Evidence map›Paper›PMID 20705925›Full record

ArticleCirculation research2010

DNA damage links mitochondrial dysfunction to atherosclerosis and the metabolic syndrome.

John R Mercer, Kian-Kai Cheng, Nichola Figg, Isabelle Gorenne, Melli Mahmoudi, Julian Griffin, Antonio Vidal-Puig, Angela Logan, Michael P Murphy, Martin Bennett

Erratum issued Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Circulation research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03655704 (Apabetalone for Pulmonary Arterial Hypertension), which is not on this map. Cited by 107 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT03655704 early_phase1completednot on this mapstarted 2019, after this paper: background citation

Apabetalone for Pulmonary Arterial Hypertension: a Pilot Study

TypeinterventionalSponsorSteeve ProvencherRan2019 to 2021Enrolled7ConditionsPulmonary Arterial HypertensionArmsApabetalone
3 · Its place in the literature

Who cites it

107 citing papers in PubMed, 3 syntheses or guidelines pooled it, 238 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Arteriosclerosis, thrombosis, and vascular biology · 2026
    Article
  6. Article
  7. Targeting PANoptosis in atherosclerosis: bridging cell death mechanisms and therapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Loss of DNA Polymerase β Delays Atherosclerosis inInternational journal of molecular sciences · 2024
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

John R MercerDivision of Cardiovascular Medicine, University of Cambridge, Box 110, Addenbrooke's Hospital, Cambridge, CB2 2QQ, United Kingdom.
Kian-Kai Cheng
Nichola Figg
Isabelle Gorenne
Melli Mahmoudi
Julian Griffin
Antonio Vidal-Puig
Angela Logan
Michael P Murphy
Martin Bennett
MRC Mitochondrial Biology Unit · GB

Funding

Biotechnology and Biological Sciences Research CouncilBritish Heart Foundation RG/08/009/25841British Heart Foundation RG08/009/25841Medical Research Council G0802051Medical Research Council MC_U105663142Wellcome Trust
6 · The paper itself

Abstract

rationaleDNA damage is present in both genomic and mitochondrial DNA in atherosclerosis. However, whether DNA damage itself promotes atherosclerosis, or is simply a byproduct of the risk factors that promote atherosclerosis, is unknown.

objectiveTo examine the effect of DNA damage on atherosclerosis, we studied apolipoprotein (Apo)E(-/-) mice that were haploinsufficient for the protein kinase ATM (ataxia telangiectasia mutated), which coordinates DNA repair. METHODS AND

resultsATM(+/-)/ApoE(-/-) mice developed accelerated atherosclerosis and multiple features of the metabolic syndrome, including hypertension, hypercholesterolemia, obesity, steatohepatitis, and glucose intolerance. Transplantation with ATM(+/+) bone marrow attenuated atherosclerosis but not the metabolic syndrome. ATM(+/-) smooth muscle cells and macrophages showed increased nuclear DNA damage and defective DNA repair signaling, growth arrest, and apoptosis. Metabolomic screening of ATM(+/-)/ApoE(-/-) mouse tissues identified metabolic changes compatible with mitochondrial defects, with increased β-hydroxybutyrate but reduced lactate, reduced glucose, and alterations in multiple lipid species. ATM(+/-)/ApoE(-/-) mouse tissues showed an increased frequency of a mouse mitochondrial "common" deletion equivalent and reduced mitochondrial oxidative phosphorylation.

conclusionsWe propose that failure of DNA repair generates defects in cell proliferation, apoptosis, and mitochondrial dysfunction. This in turn leads to ketosis, hyperlipidemia, and increased fat storage, promoting atherosclerosis and the metabolic syndrome. Prevention of mitochondrial dysfunction may represent a novel target in cardiovascular disease.

Indexed as

AnimalsApolipoproteins EAtaxia Telangiectasia Mutated ProteinsAtherosclerosisCell Cycle ProteinsDietary FatsDNA-Binding ProteinsDNA DamageDNA, MitochondrialHaplotypesHyperlipidemiasMetabolic SyndromeMetabolomicsMiceMice, Mutant StrainsMitochondriaApolipoproteins EAtaxia Telangiectasia Mutated ProteinsAtm protein, mouseCell Cycle ProteinsDietary FatsDNA-Binding ProteinsDNA, MitochondrialProtein Serine-Threonine KinasesTumor Suppressor Proteins

Identifiers

PMID20705925
PMCPMC2982998
OpenAlexW2151775798

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.