Evidence map›Paper›PMID 23062532›Full record

ArticleJournal of the American College of Cardiology2012

Role of circulating osteogenic progenitor cells in calcific aortic stenosis.

Mario Gössl, Sundeep Khosla, Xin Zhang, Nara Higano, Kyra L Jordan, Darrell Loeffler, Maurice Enriquez-Sarano, Ryan J Lennon, Ulrike McGregor, Lilach O Lerman and 1 more

Erratum issued Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04557345 (Evaluation of the Inflammatory Response and Long-term Calcification in Post-operated Aortic Valve Replacement Patients.), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.7field-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.

NCT04557345 completednot on this map

Evaluation of the Inflammatory Response and Long-term Calcification in Post-operated Aortic Valve Replacement Patients.

TypeobservationalSponsorInstituto Nacional de Cardiologia Ignacio ChavezRan1990 to 2020Enrolled80ConditionsAortic Valve Disease, Aortic Valve Stenosis, Aortic Valve Calcification, Prosthetic Valve MalfunctionArmsDetermination of cytokines, Two-dimensional transthoracic echocardiogram
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 72 citations in OpenAlex.

  1. Article
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  8. Article
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  12. Article
  13. Osteogenic circulating endothelial progenitor cells are linked to electrocardiographic conduction abnormalities in rheumatic patients.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2019
    Article
  14. Adaptive immune cells in calcific aortic valve disease.American journal of physiology. Heart and circulatory physiology · 2019
    Review
  15. Article
  16. Review
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  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Mario GösslCardiovascular Diseases, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Sundeep Khosla
Xin Zhang
Nara Higano
Kyra L Jordan
Darrell Loeffler
Maurice Enriquez-Sarano
Ryan J Lennon
Ulrike McGregor
Lilach O Lerman
Amir Lerman
Mayo Clinic · US

Funding

Tissue Oxygenation in Human Renovascular HypertensionP01HL085307 · NHLBI · MAYO CLINIC ROCHESTER · PI ROMERO, JUAN C · 2007 to 2011
$10.4M
CT Evaluation of the Myocardial Effects of Risk FactorsR01HL077131 · NHLBI · MAYO CLINIC ROCHESTER · PI LERMAN, LILACH O · 2004 to 2013
$2.8M
Lp-PLA2 and Coronary Atherosclerosis in HumansR01HL092954 · NHLBI · MAYO CLINIC ROCHESTER · PI LERMAN, AMIR · 2009 to 2013
$2.1M
Role of Endothelial Progenitor Cells in vascular Aging and CalcificationR01AG031750 · NIA · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP, LERMAN, AMIR · 2010 to 2014
$2.0M
NHLBI NIH HHS HL085307NHLBI NIH HHS HL77131NHLBI NIH HHS HL92954NHLBI NIH HHS P01 HL085307NHLBI NIH HHS R01 HL077131NHLBI NIH HHS R01 HL092954NIA NIH HHS AG31750NIA NIH HHS R01 AG031750
6 · The paper itself

Abstract

objectivesThe purpose of this study was to determine the role of circulating endothelial progenitor cells with osteoblastic phenotype (EPC-OCN) in human aortic valve calcification (AVC).

backgroundRecent evidence suggests that rather than passive mineralization, AVC is an active atherosclerotic process with an osteoblastic component resembling coronary calcification. We have recently identified circulating EPCs with osteogenic properties carrying both endothelial progenitor (CD34, KDR) and osteoblastic (osteocalcin [OCN]) cell surface markers.

methodsBlood samples from controls (n = 22) and patients with mild to moderate calcific aortic stenosis (mi-moAS, n = 17), severe calcific AS (sAS, n = 26), and both sAS and severe coronary artery disease (sCAD) (n = 33) were collected during diagnostic coronary angiography. By using flow cytometry, peripheral blood mononuclear cells were analyzed for CD34, KDR, and OCN. Resected normal and calcified aortic valves were analyzed histologically.

resultsPatients with mi-moAS and patients with sAS/sCAD had significantly less EPCs (CD34+/KDR+/OCN-) than controls. Patients with sAS showed significantly higher numbers of EPC-OCN (CD34+/KDR+/OCN+) than controls. In addition, the percentage of EPC costaining for OCN was higher in all disease groups compared with controls. A subgroup analysis of younger patients with bicuspid sAS showed a similar pattern of significantly lower EPCs but a high percentage of coexpression of OCN. Immunofluorescence showed colocalization of nuclear factor kappa-B and OCN in diseased and normal valves. CD34+/OCN+ cells were abundant in the endothelial and deeper cell layers of calcific aortic valve tissue but not in normal aortic valve tissue.

conclusionsCirculating EPC-OCN may play a significant role in the pathogenesis and as markers of prognostication of calcific AS.

Indexed as

AdultAgedAged, 80 and overAortic Valve StenosisBiomarkersBlood CirculationCalcinosisFemaleHumansLeukocytes, MononuclearMaleMiddle AgedOsteoblastsOsteogenesisStem CellsBiomarkers

Identifiers

PMID23062532
PMCPMC4213791
OpenAlexW1970516379

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.