Evidence map›Paper›PMID 11086027›Full record

ArticleThe Journal of clinical investigation2000

Age and residual cholesterol efflux affect HDL cholesterol levels and coronary artery disease in ABCA1 heterozygotes.

S M Clee, J J Kastelein, M van Dam, M Marcil, K Roomp, K Y Zwarts, J A Collins, R Roelants, N Tamasawa, T Stulc and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
32.9field-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

78 citing papers in PubMed, 1 synthesis or guideline pooled it, 318 citations in OpenAlex.

  1. Lipoprotein Lipase (LPL) Polymorphism and the Risk of Coronary Artery Disease: A Meta-Analysis.International journal of environmental research and public health · 2017
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Genomic Variants and Multilevel Regulation ofJournal of cardiovascular development and disease · 2021
    Review
  6. The Role of the ATP-Binding Cassette A1 (ABCA1) in Human Disease.International journal of molecular sciences · 2021
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. ABCA1 mRNA expression and cholesterol outflow in U937 cells.International journal of clinical and experimental pathology · 2015
    Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 9 institutions in 5 countries.

S M CleeCentre for Molecular Medicine and Therapeutics, University of British Columbia, Vancouver, British Columbia, Canada.
J J Kastelein
M van Dam
M Marcil
K Roomp
K Y Zwarts
J A Collins
R Roelants
N Tamasawa
T Stulc
T Suda
R Ceska
B Boucher
C Rondeau
C DeSouich
A Brooks-Wilson
H O Molhuizen
J Frohlich
J Genest
M R Hayden
Amsterdam UMC Location University of Amsterdam · NLUniversity of British Columbia · CAXenon Pharmaceuticals (Canada) · CACharles University · CZHirosaki University · JPMcGill University Health Centre · CARoyal Victoria Hospital · CARoyal Victoria Regional Health Centre · CASt. Paul's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We and others have recently identified mutations in the ABCA1 gene as the underlying cause of Tangier disease (TD) and of a dominantly inherited form of familial hypoalphalipoproteinemia (FHA) associated with reduced cholesterol efflux. We have now identified 13 ABCA1 mutations in 11 families (five TD, six FHA) and have examined the phenotypes of 77 individuals heterozygous for mutations in the ABCA1 gene. ABCA1 heterozygotes have decreased HDL cholesterol (HDL-C) and increased triglycerides. Age is an important modifier of the phenotype in heterozygotes, with a higher proportion of heterozygotes aged 30-70 years having HDL-C greater than the fifth percentile for age and sex compared with carriers less than 30 years of age. Levels of cholesterol efflux are highly correlated with HDL-C levels, accounting for 82% of its variation. Each 8% change in ABCA1-mediated efflux is predicted to be associated with a 0.1 mmol/l change in HDL-C. ABCA1 heterozygotes display a greater than threefold increase in the frequency of coronary artery disease (CAD), with earlier onset than unaffected family members. CAD is more frequent in those heterozygotes with lower cholesterol efflux values. These data provide direct evidence that impairment of cholesterol efflux and consequently reverse cholesterol transport is associated with reduced plasma HDL-C levels and increased risk of CAD.

Indexed as

HeterozygoteAdultAgedAge FactorsATP Binding Cassette Transporter 1ATP-Binding Cassette TransportersBiological TransportBody Mass IndexCholesterolCholesterol, HDLCoronary DiseaseFemaleHumansMaleMiddle AgedMutationABCA1 protein, humanATP Binding Cassette Transporter 1ATP-Binding Cassette TransportersCholesterolCholesterol, HDLTriglycerides

Identifiers

PMID11086027
PMCPMC381437
OpenAlexW2052117565

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.