Evidence map›Paper›PMID 22223731›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2012

Inhibition of bone morphogenetic protein signaling reduces vascular calcification and atherosclerosis.

Matthias Derwall, Rajeev Malhotra, Carol S Lai, Yuko Beppu, Elena Aikawa, Jasbir S Seehra, Warren M Zapol, Kenneth D Bloch, Paul B Yu

Abstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

135 citing papers in PubMed, 218 citations in OpenAlex.

  1. Vitamin DEuropean journal of nutrition · 2017
    Trial
  2. Review
  3. Article
  4. Peripheral Vascular Calcification.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Considerations on the Development of Therapeutics in Vascular Calcification.Journal of cardiovascular development and disease · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. The Implications of Aging on Vascular Health.International journal of molecular sciences · 2024
    Review
  14. Review
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  20. An emerging class of new therapeutics targeting TGF, Activin, and BMP ligands in pulmonary arterial hypertension.Developmental dynamics : an official publication of the American Association of Anatomists · 2023
    Review

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

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

9 authors at 2 institutions in 1 country.

Matthias DerwallAnesthesia Center for Critical Care Research, Department of Anesthesia, Critical Care, and Pain Medicine, the Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. mderwall@ukaachen.de
Rajeev Malhotra
Carol S Lai
Yuko Beppu
Elena Aikawa
Jasbir S Seehra
Warren M Zapol
Kenneth D Bloch
Paul B Yu
Universitätsklinikum Aachen · DERWTH Aachen University · DE

Funding

MULTIDISCIPLINARY RESEARCH TRAINING IN CARDIOLOGYT32HL007208 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Patrick Thomas Ellinor, David E Sosnovik · 1985 to 2026
$16.1M
Novel probes of BMP and TGF-beta signaling and functionR01AR057374 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI YU, PAUL B · 2010 to 2023
$4.5M
Aortic valve microcalcificationR01HL114805 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI AIKAWA, ELENA · 2012 to 2016
$2.1M
The role of the BMP type II receptor in vascular functionK08HL079943 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI YU, PAUL B · 2006 to 2010
$672k
NHLBI NIH HHS K08 HL079943NHLBI NIH HHS R01 HL114805NHLBI NIH HHS T32 HL007208NHLBI NIH HHS T32HL007208NIAMS NIH HHS AR057374NIAMS NIH HHS R01 AR057374
6 · The paper itself

Abstract

objectiveThe expression of bone morphogenetic proteins (BMPs) is enhanced in human atherosclerotic and calcific vascular lesions. Although genetic gain- and loss-of-function experiments in mice have supported a causal role of BMP signaling in atherosclerosis and vascular calcification, it remains uncertain whether BMP signaling might be targeted pharmacologically to ameliorate both of these processes. METHODS AND

resultsWe tested the impact of pharmacological BMP inhibition on atherosclerosis and calcification in LDL receptor-deficient (LDLR-/-) mice. LDLR-/- mice fed a high-fat diet developed abundant vascular calcification within 20 weeks. Prolonged treatment of LDLR-/- mice with the small molecule BMP inhibitor LDN-193189 was well-tolerated and potently inhibited development of atheroma, as well as associated vascular inflammation, osteogenic activity, and calcification. Administration of recombinant BMP antagonist ALK3-Fc replicated the antiatherosclerotic and anti-inflammatory effects of LDN-193189. Treatment of human aortic endothelial cells with LDN-193189 or ALK3-Fc abrogated the production of reactive oxygen species induced by oxidized LDL, a known early event in atherogenesis. Unexpectedly, treatment of mice with LDN-193189 lowered LDL serum cholesterol by 35% and markedly decreased hepatosteatosis without inhibiting HMG-CoA reductase activity. Treatment with BMP2 increased, whereas LDN-193189 or ALK3-Fc inhibited apolipoprotein B100 secretion in HepG2 cells, suggesting that BMP signaling contributes to the regulation of cholesterol biosynthesis.

conclusionThese results definitively implicate BMP signaling in atherosclerosis and calcification, while uncovering a previously unidentified role for BMP signaling in LDL cholesterol metabolism. BMP inhibition may be helpful in the treatment of atherosclerosis and associated vascular calcification.

Indexed as

AnimalsAnti-Inflammatory AgentsAntioxidantsAtherosclerosisBone Morphogenetic Protein Receptors, Type IBone Morphogenetic ProteinsCardiovascular AgentsCholesterol, LDLDiet, High-FatDisease Models, AnimalEndothelial CellsFatty LiverFemaleHep G2 CellsHumansLipoproteins, LDLAnti-Inflammatory AgentsAntioxidantsBone Morphogenetic Protein Receptors, Type IBone Morphogenetic ProteinsCardiovascular AgentsCholesterol, LDLLDN 193189Lipoproteins, LDLoxidized low density lipoproteinPyrazolesPyrimidinesReactive Oxygen SpeciesReceptors, LDLRecombinant Fusion Proteins

Identifiers

PMID22223731
PMCPMC3679546
OpenAlexW2134420180

What OpenQuestion holds

Textmetadata
LicenceTDM
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.