Evidence map›Paper›PMID 16144707›Full record

ArticleBiomaterials2006

Stability and function of glycosaminoglycans in porcine bioprosthetic heart valves.

Joshua J Lovekamp, Dan T Simionescu, Jeremy J Mercuri, Brett Zubiate, Michael S Sacks, Narendra R Vyavahare

Open access · greenAbstract read
In one paragraph

Article in Biomaterials, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Biomimetic proteoglycans as a tool to engineer the structure and mechanics of porcine bioprosthetic heart valves.Journal of biomedical materials research. Part B, Applied biomaterials · 2024
    Article
  7. Article
  8. The Sea CucumberJournal of natural products · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Degeneration of Bioprosthetic Heart Valves: Update 2020.Journal of the American Heart Association · 2020
    Review
  18. Review
  19. Article
  20. 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

6 authors at 2 institutions in 1 country.

Joshua J LovekampCardiovascular Implant Research Laboratory, Department of Bioengineering, Clemson University, 501 Rhodes Engineering Research Center, Clemson, SC 29634, USA.
Dan T Simionescu
Jeremy J Mercuri
Brett Zubiate
Michael S Sacks
Narendra R Vyavahare
Clemson University · USUniversity of Pittsburgh · US

Funding

GAGs: Function &Fixation in Bioprosthetic Heart ValvesR01HL070969 · NHLBI · CLEMSON UNIVERSITY · PI SACKS, MICHAEL S, VYAVAHARE, NAREN R · 2003 to 2011
$2.9M
CALCIFICATION OF ELASTIN-- MECHANISMS AND PREVENTIONR01HL061652 · NHLBI · CLEMSON UNIVERSITY · PI VYAVAHARE, NAREN R · 2000 to 2008
$2.0M
ENHANCED DURABILITY OF BIOPROSTHETIC HEART VALVESR01HL063026 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SACKS, MICHAEL S · 2001 to 2004
$718k
NHLBI NIH HHS HL61652NHLBI NIH HHS HL63026NHLBI NIH HHS R01 HL061652NHLBI NIH HHS R01 HL063026NHLBI NIH HHS R01 HL070969
6 · The paper itself

Abstract

Glycosaminoglycans (GAGs) are important structural and functional components in native aortic heart valves and in glutaraldehyde (Glut)-fixed bioprosthetic heart valves (BHVs). However, very little is known about the fate of GAGs within the extracellular matrix of BHVs and their contribution to BHV longevity. BHVs used in heart valve replacement surgery have limited durability due to mechanical failure and pathologic calcification. In the present study we bring evidence for the dramatic loss of GAGs from within the BHV cusp structure during storage in saline and both short- and long-term Glut fixation. In order to gain insight into role of GAGs, we compared properties of fresh and Glut-fixed porcine heart valve cusps before and after complete GAG removal. GAG removal resulted in significant morphological and functional tissue alterations, including decreases in cuspal thickness, reduction of water content and diminution of rehydration capacity. By virtue of this diminished hydration, loss of GAGs also greatly increased the "with-curvature" flexural rigidity of cuspal tissue. However, removal of GAGs did not alter calcification potential of BHV cups when implanted in the rat subdermal model. Controlling the extent of pre-implantation GAG degradation in BHVs and development of improved GAG crosslinking techniques are expected to improve the mechanical durability of future cardiovascular bioprostheses.

Indexed as

BioprosthesisHeart Valve Prosthesis ImplantationAnimalsAortic ValveBiocompatible MaterialsBiomechanical PhenomenaCalcinosisGlycosaminoglycansMaleRatsRats, Sprague-DawleySwineBiocompatible MaterialsGlycosaminoglycans

Identifiers

PMID16144707
PMCPMC2262164
OpenAlexW2008905610

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.