Evidence map›Paper›PMID 18387442›Full record

ArticleJournal of the American College of Cardiology2008

Aging mouse hearts are refractory to infarct size reduction with post-conditioning.

Karin Przyklenk, Michelle Maynard, Chad E Darling, Peter Whittaker

Abstract read
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In one paragraph

Article in Journal of the American College of Cardiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
9.3field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 126 citations in OpenAlex.

  1. Guideline
  2. Trial
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  8. Article
  9. Review
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  11. Review
  12. Conditioning-induced cardioprotection: Aging as a confounding factor.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2018
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Mitochondrial Metabolism in Aging Heart.Circulation research · 2016
    Review
  18. Cardiovascular KPathobiology of aging & age related diseases · 2016
    Review
  19. Article
  20. Ischemic postconditioning of the isolated human myocardium: Role of the applied protocol.International journal of cardiology. Heart & vasculature · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Karin PrzyklenkDepartment of Emergency Medicine, University of Massachusetts Medical School, Worcester, Massachusetts, USA. kprzykle@med.wayne.edu
Michelle Maynard
Chad E Darling
Peter Whittaker
University of Massachusetts Chan Medical School · US

Funding

Role of inositol trisphosphate in preconditioningR01HL063713 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PRZYKLENK, KARIN · 2002 to 2004
$834k
NHLBI NIH HHS R01-HL63713
6 · The paper itself

Abstract

objectivesOur aim was to establish whether the efficacy of post-conditioning is maintained in aging hearts.

backgroundPost-conditioning, or relief of myocardial ischemia in a stuttered manner, has been shown to reduce infarct size, in part because of up-regulation of survival kinases (extracellular-signal regulated kinase [ERK] 1/2 or PI3-kinase/Akt) during the early min of reperfusion. All of these data have, however, been obtained in adult populations; the question of whether post-conditioning-induced cardioprotection is maintained in aging cohorts is unknown.

methodsIsolated buffer-perfused hearts were obtained from 3- to 4-month-old (adult) and 20- to 24-month-old C57BL/6J mice and subjected to 30 min of ischemia. For each cohort, hearts were randomized to receive standard, abrupt (control) reperfusion, or were post-conditioned with 3 or 6 10-s cycles of stuttered reflow. Primary end points were infarct size, cardiac expression of phospho-Akt, phospho-mitogen-activated protein kinase kinase 1/2 and phospho-ERK 1/2, and expression of mitogen-activated protein kinase-phosphatase-1 (MKP-1: phosphatase purported to play a primary role in ERK dephosphorylation).

resultsIn adult mouse hearts, post-conditioning significantly reduced infarct size via up-regulation of ERK (but not Akt) signaling. In contrast, in the 2-year-old cohort, post-conditioning failed to limit necrosis, possibly a consequence of the deficit in ERK phosphorylation and increased MKP-1 expression seen in old hearts. Indeed, infusion of sodium orthovanadate, a nonspecific MKP inhibitor, attenuated MKP-1 expression and restored the post-conditioned phenotype in old hearts.

conclusionsOld mouse hearts are refractory to infarct size reduction with post-conditioning, possibly because of an age-associated increase in MKP-1 and resultant deficit in ERK phosphorylation.

Indexed as

AgingMAP Kinase Signaling SystemMyocardial ReperfusionAnimalsHeart VentriclesHypertrophy, Left VentricularMiceMice, Inbred C57BLMyocardial InfarctionMyocardiumPhenotypeRandom AllocationTime FactorsUp-Regulation

Identifiers

PMID18387442
OpenAlexW1998248788

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.