Evidence map›Paper›PMID 21347552›Full record

ArticleAnnals of biomedical engineering2011

The effects of combined cyclic stretch and pressure on the aortic valve interstitial cell phenotype.

Patrick Thayer, Kartik Balachandran, Swetha Rathan, Choon Hwai Yap, Sivakkumar Arjunon, Hanjoong Jo, Ajit P Yoganathan

Abstract read
In one paragraph

Article in Annals of biomedical engineering, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

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  19. Aortic valve: mechanical environment and mechanobiology.Annals of biomedical engineering · 2013
    Review
  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.

Patrick ThayerW.H. Coulter School of Biomedical Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Kartik Balachandran
Swetha Rathan
Choon Hwai Yap
Sivakkumar Arjunon
Hanjoong Jo
Ajit P Yoganathan

Funding

Shear Stress, BMP and Aortic Valve InflammationR01HL087012 · NHLBI · EMORY UNIVERSITY · PI JO, HANJOONG · 2007 to 2010
$1.9M
NHLBI NIH HHS R01 HL087012
6 · The paper itself

Abstract

Aortic valve interstitial cells (VIC) can exhibit phenotypic characteristics of fibroblasts, myofibroblasts, and smooth muscle cells. Others have proposed that valve cells become activated and exhibit myofibroblast or fibroblast characteristics during disease initiation and progression; however, the cues that modulate this phenotypic change remain unclear. We hypothesize that the mechanical forces experienced by the valve play a role in regulating the native phenotype of the valve and that altered mechanical forces result in an activated phenotype. Using a novel ex vivo cyclic stretch and pressure bioreactor, we subjected porcine aortic valve (AV) leaflets to combinations of normal and pathological stretch and pressure magnitudes. The myofibroblast markers α-SMA and Vimentin, along with the smooth muscle markers Calponin and Caldesmon, were analyzed using immunohistochemistry and immunoblotting. Tissue structure was analyzed using Movat's pentachrome staining. We report that pathological stretch and pressure inhibited the contractile and possibly myofibroblast phenotypes as indicated by downregulation of the proteins α-SMA, Vimentin, and Calponin. In particular, Calponin downregulation implies depolymerization of actin filaments and possible conversion to a more synthetic (non-contractile) phenotype. This agreed well with the increase in spongiosa and fibrosa thickness observed under elevated pressure and stretch that are typically indicative of increased matrix synthesis. Our study therefore demonstrates how cyclic stretch and pressure may possibly act together to modulate the AVIC phenotype.

Indexed as

PressureAnimalsAntigens, DifferentiationAortic ValveCells, CulturedFemaleFibroblastsMyoblasts, CardiacStress, PhysiologicalSwineAntigens, Differentiation

Identifiers

PMID21347552
PMCPMC5467644

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Registered trials

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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.