Evidence map›Paper›PMID 23250987›Full record

ArticleCirculation research2013

AKT2 confers protection against aortic aneurysms and dissections.

Ying H Shen, Lin Zhang, Pingping Ren, Mary T Nguyen, Sili Zou, Darrell Wu, Xing Li Wang, Joseph S Coselli, Scott A LeMaire

Open access · bronzeAbstract read
In one paragraph

Article in Circulation research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 93 citations in OpenAlex.

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  16. Targeting Ferroptosis as a Novel Approach to Alleviate Aortic Dissection.International journal of biological sciences · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Therapeutic Effect of Rapamycin on Aortic Dissection in Mice.International journal of molecular sciences · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Ying H ShenDivision of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA.
Lin Zhang
Pingping Ren
Mary T Nguyen
Sili Zou
Darrell Wu
Xing Li Wang
Joseph S Coselli
Scott A LeMaire
St. Luke's Episcopal Hospital · US

Funding

U OF TEXAS HLTH SCI CTR HOUSTON CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCESUL1RR024148 · NCRR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2006 to 2010
$27.9M
The Training CoreP50HL083794 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI GUO, DONGCHAN · 2006 to 2010
$11.3M
Extracellular Matrix Metabolism in Thoracic Aortic Aneurysm and DissectionR01HL085341 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI LEMAIRE, SCOTT A · 2008 to 2011
$1.5M
Matrix Metalloproteinases in Thoracic Aortic DissectionK08HL080085 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI LEMAIRE, SCOTT A · 2005 to 2009
$682k
NCRR NIH HHS UL1 RR024148NHLBI NIH HHS K08 HL080085NHLBI NIH HHS P50 HL083794NHLBI NIH HHS R01 HL085341NHLBI NIH HHS R01HL085341
6 · The paper itself

Abstract

rationaleAortic aneurysm and dissection (AAD) are major diseases of the adult aorta caused by progressive medial degeneration of the aortic wall. Although the overproduction of destructive factors promotes tissue damage and disease progression, the role of protective pathways is unknown.

objectiveIn this study, we examined the role of AKT2 in protecting the aorta from developing AAD. METHODS AND

resultsAKT2 and phospho-AKT levels were significantly downregulated in human thoracic AAD tissues, especially within the degenerative medial layer. Akt2-deficient mice showed abnormal elastic fibers and reduced medial thickness in the aortic wall. When challenged with angiotensin II, these mice developed aortic aneurysm, dissection, and rupture with features similar to those in humans, in both thoracic and abdominal segments. Aortas from Akt2-deficient mice displayed profound tissue destruction, apoptotic cell death, and inflammatory cell infiltration that were not observed in aortas from wild-type mice. In addition, angiotensin II-infused Akt2-deficient mice showed significantly elevated expression of matrix metalloproteinase-9 (MMP-9) and reduced expression of tissue inhibitor of metalloproteinase-1 (TIMP-1). In cultured human aortic vascular smooth muscle cells, AKT2 inhibited the expression of MMP-9 and stimulated the expression of TIMP-1 by preventing the binding of transcription factor forkhead box protein O1 to the MMP-9 and TIMP-1 promoters.

conclusionsImpaired AKT2 signaling may contribute to increased susceptibility to the development of AAD. Our findings provide evidence of a mechanism that underlies the protective effects of AKT2 on the aortic wall and that may serve as a therapeutic target in the prevention of AAD.

Indexed as

AgedAngiotensin IIAnimalsAorta, ThoracicAortic Aneurysm, ThoracicAortic DissectionAortitisApoptosisCase-Control StudiesCells, CulturedElastic TissueEnzyme InductionForkhead Box Protein O1Forkhead Transcription FactorsHumansMatrix Metalloproteinase 9AKT2 protein, humanAkt2 protein, mouseAngiotensin IIForkhead Box Protein O1Forkhead Transcription FactorsFOXO1 protein, humanMatrix Metalloproteinase 9Proto-Oncogene Proteins c-aktTIMP1 protein, humanTimp1 protein, mouseTissue Inhibitor of Metalloproteinase-1

Identifiers

PMID23250987
PMCPMC3586338
OpenAlexW2112892927

What OpenQuestion holds

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Registered trials

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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.