Evidence map›Paper›PMID 22231519›Full record

ArticleNature immunology2012

The neuroimmune guidance cue netrin-1 promotes atherosclerosis by inhibiting the emigration of macrophages from plaques.

Janine M van Gils, Merran C Derby, Luciana R Fernandes, Bhama Ramkhelawon, Tathagat D Ray, Katey J Rayner, Sajesh Parathath, Emilie Distel, Jessica L Feig, Jacqueline I Alvarez-Leite and 7 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature immunology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02428374 (Role of Innate and Adaptive Immunity After Acute Myocardial Infarction BATTLE-AMI Study), which is not on this map. Cited by 211 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
211citing papers in PubMed, 2 pooled it
12.7field-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.

NCT02428374 phase4unknown statusstarted 2015, after this paper: background citation

Role of Innate and Adaptive Immunity After Acute Myocardial Infarction BATTLE-AMI Study (B And T Types of Lymphocytes Evaluation in Acute Myocardial Infarction)

Ran2015Enrolled300Registered outcomes30Posted comparisons0ConditionsMyocardial FibrosisArmsRosuvastatin plus clopidogrel, Rosuvastatin plus ticagrelor, Simvastatin plus clopidogrel, Simvastatin plus ticagrelor
Open the trial in the graph
3 · Its place in the literature

Who cites it

211 citing papers in PubMed, 2 syntheses or guidelines pooled it, 350 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Novel netrin-1-Unc5b-Klf4 axis balances AT2 survival in experimental bronchopulmonary dysplasia.American journal of respiratory cell and molecular biology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
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  12. Expression of Netrin-1 in the developing mouse heart.Gene expression patterns : GEP · 2025
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 2 countries.

Janine M van GilsMarc and Ruti Bell Vascular Biology and Disease Program, Leon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York, USA.
Merran C Derby
Luciana R Fernandes
Bhama Ramkhelawon
Tathagat D Ray
Katey J Rayner
Sajesh Parathath
Emilie Distel
Jessica L Feig
Jacqueline I Alvarez-Leite
Alistair J Rayner
Thomas O McDonald
Kevin D O'Brien
Lynda M Stuart
Edward A Fisher
Adam Lacy-Hulbert
Kathryn J Moore
New York University · USHarvard University · USUniversidade Federal de Minas Gerais · BRUniversity of Washington · USMassachusetts General Hospital · US

Funding

Pilot & Feasibility ProgramP30DK043351 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI RAYMOND T CHUNG · 1991 to 2026
$35.3M
Role of Serum Amyloid A in Diabetic Vascular DiseaseP01HL092969 · NHLBI · UNIVERSITY OF WASHINGTON · PI BORNFELDT, KARIN E. · 2008 to 2019
$23.5M
Molecular Regulation of Atherosclerosis Regression - RenewalR01HL084312 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI FISHER, EDWARD A · 2006 to 2024
$11.4M
Adaptive immunity in virus-induced diabetes in BBDR ratsU01AI073871 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI GREINER, DALE LESLIE · 2006 to 2011
$2.9M
The role of the phagosome in innate immune sensingR01AI079198 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI STUART, LYNDA · 2008 to 2012
$2.4M
Immunomodulatory functions of neuronal guidance cuesRC1HL100815 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MOORE, KATHRYN J · 2009 to 2010
$997k
NHLBI NIH HHS P01 HL092969NHLBI NIH HHS R01 HL084312NHLBI NIH HHS R01HL084312NHLBI NIH HHS RC1 HL100815NIAID NIH HHS R01 AI079198NIAID NIH HHS U01-AI073871NIDDK NIH HHS P30 DK043351
6 · The paper itself

Abstract

Atherosclerotic plaque formation is fueled by the persistence of lipid-laden macrophages in the artery wall. The mechanisms by which these cells become trapped, thereby establishing chronic inflammation, remain unknown. Here we found that netrin-1, a neuroimmune guidance cue, was secreted by macrophages in human and mouse atheroma, where it inactivated the migration of macrophages toward chemokines linked to their egress from plaques. Acting via its receptor, UNC5b, netrin-1 inhibited the migration of macrophages directed by the chemokines CCL2 and CCL19, activation of the actin-remodeling GTPase Rac1 and actin polymerization. Targeted deletion of netrin-1 in macrophages resulted in much less atherosclerosis in mice deficient in the receptor for low-density lipoprotein and promoted the emigration of macrophages from plaques. Thus, netrin-1 promoted atherosclerosis by retaining macrophages in the artery wall. Our results establish a causative role for negative regulators of leukocyte migration in chronic inflammation.

Indexed as

ActinsAnimalsAtherosclerosisCell MovementCells, CulturedChemokine CCL19Chemokine CCL2ChimeraGene DeletionHumansMacrophagesMiceNerve Growth FactorsNetrin-1Netrin ReceptorsNeuropeptidesActinsCCL19 protein, humanCcl19 protein, mouseCCL2 protein, humanCcl2 protein, mouseChemokine CCL19Chemokine CCL2Nerve Growth FactorsNetrin-1Netrin ReceptorsNeuropeptidesNTN1 protein, humanNtn1 protein, mouserac1 GTP-Binding ProteinRAC1 protein, humanRac1 protein, mouserac GTP-Binding ProteinsReceptors, Cell SurfaceTumor Suppressor ProteinsUNC5B protein, human

Identifiers

PMID22231519
PMCPMC3262880
OpenAlexW2044161694

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.