Evidence map›Paper›PMID 21411816›Full record

ArticleEuropean heart journal2012

Loss of Akt activity increases circulating soluble endoglin release in preeclampsia: identification of inter-dependency between Akt-1 and heme oxygenase-1.

Melissa J Cudmore, Shakil Ahmad, Samir Sissaoui, Wenda Ramma, Bin Ma, Takeshi Fujisawa, Bahjat Al-Ani, Keqing Wang, Meng Cai, Fatima Crispi and 4 more

Open access · hybridAbstract read
In one paragraph

Article in European heart journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 66 citations in OpenAlex.

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  11. Trimester-specific plasma exosome microRNA expression profiles in preeclampsia.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2020
    Article
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  14. The biological function of ELABELA and APJ signaling in the cardiovascular system and pre-eclampsia.Hypertension research : official journal of the Japanese Society of Hypertension · 2019
    Review
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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

14 authors at 4 institutions in 2 countries.

Melissa J CudmoreUniversity / BHF Centre for Cardiovascular Science, Queen's Medical Research Institute, College of Medicine and Veterinary Medicine, University of Edinburgh, 47 Little France Crescent, Edinburgh EH16 4TJ, UK.
Shakil Ahmad
Samir Sissaoui
Wenda Ramma
Bin Ma
Takeshi Fujisawa
Bahjat Al-Ani
Keqing Wang
Meng Cai
Fatima Crispi
Peter W Hewett
Eduard Gratacós
Stuart Egginton
Asif Ahmed
University of Birmingham · GBUniversity of Edinburgh · GBThe Queen's Medical Research Institute · GBUniversitat de Barcelona · ES

Funding

British Heart Foundation RG/09/001/25940Medical Research Council G0601295Medical Research Council G0700288Medical Research Council MR/K024868/1
6 · The paper itself

Abstract

aimsEndothelial dysfunction is a hallmark of preeclampsia. Desensitization of the phosphoinositide 3-kinase (PI3K)/Akt pathway underlies endothelial dysfunction and haeme oxygenase-1 (HO-1) is decreased in preeclampsia. To identify therapeutic targets, we sought to assess whether these two regulators act to suppress soluble endoglin (sEng), an antagonist of transforming growth factor-β (TGF-β) signalling, which is known to be elevated in preeclampsia. METHODS AND

resultsVascular endothelial growth factor-A (VEGF-A), fibroblast growth factor (FGF-2), angiopoietin-1 (Ang-1), and insulin, which all activate the PI3K/Akt pathway, inhibited the release of sEng from endothelial cells. Inhibition of the PI3K/Akt pathway, by overexpression of phosphatase and tensin homolog (PTEN) or a dominant-negative isoform of Akt (Akt(dn)) induced sEng release from endothelial cells and prevented the inhibitory effect of VEGF-A. Conversely, overexpression of a constitutively active Akt (Akt(myr)) inhibited PTEN and cytokine-induced sEng release. Systemic delivery of Akt(myr) to mice significantly reduced circulating sEng, whereas Akt(dn) promoted sEng release. Phosphorylation of Akt was reduced in preeclamptic placenta and this correlated with the elevated level of circulating sEng. Knock-down of Akt using siRNA prevented HO-1-mediated inhibition of sEng release and reduced HO-1 expression. Furthermore, HO-1 null mice have reduced phosphorylated Akt in their organs and overexpression of Akt(myr) failed to suppress the elevated levels of sEng detected in HO-1 null mice, indicating that HO-1 is required for the Akt-mediated inhibition of sEng.

conclusionThe loss of PI3K/Akt and/or HO-1 activity promotes sEng release and positive manipulation of these pathways offers a strategy to circumvent endothelial dysfunction.

Indexed as

Angiopoietin-1AnimalsAntigens, CDEndoglinEndothelium, VascularFemaleFibroblast Growth Factor 2Heme Oxygenase-1HumansInsulinMiceMice, Inbred C57BLPhosphatidylinositol 3-KinasesPhosphorylationPre-EclampsiaPregnancyAngiopoietin-1Antigens, CDEndoglinENG protein, humanFibroblast Growth Factor 2Heme Oxygenase-1InsulinPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktPTEN PhosphohydrolaseReceptors, Cell SurfaceRNA, MessengerTransforming Growth Factor betaVascular Endothelial Growth Factor A

Identifiers

PMID21411816
PMCPMC3341632
OpenAlexW1992022626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.