Evidence map›Paper›PMID 21986287›Full record

ArticleCirculation2011

Reduced degradation of the chemokine MCP-3 by matrix metalloproteinase-2 exacerbates myocardial inflammation in experimental viral cardiomyopathy.

Dirk Westermann, Kostantinos Savvatis, Diana Lindner, Christin Zietsch, Peter Moritz Becher, Elke Hammer, Markus M Heimesaat, Stefan Bereswill, Uwe Völker, Felicitas Escher and 6 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Circulation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.2field-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.

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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Review
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  4. Observational
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  14. Viral Myocarditis-From Pathophysiology to Treatment.Journal of clinical medicine · 2021
    Review
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  16. Article
  17. Review
  18. Article
  19. Article
  20. Precursor proadrenomedullin influences cardiomyocyte survival and local inflammation related to myocardial infarction.Proceedings of the National Academy of Sciences of the United States of America · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 1 country.

Dirk WestermannDepartment of Cardiology and Pneumology, Charité, Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, Berlin, Germany. dirk.westermann@web.de
Kostantinos Savvatis
Diana Lindner
Christin Zietsch
Peter Moritz Becher
Elke Hammer
Markus M Heimesaat
Stefan Bereswill
Uwe Völker
Felicitas Escher
Alexander Riad
Johanna Plendl
Karin Klingel
Wolfgang Poller
Heinz-Peter Schultheiss
Carsten Tschöpe
Universität Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocarditis is an important cause for cardiac failure, especially in younger patients, followed by the development of cardiac dysfunction and death. The present study investigated whether gene deletion of matrix metalloproteinase-2 influences cardiac inflammation and function in murine coxsackievirus B3 (CVB3)-induced myocarditis. METHODS AND

resultsMatrix metalloproteinase-2 knockout mice (MMP-2(-/-)) and their wild-type controls (WT) were infected with CVB3 to induce myocarditis. Three days after infection, an increased invasion of CD4(+)-activated T cells into the myocardium was documented, followed by an excess of inflammatory cells 7 days after infection, which was significantly higher in the MMP-2(-/-)animals compared with the WT animals. Moreover, cardiac apoptosis, remodeling, viral load, and function were deteriorated in MMP-2(-/-) animals after CVB3 infection. This overwhelming inflammation was followed by 100% mortality after 15 days. This was associated with increased levels of MCP-3 in the cardiac tissue of MMP-2(-/-) mice. Because MMP-2 cleaves the chemokine MCP-3, the loss of this cleavage lead to an overreaction of the immune system with pronounced myocardial damage mediated by the inflammatory cells. When a neutralizing antibody against MCP-3 was given to MMP-2(-/-) mice, this exaggerated reaction of the immune system could be normalized to levels similar to WT-CVB3 animals.

conclusionsLoss of MMP-2 increased the inflammatory response after CVB3 infection, which impaired cardiac function and survival during CVB3-induced myocarditis. Matrix metalloproteinase-2-mediated chemokine cleavage has an important role in cardiac inflammation as a negative feedback mechanism.

Indexed as

AnimalsAntibodies, NeutralizingApoptosisCardiomyopathiesChemokine CCL7Coxsackievirus InfectionsCytokinesDisease Models, AnimalEnterovirus B, HumanExtracellular MatrixFeedback, PhysiologicalFemaleMaleMatrix Metalloproteinase 2MiceMice, Inbred C57BLAntibodies, NeutralizingCcl7 protein, mouseChemokine CCL7CytokinesMatrix Metalloproteinase 2Mmp2 protein, mouse

Identifiers

PMID21986287
OpenAlexW2120798128

What OpenQuestion holds

Textmetadata
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.