Evidence map›Paper›PMID 19966778›Full record

ArticleNature medicine2009

Reducing endoplasmic reticulum stress through a macrophage lipid chaperone alleviates atherosclerosis.

Ebru Erbay, Vladimir R Babaev, Jared R Mayers, Liza Makowski, Khanichi N Charles, Melinda E Snitow, Sergio Fazio, Michelle M Wiest, Steven M Watkins, Macrae F Linton and 1 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Nature medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 278 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
278citing papers in PubMed, 1 pooled it
14.5field-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

278 citing papers in PubMed, 1 synthesis or guideline pooled it, 474 citations in OpenAlex.

  1. Pooled it
  2. Maternal obesity results in decreased syncytiotrophoblast synthesis of palmitoleic acid, a fatty acid with anti-inflammatory and insulin-sensitizing properties.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2019
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  8. Review
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  15. Hypercholesterolemia-induced LXR signaling in smooth muscle cells contributes to vascular lesion remodeling and visceral function.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Review
  17. Review
  18. Multiple Roles of Palmitic Acid in Cardiovascular Diseases.Journal of inflammation research · 2025
    Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Ebru ErbayDepartment of Genetics & Complex Diseases, Harvard School of Public Health, Boston, Massachusetts, USA.
Vladimir R Babaev
Jared R Mayers
Liza Makowski
Khanichi N Charles
Melinda E Snitow
Sergio Fazio
Michelle M Wiest
Steven M Watkins
Macrae F Linton
Gökhan S Hotamisligil
Harvard University · USVanderbilt University · USDuke University Hospital · USHarvard University Press · US

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ALEXANDER A SOUKAS · 1994 to 2026
$31.6M
Vanderbilt Mouse Metabolic Physiology CenterU24DK059637 · NIDDK · VANDERBILT UNIVERSITY · PI WASSERMAN, DAVID H · 2001 to 2015
$14.9M
TNF RECEPTOR FUNCTION IN INSULIN RESISTANCE AND OBESITYR01DK052539 · NIDDK · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HOTAMISLIGIL, GOKHAN S · 1998 to 2017
$6.8M
Interdisciplinary Training in Genes and the EnvironmentT32ES016645 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI LEE, CHIH-HAO · 2008 to 2018
$4.0M
ROLE OF FATTY ACID BINDING PROTEINS IN ATHEROSCLEROSISR01HL065405 · NHLBI · VANDERBILT UNIVERSITY · PI LINTON, MACRAE F · 2000 to 2009
$4.0M
The role of fatty acid binding proteins in macrophage response to lipotoxicityF32HL090258 · NHLBI · HARVARD SCHOOL OF PUBLIC HEALTH · PI ERBAY, EBRU · 2007 to 2009
$105k
NHLBI NIH HHS F32 HL090258NHLBI NIH HHS HL65405NHLBI NIH HHS R01 HL065405NIDDK NIH HHS DK59637NIDDK NIH HHS DK DK52539NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK052539NIDDK NIH HHS U24 DK059637NIEHS NIH HHS T32 ES016645
6 · The paper itself

Abstract

Macrophages show endoplasmic reticulum (ER) stress when exposed to lipotoxic signals associated with atherosclerosis, although the pathophysiological importance and the underlying mechanisms of this phenomenon remain unknown. Here we show that mitigation of ER stress with a chemical chaperone results in marked protection against lipotoxic death in macrophages and prevents macrophage fatty acid-binding protein-4 (aP2) expression. Using genetic and chemical models, we show that aP2 is the predominant regulator of lipid-induced macrophage ER stress. The absence of lipid chaperones incites an increase in the production of phospholipids rich in monounsaturated fatty acids and bioactive lipids that render macrophages resistant to lipid-induced ER stress. Furthermore, the impact of aP2 on macrophage lipid metabolism and the ER stress response is mediated by upregulation of key lipogenic enzymes by the liver X receptor. Our results demonstrate the central role for lipid chaperones in regulating ER homeostasis in macrophages in atherosclerosis and show that ER responses can be modified, genetically or chemically, to protect the organism against the deleterious effects of hyperlipidemia.

Indexed as

Lipid MetabolismAtherosclerosisEndoplasmic ReticulumHumansMacrophagesOxidative Stress

Identifiers

PMID19966778
PMCPMC2790330
OpenAlexW2007106585

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.