measured by high-performance liquid chromatography. The primary end point was a composite of major adverse cardiovascular events (MACE) and all-cause mortality.

resultsIn this secondary analysis of the CARE FOR HOMe study (Cardiovascular and Renal Outcome in CKD 2-4 Patients-The Fourth Homburg Evaluation), 463 nondialysis patients with CKD stages G2 to G4 were included. Plasma APOM levels exhibited a significant inverse association with the risk of MACE (standardized hazard ratio, 0.60 [95% CI, 0.49-0.75];

conclusionsOur findings demonstrate a significant association between low plasma APOM levels and an increased risk of MACE in patients with CKD. These results suggest that APOM may play a role in cardiovascular protection in this vulnerable population.

Indexed as

Apolipoproteins MCardiovascular DiseasesRenal Insufficiency, ChronicAgedBiomarkersCause of DeathFemaleGermanyHumansLysophospholipidsMaleMiddle AgedPrognosisProspective StudiesRisk AssessmentRisk FactorsApolipoproteins MAPOM protein, humanBiomarkersLysophospholipidsSphingosinesphingosine 1-phosphateapolipoproteins Mcholesterolhumansrenal insufficiency, chronicrisk factors

Identifiers

PMID40047074
PMCPMC11936471

What Socratic holds

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Registered trials

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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.