Evidence map›Paper›PMID 23335793›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2013

Impaired contractile recovery after low-flow myocardial ischemia in a porcine model of metabolic syndrome.

Janice V Huang, Li Lu, Shuyu Ye, Bryan C Bergman, Genevieve C Sparagna, Mohammad Sarraf, Jane E B Reusch, Clifford R Greyson, Gregory G Schwartz

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Effect of Obesity or Metabolic Syndrome and Diabetes on Osseointegration of Dental Implants in a Miniature Swine Model: A Pilot Study.Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2018
    Article
  3. Article
  4. Article
  5. Article
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.

Janice V HuangCardiology Section, Veterans Affairs Medical Center, Denver, CO 80220, USA.
Li Lu
Shuyu Ye
Bryan C Bergman
Genevieve C Sparagna
Mohammad Sarraf
Jane E B Reusch
Clifford R Greyson
Gregory G Schwartz
University of Colorado Denver · USVeterans Health Administration · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI Wendy M Kohrt · 1995 to 2026
$32.6M
Protection by Thiazolidinediones in Myocardial IschemiaR01HL049944 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SCHWARTZ, GREGORY G · 1994 to 2013
$3.7M
Diet-Induced Insulin Resistance and Myocardial Ischemia in PigsR56HL049944 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SCHWARTZ, GREGORY G · 2008 to 2008
$420k
NHLBI NIH HHS HL-049944NHLBI NIH HHS R01 HL049944NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

Clinical metabolic syndrome conveys a poor prognosis in patients with acute coronary syndrome, not fully accounted for by the extent of coronary atherosclerosis. To explain this observation, we determined whether postischemic myocardial contractile and metabolic function are impaired in a porcine dietary model of metabolic syndrome without atherosclerosis. Micropigs (n = 28) were assigned to a control diet (low fat, no added sugars) or an intervention diet (high saturated fat and simple sugars, no added cholesterol) for 7 mo. The intervention diet produced obesity, hypertension, dyslipidemia, and impaired glucose tolerance, but not atherosclerosis. Under open-chest, anesthetized conditions, pigs underwent 45 min of low-flow myocardial ischemia and 120 min of reperfusion. In both diet groups, contractile function was similar at baseline and declined similarly during ischemia. However, after 120 min of reperfusion, regional work recovered to 21 ± 12% of baseline in metabolic syndrome pigs compared with 61 ± 13% in control pigs (P = 0.01). Ischemia-reperfusion caused a progressive decline in mechanical/metabolic efficiency (regional work/O2 consumption) in metabolic syndrome hearts, but not in control hearts. Metabolic syndrome hearts demonstrated altered fatty acyl composition of cardiolipin and increased Akt phosphorylation in both ischemic and nonischemic regions, suggesting tonic activation. Metabolic syndrome hearts used more fatty acid than control hearts (P = 0.03). When fatty acid availability was restricted by prior insulin exposure, differences between groups in postischemic contractile recovery and mechanical/metabolic efficiency were eliminated. In conclusion, pigs with characteristics of metabolic syndrome demonstrate impaired contractile and metabolic recovery after low-flow myocardial ischemia. Contributory mechanisms may include remodeling of cardiolipin, abnormal activation of Akt, and excessive utilization of fatty acid substrates.

Indexed as

Myocardial ContractionAcyl Coenzyme AAnimalsBlood GlucoseCardiolipinsCholesterolDietDietary FatsDisease Models, AnimalGlucoseHeart Function TestsInsulinMAP Kinase Signaling SystemMetabolic SyndromeMyocardial Reperfusion InjuryPhosphorylationAcyl Coenzyme ABlood GlucoseCardiolipinsCholesterolDietary FatsGlucoseInsulinProto-Oncogene Proteins c-akt

Identifiers

PMID23335793
PMCPMC3602770
OpenAlexW2118844950

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.