Evidence map›Paper›PMID 24186967›Full record

ArticleCirculation research2014

Remodeling of the mononuclear phagocyte network underlies chronic inflammation and disease progression in heart failure: critical importance of the cardiosplenic axis.

Mohamed Ameen Ismahil, Tariq Hamid, Shyam S Bansal, Bindiya Patel, Justin R Kingery, Sumanth D Prabhu

Open access · bronzeAbstract read
In one paragraph

Article in Circulation research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 230 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
230citing papers in PubMed, 2 pooled it
11.5field-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

230 citing papers in PubMed, 2 syntheses or guidelines pooled it, 344 citations in OpenAlex.

  1. Myocardial Immune Cells: The Basis of Cardiac Immunology.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Pooled it
  2. Pooled it
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  11. Observational
  12. Review
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  15. Immunometabolism in heart failure.Nature reviews. Cardiology · 2025
    Review
  16. Article
  17. CD206Circulation · 2025
    Article
  18. The spleen in ischaemic heart disease.Nature reviews. Cardiology · 2025
    Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Mohamed Ameen IsmahilFrom the Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham and Birmingham VAMC, Birmingham, AL (M.A.I., T.H., S.S.S., B.P., S.D.P.); and Department of Medicine, University of Louisville, KY (J.R.K.).
Tariq Hamid
Shyam S Bansal
Bindiya Patel
Justin R Kingery
Sumanth D Prabhu
University of Louisville · US

Funding

Tumor Necrosis Factor Modulation of CPCsP01HL078825 · NHLBI · UNIVERSITY OF LOUISVILLE · PI BOLLI, ROBERTO · 2005 to 2021
$37.6M
Role of Glutathione S-Transferase P in Heart FailureR01HL099014 · NHLBI · UNIVERSITY OF LOUISVILLE · PI PRABHU, SUMANTH D · 2010 to 2013
$1.5M
NHLBI NIH HHS HL-78825NHLBI NIH HHS HL-99014NHLBI NIH HHS P01 HL078825NHLBI NIH HHS R01 HL099014
6 · The paper itself

Abstract

rationaleThe role of mononuclear phagocytes in chronic heart failure (HF) is unknown.

objectiveOur aim was to delineate monocyte, macrophage, and dendritic cell trafficking in HF and define the contribution of the spleen to cardiac remodeling. METHODS AND

resultsWe evaluated C57Bl/6 mice with chronic HF 8 weeks after coronary ligation. As compared with sham-operated controls, HF mice exhibited: (1) increased proinflammatory CD11b+ F4/80+ CD206- macrophages and CD11b+ F4/80+ Gr-1(hi) monocytes in the heart and peripheral blood, respectively, and reduced CD11b+ F4/80+ Gr-1(hi) monocytes in the spleen; (2) significantly increased CD11c+ B220- classical dendritic cells and CD11c+ low)B220+ plasmacytoid dendritic cells in both the heart and spleen, and increased classic dendritic cells and plasmacytoid dendritic cells in peripheral blood and bone marrow, respectively; (3) increased CD4+ helper and CD8+ cytotoxic T-cells in the spleen; and (4) profound splenic remodeling with abundant white pulp follicles, markedly increased size of the marginal zone and germinal centers, and increased expression of alarmins. Splenectomy in mice with established HF reversed pathological cardiac remodeling and inflammation. Splenocytes adoptively transferred from mice with HF, but not from sham-operated mice, homed to the heart and induced long-term left ventricular dilatation, dysfunction, and fibrosis in naive recipients. Recipient mice also exhibited monocyte activation and splenic remodeling similar to HF mice.

conclusionsActivation of mononuclear phagocytes is central to the progression of cardiac remodeling in HF, and heightened antigen processing in the spleen plays a critical role in this process. Splenocytes (presumably splenic monocytes and dendritic cells) promote immune-mediated injurious responses in the failing heart and retain this memory on adoptive transfer.

Indexed as

Ventricular RemodelingAdoptive TransferAnimalsAntigen PresentationBiomarkersCells, CulturedChemotaxisChronic DiseaseCytokinesDendritic CellsDisease Models, AnimalHeart FailureInflammationInflammation MediatorsMacrophage ActivationMacrophagesBiomarkersCytokinesInflammation Mediatorsdendritic cellsheart failureinflammationmonocytesspleen

Identifiers

PMID24186967
PMCPMC5928520
OpenAlexW2159392834

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.