Evidence map›Paper›PMID 19168508›Full record

ReviewEuropean journal of heart failure2009

Immunological mechanisms of pentoxifylline in chronic heart failure.

Steven M Shaw, Mohammed K H Shah, Simon G Williams, James E Fildes

Open access · greenAbstract readReview
In one paragraph

Review in European journal of heart failure, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.5field-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.

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

35 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Cardiogenic Pulmonary Edema in Emergency Medicine.Advances in respiratory medicine · 2023
    Review
  5. Modulation of the Acute Inflammatory Response Induced by theAntibiotics (Basel, Switzerland) · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Cardiac Cachexia: Perspectives for Prevention and Treatment.Arquivos brasileiros de cardiologia · 2017
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Steven M ShawThe Transplant Centre, University Hospital of South Manchester NHS Foundation Trust, Manchester M23 9LT, UK.
Mohammed K H Shah
Simon G Williams
James E Fildes
Manchester University NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The progressive syndrome of chronic heart failure (CHF) represents a common disease pathway that may be derived from a host of varying insults (including myocardial ischaemia and infarction, hypertension, viral infection, pregnancy, etc). Despite this multifarious aetiology, a common phenomena observed in CHF patients is elevated levels of tumour necrosis factor (TNF)-alpha. This has led to the widespread concept that TNF-alpha is directly involved in the pathophysiology of CHF and as such, attempts have been made to inhibit TNF-alpha production in this cohort. However, to date, there have been no clear beneficial effects from TNF-alpha inhibition and indeed trials of direct anti-TNF therapy have provoked worsening of clinical outcomes. Conversely, a possible exception is pentoxifylline (PTX), a putative TNF-alpha inhibitor with possible (but ill-defined) vasodilatory properties. Several small clinical trials assessing the use of PTX in CHF have suggested beneficial effects on multiple surrogate clinical markers. Interestingly, these trials failed to show a concordant effect on circulating TNF despite the clinical improvement, suggesting other key beneficial properties of this novel agent. This review article provides an insight into the potential beneficial mode of the action of PTX in CHF and calls for more investigation of this interesting agent.

Indexed as

Chronic DiseaseHeart FailureHumansImmunologic FactorsPentoxifyllinePhosphodiesterase InhibitorsTumor Necrosis Factor-alphaVasodilator AgentsImmunologic FactorsPentoxifyllinePhosphodiesterase InhibitorsTumor Necrosis Factor-alphaVasodilator Agents

Identifiers

PMID19168508
PMCPMC2639411
OpenAlexW2118673294

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.