Evidence map›Paper›PMID 20579545›Full record

ArticleJournal of the American College of Cardiology2010

Effects of (-)-epicatechin on myocardial infarct size and left ventricular remodeling after permanent coronary occlusion.

Katrina Go Yamazaki, Pam R Taub, Maraliz Barraza-Hidalgo, Maria M Rivas, Alexander C Zambon, Guillermo Ceballos, Francisco J Villarreal

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Journal of the American College of Cardiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02490527 (Effects of Epicatechin on Patients With Statin-induced Mitochondrial Dysfunction and Impaired Exercise Capacity), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT02490527 nacompletednot on this mapstarted 2015, after this paper: background citation

Effects of Epicatechin on Patients With Statin-induced Mitochondrial Dysfunction and Impaired Exercise Capacity

TypeinterventionalSponsorUniversity of California, San DiegoRan2015 to 2021Enrolled19ConditionsStatin IntoleranceArmsPure epicatechin capsules (50mg), Simvastatin (40mg), Placebo
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Cardioprotective Effect ofFrontiers in pharmacology · 2022
    Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Cardiovascular Benefits of Dark Chocolate?Current treatment options in cardiovascular medicine · 2015
    Article
  19. Article
  20. Article
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

7 authors at 2 institutions in 2 countries.

Katrina Go YamazakiDepartment of Medicine, University of California, San Diego, La Jolla, California 92093, USA.
Pam R Taub
Maraliz Barraza-Hidalgo
Maria M Rivas
Alexander C Zambon
Guillermo Ceballos
Francisco J Villarreal
University of California San Diego · USInstituto Politécnico Nacional · MX

Funding

Training In Cardiovascular Physiology & PharmacologyT32HL007444 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ju Chen, Robert Scott Ross · 1985 to 2026
$11.1M
Molecular biology and mechanics of the cardiac interstitiumR01HL043617 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI VILLARREAL, FRANCISCO J · 1989 to 2011
$3.5M
Effects of Cocoa Flavonols on Myocardial Infarction Size and Post-Injury InjuryR21AT004277 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI VILLARREAL, FRANCISCO J · 2008 to 2009
$479k
NCCIH NIH HHS AT-004277NCCIH NIH HHS R21 AT004277NHLBI NIH HHS HL-43617NHLBI NIH HHS R01 HL043617NHLBI NIH HHS T32 HL007444NHLBI NIH HHS T32-HL007444
6 · The paper itself

Abstract

objectivesWe examined the effects of the flavanol (-)-epicatechin on short- and long-term infarct size and left ventricular (LV) structure and function after permanent coronary occlusion (PCO) and the potential involvement of the protective protein kinase B (AKT)/extracellular signal-related kinase (ERK) signaling pathways.

background(-)-epicatechin reduces blood pressure in hypertensive patients and limits infarct size in animal models of myocardial ischemia-reperfusion injury. However, nothing is known about its effects on infarction after PCO.

methods(-)-epicatechin (1 mg/kg daily) treatment was administered via oral gavage to 250 g male rats for 10 days before PCO and was continued afterward. The PCO controls received water. Sham animals underwent thoracotomy and treatment in the absence of PCO. Immunoblots assessed AKT/ERK involvement 2 h after PCO. The LV morphometric features and function were measured 48 h and 3 weeks after PCO.

resultsIn the 48-h group, treatment reduced infarct size by 52%. There were no differences in hemodynamics among the different groups (heart rate and aortic and LV pressures). Western blots revealed no differences in AKT or ERK phosphorylation levels. At 3 weeks, PCO control animals demonstrated significant increases in LV end-diastolic pressure, heart and body weight, and LV chamber diameter versus sham. The PCO plus (-)-epicatechin group values were comparable with those of the sham plus (-)-epicatechin group. Treatment resulted in a 33% decrease in myocardial infarction size. The LV pressure-volume curves demonstrated a right shift in control PCO animals, whereas the (-)-epicatechin curves were comparable with those of the sham group. The LV scar area strains were significantly improved with (-)-epicatechin.

conclusionsThese results demonstrate the unique capacity of (-)-epicatechin to confer cardioprotection in the setting of a severe form of myocardial ischemic injury. Protection is sustained over time and preserves LV structure and function. The cardioprotective mechanism(s) of (-)-epicatechin seem to be unrelated to AKT or ERK activation. (-)-epicatechin warrants further investigation as a cardioprotectant.

Indexed as

Administration, OralAnalysis of VarianceAnimalsCatechinCoronary CirculationCoronary OcclusionDisease Models, AnimalHemodynamicsMaleMyocardial InfarctionMyocardial Reperfusion InjuryProbabilityRadiographyRandom AllocationRatsRats, Sprague-DawleyCatechin

Identifiers

PMID20579545
PMCPMC2915587
OpenAlexW2096912173

What OpenQuestion holds

Textmetadata
LicenceTDM
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.