Evidence map›Paper›PMID 24125423›Full record

Observational studyAtherosclerosis2013

Perivascular adipose tissue of the descending thoracic aorta is associated with systemic lupus erythematosus and vascular calcification in women.

Kelly J Shields, Emma Barinas-Mitchell, Matthew R Gingo, Ping Tepper, Bret H Goodpaster, Amy H Kao, Susan Manzi, Kim Sutton-Tyrrell

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Atherosclerosis, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

29 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
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  13. Review
  14. Sirtuin-1 and Its Relevance in Vascular Calcification.International journal of molecular sciences · 2020
    Review
  15. Review
  16. Article
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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

8 authors at 2 institutions in 1 country.

Kelly J ShieldsLupus Center of Excellence, West Penn Allegheny Health System, 320 East North Avenue, Pittsburgh, PA 15212, USA. Electronic address: kshield1@wpahs.org.
Emma Barinas-Mitchell
Matthew R Gingo
Ping Tepper
Bret H Goodpaster
Amy H Kao
Susan Manzi
Kim Sutton-Tyrrell
University of Pittsburgh · USAllegheny Health Network · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Cardiovascular Epidemiology Training ProgramT32HL083825 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI AKIRA SEKIKAWA · 2008 to 2026
$6.1M
Progression of Cardiovascular Disease in Lupus.R01AR046588 · NIAMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MANZI, SUSAN · 2001 to 2010
$4.9M
NCATS NIH HHS UL1 TR000005NHLBI NIH HHS 5 T32 HL 83825-3NHLBI NIH HHS T32 HL083825NIAMS NIH HHS R01 AR046588NIAMS NIH HHS R01AR046588
6 · The paper itself

Abstract

objectiveWomen with systemic lupus erythematosus (SLE) have an increased risk of cardiovascular disease (CVD). Traditional CVD and SLE-disease related risk factors do not fully account for this increased risk. Perivascular adipose tissue (PVAT) is a visceral adipose depot in close proximity to blood vessels possibly influencing CVD. We hypothesized that women with SLE have an increased volume of descending thoracic aortic PVAT (aPVAT) associated with increased vascular calcification.

methodsUsing electron beam computed tomography, we quantified the aPVAT in clinically CVD-free SLE women (n = 135) and age-/race-matched healthy controls (HC, n = 152). Coronary artery calcification (CAC) and aortic calcification (AC) were quantified using Agatston scores and the aPVAT was quantified using standard Hounsfield Units (HU) for adipose tissue.

resultsWomen with SLE had greater median aPVAT (32.2 cm(3) vs HC aPVAT 28.6 cm(3), p = 0.0071) and greater median AC (26.0 vs HC AC 6.0, p = 0.0013) than the healthy control women. Total aPVAT (per 25 cm(3)) remained significantly associated with SLE after adjusting for CVD risk factors (Odds Ratio 1.74 [95% Confidence Interval: 1.04-2.9], p = 0.034), but was attenuated when adjusting for circulating inflammatory markers (p = 0.34). In a logistic regression analysis, SLE aPVAT (per 25 cm(3)) was associated with AC (6.78 [2.0-23], p = 0.0019), which remained significant after adjusting for circulating inflammatory markers (p = 0.0074), and CAC (2.66 [1.4-5.0], p = 0.0028).

conclusionsTotal aPVAT is greater in clinically CVD-free SLE women than in age-/race-matched controls and is associated with calcification in different vascular beds.

Indexed as

Aorta, ThoracicAdultAortic DiseasesCardiovascular DiseasesCase-Control StudiesCoronary Artery DiseaseFemaleHumansIntra-Abdominal FatLupus Erythematosus, SystemicMiddle AgedRetrospective StudiesRisk FactorsTomography, X-Ray ComputedVascular CalcificationAdiposeAtherosclerosisCalcificationSystemic lupus erythematosus

Identifiers

PMID24125423
PMCPMC3831349
OpenAlexW1983165248

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.