Evidence map›Paper›PMID 23635324›Full record

ReviewBMC medicine2013

Immunity, atherosclerosis and cardiovascular disease.

Johan Frostegård

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in BMC medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06935279 (Bacteria in Atherosclerotic Plaques and Adverse Events), which is not on this map. Cited by 546 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
546citing papers in PubMed, 5 pooled it
16.4field-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.

NCT06935279 completednot on this mapstarted 2024, after this paper: background citation

Bacteria in Atherosclerotic Plaques and Adverse Events

Typeobservational_patient_registrySponsorTang-Du HospitalRan2024 to 2025Enrolled200ConditionsCarotid Artery Stenosis, Cerebral Infarction, Diabetes, BacteriaArmsCarotid Endarterectomy
3 · Its place in the literature

Who cites it

546 citing papers in PubMed, 5 syntheses or guidelines pooled it, 1,035 citations in OpenAlex.

  1. Pooled it
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  3. Colchicine for the primary prevention of cardiovascular events.The Cochrane database of systematic reviews · 2025
    Pooled it
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  5. Pooled it
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  16. Mask R-CNN-based carotid plaque localization in ultrasound images.Journal of medical imaging (Bellingham, Wash.) · 2026
    Article
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  20. Article

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

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

1 author at 1 institution in 1 country.

Johan FrostegårdInstitute of Environmental Medicine, Unit of Immunology and Chronic Disease, Nobels väg 13, Stockholm, Sweden. johan.frostegard@ki.se.
Karolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis, the major cause of cardiovascular disease (CVD), is a chronic inflammatory condition with immune competent cells in lesions producing mainly pro-inflammatory cytokines. Dead cells and oxidized forms of low density lipoproteins (oxLDL) are abundant. The major direct cause of CVD appears to be rupture of atherosclerotic plaques. oxLDL has proinflammatory and immune-stimulatory properties, causes cell death at higher concentrations and contains inflammatory phospholipids with phosphorylcholine (PC) as an interesting epitope. Antibodies against PC (anti-PC) may be atheroprotective, one mechanism being anti-inflammatory. Bacteria and virus have been discussed, but it has been difficult to find direct evidence, and antibiotic trials have not been successful. Heat shock proteins could be one major target for atherogenic immune reactions. More direct causes of plaque rupture include pro-inflammatory cytokines, chemokines, and lipid mediators. To prove that inflammation is a cause of atherosclerosis and CVD, clinical studies with anti-inflammatory and/or immune-modulatory treatment are needed. The potential causes of immune reactions and inflammation in atherosclerosis and how inflammation can be targeted therapeutically to provide novel treatments for CVD are reviewed.

Indexed as

AtherosclerosisCardiovascular DiseasesHumansInflammation

Identifiers

PMID23635324
PMCPMC3658954
OpenAlexW2125951189

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.