Evidence map›Paper›PMID 14668769›Full record

Trial reportJournal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology

Activity of the uptake-1 norepinephrine transporter as measured by I-123 MIBG in heart failure patients with a loss-of-function polymorphism of the presynaptic alpha2C-adrenergic receptor.

Myron C Gerson, Lynne E Wagoner, Nancy McGuire, Stephen B Liggett

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03227393 (The Effect of Yoga on Cardiac Sympathetic Innervation Evaluated by I-123 mIBG), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 14% 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.

NCT03227393 nawithdrawnnot on this map

The Effect of Yoga on Cardiac Sympathetic Innervation Evaluated by I-123 mIBG

TypeinterventionalSponsorUniversity of CincinnatiRan2017 to 2017Enrolled0ConditionsHeart Failure, SystolicArmsYoga training
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. F-18 meta-fluorobenzylguanidine PET imaging of myocardial sympathetic innervation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. A conceptual paradox of MIBG uptake in heart failure: retention with incontinence!Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
  10. Cardiac receptor physiology and imaging: an update.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Myron C GersonDivision of Cardiology, University of Cincinnati, Ohio 45267-0542, USA. myron.gerson@uc.edu
Lynne E Wagoner
Nancy McGuire
Stephen B Liggett
University of Cincinnati · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with a deletion of 4 consecutive amino acids in the gene encoding for the alpha(2C)-adrenergic receptor (alpha(2C)Del322-325) have an increased prevalence of clinical heart failure, worse clinical status, and a lower left ventricular ejection fraction compared with patients without this deletion. We postulated that patients with the alpha(2C)Del322-325 polymorphism would have a compensatory increase in norepinephrine uptake-1 transporter activity as measured by iodine 123 metaiodobenzylguanidine (MIBG). METHODS AND

resultsThirty-nine patients with heart failure related to idiopathic dilated cardiomyopathy were studied. Demographic characteristics, left ventricular ejection fraction, maximum oxygen consumption, exercise duration, and plasma norepinephrine levels did not differ between patients with the alpha(2C) receptor polymorphism (n = 9) and those without it (n = 30). Patients with the alpha(2C)Del322-325 polymorphism had significantly greater heart-to-mediastinum ratios of I-123 MIBG at 4 hours after tracer injection (1.60 +/- 0.19 vs 1.41 +/- 0.19, P =.0117) and greater background-corrected heart counts per pixel at 4 hours compared with patients without the polymorphism.

conclusionsPatients with genetic impairment of the alpha(2C)-adrenergic receptor have augmented activity of the norepinephrine uptake-1 transporter as measured by I-123 MIBG. Further studies are needed to clarify the mechanism by which uptake-1 transporter activity is increased in this setting.

Indexed as

3-IodobenzylguanidineCardiac Output, LowCardiomyopathy, DilatedFemaleGene DeletionGenetic Predisposition to DiseaseHeartHeart FailureHumansMaleMiddle AgedMutationNorepinephrine Plasma Membrane Transport ProteinsPolymorphism, GeneticRadionuclide ImagingRadiopharmaceuticals3-IodobenzylguanidineADRA2C protein, humanNorepinephrine Plasma Membrane Transport ProteinsRadiopharmaceuticalsReceptors, Adrenergic, alpha-2SLC6A2 protein, humanSymporters

Identifiers

PMID14668769
OpenAlexW2035788674

What OpenQuestion holds

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Registered trials

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.