Evidence map›Paper›PMID 23594590›Full record

ArticleEuropean heart journal2013

Endothelial mineralocorticoid receptor activation mediates endothelial dysfunction in diet-induced obesity.

Nicola Schäfer, Christine Lohmann, Stephan Winnik, Lambertus J van Tits, Melroy X Miranda, Athanasios Vergopoulos, Frank Ruschitzka, Jürg Nussberger, Stefan Berger, Thomas F Lüscher and 2 more

Open access · hybridAbstract read
In one paragraph

Article in European heart journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
9.4field-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

82 citing papers in PubMed, 2 syntheses or guidelines pooled it, 156 citations in OpenAlex.

  1. Obesity and episodic memory function.The journal of physiological sciences : JPS · 2018
    Pooled it
  2. Pooled it
  3. Effects of mineralocorticoid receptor antagonists on sex hormones and body composition in patients with primary aldosteronism.Hypertension research : official journal of the Japanese Society of Hypertension · 2022
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  7. Biphasic regulation of myogenesis by ALDH2, aldosterone, and oxidative stress.Pflugers Archiv : European journal of physiology · 2026
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Nicola SchäferInstitute of Physiology, University of Zurich, Winterthurerstrasse 190, CH-8057 Zurich, Switzerland.
Christine Lohmann
Stephan Winnik
Lambertus J van Tits
Melroy X Miranda
Athanasios Vergopoulos
Frank Ruschitzka
Jürg Nussberger
Stefan Berger
Thomas F Lüscher
François Verrey
Christian M Matter
University of Zurich · CHHeidelberg University · DEUniversity Hospital of Zurich · CHUniversity of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAldosterone plays a crucial role in cardiovascular disease. 'Systemic' inhibition of its mineralocorticoid receptor (MR) decreases atherosclerosis by reducing inflammation and oxidative stress. Obesity, an important cardiovascular risk factor, is an inflammatory disease associated with increased plasma aldosterone levels. We have investigated the role of the 'endothelial' MR in obesity-induced endothelial dysfunction, the earliest stage in atherogenesis. METHODS AND

resultsC57BL/6 mice were exposed to a normal chow diet (ND) or a high-fat diet (HFD) alone or in combination with the MR antagonist eplerenone (200 mg/kg/day) for 14 weeks. Diet-induced obesity impaired endothelium-dependent relaxation in response to acetylcholine, whereas eplerenone treatment of obese mice prevented this. Expression analyses in aortic endothelial cells isolated from these mice revealed that eplerenone attenuated expression of pro-oxidative NADPH oxidase (subunits p22phox, p40phox) and increased expression of antioxidative genes (glutathione peroxidase-1, superoxide dismutase-1 and -3) in obesity. Eplerenone did not affect obesity-induced upregulation of cyclooxygenase (COX)-1 or prostacyclin synthase. Endothelial-specific MR deletion prevented endothelial dysfunction in obese (exhibiting high 'endogenous' aldosterone) and in 'exogenous' aldosterone-infused lean mice. Pre-incubation of aortic rings from aldosterone-treated animals with the COX-inhibitor indomethacin restored endothelial function. Exogenous aldosterone administration induced endothelial expression of p22phox in the presence, but not in the absence of the endothelial MR.

conclusionObesity-induced endothelial dysfunction depends on the 'endothelial' MR and is mediated by an imbalance of oxidative stress-modulating mechanisms. Therefore, MR antagonists may represent an attractive therapeutic strategy in the increasing population of obese patients to decrease vascular dysfunction and subsequent atherosclerotic complications.

Indexed as

Adipose TissueAldosteroneAnimalsAntioxidantsAortaCyclooxygenase 1Cyclooxygenase InhibitorsCytochrome P-450 Enzyme SystemDiet, High-FatEndothelium, VascularEplerenoneGlutathione PeroxidaseGlutathione Peroxidase GPX1HyperglycemiaInflammationIntramolecular OxidoreductasesAldosteroneAntioxidantsCyclooxygenase 1Cyclooxygenase InhibitorsCytochrome P-450 Enzyme SystemEplerenoneGlutathione PeroxidaseGlutathione Peroxidase GPX1Gpx1 protein, mouseIntramolecular OxidoreductasesMineralocorticoid Receptor Antagonistsprostacyclin synthetaseReceptors, MineralocorticoidSod1 protein, mouseSpironolactoneSuperoxide DismutaseSuperoxide Dismutase-1AldosteroneEndothelialMineralocorticoid receptorObesity

Identifiers

PMID23594590
PMCPMC3844149
OpenAlexW2170524644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.