Evidence map›Paper›PMID 19074475›Full record

ArticleCirculation research2009

Interleukin-6 overexpression induces pulmonary hypertension.

M Kathryn Steiner, Olga L Syrkina, Narasaish Kolliputi, Eugene J Mark, Charles A Hales, Aaron B Waxman

Open access · bronzeAbstract read
In one paragraph

Article in Circulation research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 346 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
346citing papers in PubMed, 2 pooled it
21.0field-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

346 citing papers in PubMed, 2 syntheses or guidelines pooled it, 635 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Interleukin-6 is critical in the development of pulmonary vascular disease inProceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  20. IL-6 and TGF-β1 as biomarkers of schistosomiasis-associated pulmonary hypertension in a murine model.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article

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

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 1 institution in 1 country.

M Kathryn SteinerDivision of Pulmonary Critical Care Medicine, University of Massachusetts Memorial Medical Center, Worcester, MA 01655, USA. marciakathryn.steiner@umassmemorial.org
Olga L Syrkina
Narasaish Kolliputi
Eugene J Mark
Charles A Hales
Aaron B Waxman
Massachusetts General Hospital · US

Funding

HEPARIN ON HYPOXIC PULMONARY HYPERTENSION AND REMODELINGR01HL039150 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HALES, CHARLES A · 1987 to 2011
$4.3M
TRAINING GRANT IN LUNG CELL &MOLECULAR BIOLOGYT32HL007874 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MEDOFF, BENJAMIN DAVID · 1997 to 2011
$4.1M
Il-6 type cytokine protection from hyperoxic lung injuryR01HL074859 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI WAXMAN, AARON B · 2004 to 2007
$1.7M
NHLBI NIH HHS HL007874NHLBI NIH HHS HL039150NHLBI NIH HHS HL074859NHLBI NIH HHS R01 HL039150NHLBI NIH HHS R01 HL074859NHLBI NIH HHS T32 HL007874
6 · The paper itself

Abstract

Inflammatory cytokine interleukin (IL)-6 is elevated in the serum and lungs of patients with pulmonary artery hypertension (PAH). Several animal models of PAH cite the potential role of inflammatory mediators. We investigated role of IL-6 in the pathogenesis of pulmonary vascular disease. Indices of pulmonary vascular remodeling were measured in lung-specific IL-6-overexpressing transgenic mice (Tg(+)) and compared to wild-type (Tg(-)) controls in both normoxic and chronic hypoxic conditions. The Tg(+) mice exhibited elevated right ventricular systolic pressures and right ventricular hypertrophy with corresponding pulmonary vasculopathic changes, all of which were exacerbated by chronic hypoxia. IL-6 overexpression increased muscularization of the proximal arterial tree, and hypoxia enhanced this effect. It also reproduced the muscularization and proliferative arteriopathy seen in the distal arteriolar vessels of PAH patients. The latter was characterized by the formation of occlusive neointimal angioproliferative lesions that worsened with hypoxia and were composed of endothelial cells and T-lymphocytes. IL-6-induced arteriopathic changes were accompanied by activation of proangiogenic factor, vascular endothelial growth factor, the proproliferative kinase extracellular signal-regulated kinase, proproliferative transcription factors c-MYC and MAX, and the antiapoptotic proteins survivin and Bcl-2 and downregulation of the growth inhibitor transforming growth factor-beta and proapoptotic kinases JNK and p38. These findings suggest that IL-6 promotes the development and progression of pulmonary vascular remodeling and PAH through proproliferative antiapoptotic mechanisms.

Indexed as

Blood PressureAnimalsApoptosisArteriolesBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsCell ProliferationChronic DiseaseEndothelial CellsHyperplasiaHypertension, PulmonaryHypertrophy, Right VentricularHypoxiaInhibitor of Apoptosis ProteinsInterleukin-6MiceMice, Inbred C57BLBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsBcl2 protein, mouseBirc5 protein, mouseInhibitor of Apoptosis ProteinsInterleukin-6Max protein, mouseMicrotubule-Associated ProteinsMitogen-Activated Protein KinasesMyc protein, mouseProto-Oncogene ProteinsProto-Oncogene Proteins c-bcl-2Proto-Oncogene Proteins c-mycRepressor ProteinsSurvivinTransforming Growth Factor betaVascular Endothelial Growth Factor Avascular endothelial growth factor A, mouse

Identifiers

PMID19074475
PMCPMC5482545
OpenAlexW2145237733

What OpenQuestion holds

Textmetadata
LicenceTDM
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.