Evidence map›Paper›PMID 19066384›Full record

ReviewJAMA2008

Evolution of novel small-molecule therapeutics targeting sickle cell vasculopathy.

Gregory J Kato, Mark T Gladwin

Registry-linked trialAbstract readCase ReportsClinical ConferenceReview
In one paragraph

Review in JAMA, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01239901 (Iron-mediated Vascular Disease in Sickle Cell Disease.), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% 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.

NCT01239901 completednot on this mapstarted 2009, after this paper: background citation

Iron-mediated Vascular Disease in Sickle Cell Disease.

TypeobservationalSponsorChildren's Hospital Los AngelesRan2009 to 2018Enrolled150ConditionsSickle Cell Disease
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Magnesium for treating sickle cell disease.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Pooled it
  4. Magnesium for treating sickle cell disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. New Therapeutic Options for the Treatment of Sickle Cell Disease.Mediterranean journal of hematology and infectious diseases · 2019
    Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Gas what: NO is not the only answer to sexual function.British journal of pharmacology · 2015
    Review
  18. Vasculopathy and pulmonary hypertension in sickle cell disease.American journal of physiology. Lung cellular and molecular physiology · 2015
    Review
  19. Review
  20. Review
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

2 authors at 1 institution in 1 country.

Gregory J KatoCritical Care Medicine Department, Clinical Center, National Institutes of Health, 10 Center Dr, MSC 1476, Bldg 10-CRC, Room 5-5140, Bethesda, MD 20892-1476, USA. gkato@mail.nih.gov
Mark T Gladwin
National Institutes of Health Clinical Center · US

Funding

Natural History of Sickle Cell Disease and Other Hemolytic DisordersZIAHL006014 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI KATO, GREGORY · 2009 to 2014
$2.7M
Natural History of Sickle Cell Disease and Other Hemolytic DisordersZ01CL008070 · CLC · CLINICAL CENTER · PI MACHADO, ROBERTO F · 2004 to 2008
$44k
Intramural NIH HHS Z01 CL008070Intramural NIH HHS ZIA HL006014
6 · The paper itself

Abstract

A 34-year-old African American woman with sickle cell disease and history of relatively severe hemolysis, chronic leg ulcers, and mild pulmonary hypertension presented with a new ischemic stroke. Recent research has suggested a syndrome of hemolysis-associated vasculopathy in patients with sickle cell disease, which features severe hemolytic anemia and leads to scavenging of nitric oxide and its biochemical precursor l-arginine. This diminished bioavailability of nitric oxide promotes a hemolysis-vascular dysfunction syndrome, which includes pulmonary hypertension, cutaneous leg ulceration, priapism, and ischemic stroke. Additional correlates of this vasculopathy include activation of endothelial cell adhesion molecules, platelets, and the vascular protectant hemeoxygenase-1. Some known risk factors for atherosclerosis are also associated with sickle cell vasculopathy, including low levels of apolipoprotein AI and high levels of asymmetric dimethylarginine, an endogenous inhibitor of nitric oxide synthase. Identification of dysregulated vascular biology pathways in sickle vasculopathy has provided a focus for new clinical trials for therapeutic intervention, including inhaled nitric oxide, sodium nitrite, L-arginine, phosphodiesterase-5 inhibitors, niacin, inhaled carbon monoxide, and endothelin receptor antagonists. This article reviews the pathophysiology of sickle vasculopathy and the results of preliminary clinical trials of novel small-molecule therapeutics directed at abnormal vascular biology in patients with sickle cell disease.

Indexed as

AdultAnemia, Sickle CellApolipoproteinsArginaseBlood PlateletsClinical Trials as TopicEndothelial CellsFemaleFree Radical ScavengersHeme Oxygenase (Decyclizing)Hemoglobin, SickleHumansHydrogen-Ion ConcentrationHypertension, PulmonaryLeg UlcerL-Lactate DehydrogenaseApolipoproteinsArginaseFree Radical ScavengersHeme Oxygenase (Decyclizing)Hemoglobin, SickleL-Lactate DehydrogenaseNitric OxideNitric Oxide SynthasePhosphodiesterase InhibitorsVasodilator Agents

Identifiers

PMID19066384
PMCPMC2756016
OpenAlexW1964615343

What OpenQuestion holds

Textmetadata
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Read underepoch 390

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.