Evidence map›Paper›PMID 23968766›Full record

ArticleThe Annals of thoracic surgery2013

Pulmonary artery endothelial cell phenotypic alterations in a large animal model of pulmonary arteriovenous malformations after the Glenn shunt.

Minoo N Kavarana, Rupak Mukherjee, Shaina R Eckhouse, William F Rawls, Christina Logdon, Robert E Stroud, Risha K Patel, Elizabeth K Nadeau, Francis G Spinale, Eric M Graham and 4 more

Open access · greenAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Vitamin A Uses Its Superpowers to Combat Vascular Malformations.JACC. Basic to translational science · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. 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

14 authors at 2 institutions in 1 country.

Minoo N KavaranaDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina. Electronic address: kavarana@musc.edu.
Rupak MukherjeeDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Shaina R EckhouseDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
William F RawlsDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Christina LogdonUniversity of South Carolina School of Medicine, Columbia, South Carolina.
Robert E StroudDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Risha K PatelDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Elizabeth K NadeauDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Francis G SpinaleUniversity of South Carolina School of Medicine, Columbia, South Carolina.
Eric M GrahamDivision of Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina.
Geoffrey A ForbusDivision of Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina.
Scott M BradleyDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
John S IkonomidisDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina.
Jeffrey A JonesDivision of Cardiothoracic Surgery, Medical University of South Carolina, Charleston, South Carolina; Division of Pediatric Cardiology, Medical University of South Carolina, Charleston, South Carolina.
Medical University of South Carolina · USUniversity of South Carolina · US

Funding

TRAINING TO IMPROVE CARDIOVASCULAR THERAPIEST32HL007260 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MENICK, DONALD R. · 1985 to 2021
$11.1M
COLLAGENASE INHIBITION IN HEART FAILURER01HL059165 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI SPINALE, FRANCIS G · 1998 to 2010
$3.2M
Endothelin Receptors and Progression to Heart FailureR01HL057952 · NHLBI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI SPINALE, FRANCIS G · 1998 to 2011
$3.1M
Transmembrane Proteolytic Induction and Thoracic AneurysmsR01HL102121 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI IKONOMIDIS, JOHN S · 2011 to 2019
$3.0M
Age-Dependent Mechanisms in Thoracic Aortic AneurysmsR01AG036954 · NIA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI IKONOMIDIS, JOHN S · 2011 to 2015
$1.5M
Myocardial Protection and Matrix ProteasesR01HL095608 · NHLBI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI SPINALE, FRANCIS G · 2010 to 2013
$1.4M
Intracellular Signaling in Thoracic Aortic AneurysmsR21HL089170 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI IKONOMIDIS, JOHN S · 2008 to 2009
$401k
NHLBI NIH HHS HL057952NHLBI NIH HHS HL059165NHLBI NIH HHS HL089170NHLBI NIH HHS HL095608NHLBI NIH HHS R01 HL057952NHLBI NIH HHS R01 HL059165NHLBI NIH HHS R01 HL095608NHLBI NIH HHS R01 HL102121NHLBI NIH HHS R21 HL089170NHLBI NIH HHS T32 HL007260NIA NIH HHS R01 AG036954
6 · The paper itself

Abstract

backgroundLongevity of the superior cavopulmonary connection (SCPC) is limited by the development of pulmonary arteriovenous malformations (PAVM). The goal of this study was to determine whether phenotypic changes in pulmonary artery endothelial cells (PAEC) that favor angiogenesis occur with PAVM formation.

methodsA superior vena cava to right pulmonary artery connection was constructed in 5 pigs. Pulmonary arteries were harvested at 6 to 8 weeks after surgery to establish cultures of PAEC and smooth muscle cells, to determine cell proliferation, gene expression, and tubule formation. Abundance of proteins related to angiogenesis was measured in lung tissue.

resultsContrast echocardiography revealed right-to-left shunting, consistent with PAVM formation. While the proliferation of smooth muscle cells from the right pulmonary artery (shunted side) and left pulmonary artery (nonshunted side) were similar, right PAEC proliferation was significantly higher. Expression profiles of genes encoding cellular signaling proteins were higher in PAECs from the right pulmonary artery versus left pulmonary artery. Protein abundance of angiopoietin-1, and Tie-2 (angiopoietin receptor) were increased in the right lung (both p < 0.05). Tubule formation was increased in endothelial cells from the right pulmonary artery compared with the left pulmonary artery (404 ± 16 versus 199 ± 71 tubules/mm(2), respectively; p < 0.05).

conclusionsThese findings demonstrate that PAVMs developed in a clinically relevant animal model of SCPC concomitantly with differential changes in PAEC proliferative ability and phenotype. Moreover, there was a significant increase in the angiopoietin/Tie-2 complex in the right lung, which may provide novel therapeutic targets to attenuate PAVM formation after a SCPC.

Indexed as

Endothelial CellsAnastomosis, SurgicalAnimalsArteriovenous MalformationsDisease Models, AnimalEndothelium, VascularFemalePhenotypePulmonary ArterySwineVascular Surgical Procedures21arteriovenous malformationsAVMCtcycle thresholdECECMendothelial cellextracellular matrixHIFhypoxia inducible factorleft pulmonary arteryLPAPAPAECPAVMpulmonary arteriovenous malformationpulmonary arterypulmonary artery endothelial cellright pulmonary arteryRPASCPCSMCsmooth muscle cellsuperior cavopulmonary connectionvascular endothelial growth factorVEGF

Identifiers

PMID23968766
PMCPMC3934798
OpenAlexW2044995732

What OpenQuestion holds

Textmetadata
LicenceTDM
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.