Evidence map›Paper›PMID 21596236›Full record

ArticleJournal of the American College of Cardiology2011

Mycophenolate mofetil decreases atherosclerotic lesion size by depression of aortic T-lymphocyte and interleukin-17-mediated macrophage accumulation.

Sibylle von Vietinghoff, Ekaterina K Koltsova, Javier Mestas, Cody J Diehl, Joseph L Witztum, Klaus Ley

Abstract readEditorial
In one paragraph

Article in Journal of the American College of Cardiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

19 citing papers in PubMed, 45 citations in OpenAlex.

  1. Mechanisms underlying atrial fibrillation in chronic kidney disease.Journal of molecular and cellular cardiology · 2025
    Review
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  7. Macrophage lipid accumulation in the presence of immunosuppressive drugs mycophenolate mofetil and cyclosporin A.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2019
    Article
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  15. IL-17-mediated M1/M2 macrophage alteration contributes to pathogenesis of bisphosphonate-related osteonecrosis of the jaws.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Article
  16. Article
  17. Article
  18. Review
  19. Monocyte and macrophage dynamics during atherogenesis.Arteriosclerosis, thrombosis, and vascular biology · 2011
    Review
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

6 authors at 2 institutions in 2 countries.

Sibylle von Vietinghoff
Ekaterina K Koltsova
Javier Mestas
Cody J Diehl
Joseph L Witztum
Klaus Ley
La Jolla Institute for Immunology · USUniversity of California San Diego · US

Funding

ROLE OF LIPOXYGENASES IN ATHEROGENESIS IN DIABETES MELLITUSP01HL055798 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI HEDRICK, CATHERINE C · 1995 to 2016
$28.4M
Transcriptional GenomicsP01HL088093 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WITZTUM, JOSEPH L. · 2008 to 2018
$26.4M
MONOCYTE ADHESION TO ATHEROMA IN GENE TARGETED MICER01HL058108 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI LEY, KLAUS F. · 1997 to 2009
$2.6M
Development of a Vaccine Approach to Inhibit AtherosclerosisR01HL086559 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WITZTUM, JOSEPH L. · 2007 to 2011
$2.0M
Chemokines and Neovascularization in Coronary Artery DiseaseK23HL097074 · NHLBI · UNIVERSITY OF VIRGINIA · PI KEELEY, ELLEN CATHERINE · 2009 to 2013
$676k
NHLBI NIH HHS HL086559NHLBI NIH HHS HL088093NHLBI NIH HHS HL55798NHLBI NIH HHS HL58108NHLBI NIH HHS K23 HL097074NHLBI NIH HHS P01 HL055798NHLBI NIH HHS P01 HL088093NHLBI NIH HHS R01 HL058108NHLBI NIH HHS R01 HL086559
6 · The paper itself

Abstract

objectivesThis study tested whether immunosuppression with mycophenolate mofetil (MMF) inhibits atherosclerosis development in apolipoprotein-E-deficient (Apoe(-/-)) mice and investigated the mechanism.

backgroundChronic vascular inflammation involving both innate and adaptive immunity is central in the development of atherosclerosis, but immunosuppressive treatment is not uniformly beneficial. The immunosuppressive MMF targets lymphocyte proliferation by inhibiting inosine-monophosphate dehydrogenase.

methodsYoung and aged Apoe(-/-) mice were treated with 30 mg/kg daily MMF during 12 and 3 weeks of a high-fat diet, respectively. Aortic lesion size and composition was investigated by histology and flow cytometry; soluble inflammatory mediators were investigated by enzyme-linked immunosorbent assay.

resultsMacroscopic and histologic aortic atherosclerotic lesions were significantly decreased in both MMF-treated groups. While systemic immunoglobulin G directed against low-density lipoproteins was not significantly altered, the T-cell cytokine interleukin (IL)-17 was significantly reduced in plasma of MMF-treated mice and supernatants from their aortas after T-cell stimulation. The MMF treatment decreased aortic αβ T-cell receptor(+) lymphocyte proliferation and cell numbers. Also, aortic contents of CD11b(+)CD11c(+) cells and their proliferation were reduced in MMF-treated Apoe(-/-) mice. The IL-17 supplementation restored the number of proliferating aortic CD11b(+)CD11c(+) cells in MMF-treated mice. The IL-17 receptor A was highly expressed on circulating monocytes that are macrophage progenitors. Genetic deletion of IL-17 receptor A or IL-17A reduced inflammatory peritoneal CD11b(+)CD11c(+) macrophage accumulation.

conclusionsThe lymphocyte-directed immunosuppressant MMF that curbs IL-17 production was a successful antiatherosclerotic treatment. Our data delineate a role for IL-17 in CD11b(+)CD11c(+) cell accumulation.

Indexed as

AnimalsAortic DiseasesApolipoproteins EAtherosclerosisFemaleImmunosuppressive AgentsInterleukin-17MacrophagesMaleMiceMice, Inbred C57BLMice, KnockoutMycophenolic AcidT-LymphocytesApolipoproteins EImmunosuppressive AgentsInterleukin-17Mycophenolic Acid

Identifiers

PMID21596236
PMCPMC3378670
OpenAlexW1981533004

What OpenQuestion holds

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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.