Evidence map›Paper›PMID 24530664›Full record

ArticleJournal of the American College of Cardiology2014

Pro-inflammatory interleukin-1 genotypes potentiate the risk of coronary artery disease and cardiovascular events mediated by oxidized phospholipids and lipoprotein(a).

Sotirios Tsimikas, Gordon W Duff, Peter B Berger, John Rogus, Kenneth Huttner, Paul Clopton, Emmanuel Brilakis, Kenneth S Kornman, Joseph L Witztum

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02307422 (Genetic Polymorphisms Associating With CAD, Inflammatory Biomarkers, and Oxidized Phospholipids in a Greek Population), which is not on this map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 2% 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.

NCT02307422 unknown statusnot on this map

Genetic Polymorphisms Associating With CAD, Inflammatory Biomarkers, and Oxidized Phospholipids in a Greek Population

TypeobservationalSponsorInterleukin Genetics, Inc.Ran2014 to 2017Enrolled1,173ConditionsCoronary Artery DiseaseArmsIL-1 Genotypes, other SNPs associated with CAD
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 135 citations in OpenAlex.

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  20. Oxidized phospholipids in cardiovascular disease.Nature reviews. Cardiology · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 2 countries.

Sotirios TsimikasDivision of Cardiovascular Diseases, University of California San Diego, La Jolla, California. Electronic address: stsimikas@ucsd.edu.
Gordon W DuffDivision of Genomic Medicine, University of Sheffield, Sheffield, United Kingdom.
Peter B BergerDepartment of Cardiology, Geisinger Health System, Danville, Pennsylvania.
John RogusInterleukin Genetics, Inc., Waltham, Massachusetts.
Kenneth HuttnerInterleukin Genetics, Inc., Waltham, Massachusetts.
Paul CloptonVeterans Affairs Medical Center, San Diego, California.
Emmanuel BrilakisVeterans Affairs North Texas Healthcare System, Dallas, Texas.
Kenneth S KornmanInterleukin Genetics, Inc., Waltham, Massachusetts.
Joseph L WitztumDivision of Endocrinology and Metabolism, University of California San Diego, La Jolla, California.
Interleukin Foundation · USUniversity of California San Diego · USGeisinger Health System · USSan Francisco VA Medical Center · USSeagen (United States) · USUniversity of Sheffield · GBVA North Texas Health Care System · US

Funding

ROLE OF LIPOXYGENASES IN ATHEROGENESIS IN DIABETES MELLITUSP01HL055798 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI HEDRICK, CATHERINE C · 1995 to 2016
$28.4M
Transcriptional GenomicsP01HL088093 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WITZTUM, JOSEPH L. · 2008 to 2018
$26.4M
NHLBI NIH HHS HL055798NHLBI NIH HHS HL088093NHLBI NIH HHS P01 HL055798NHLBI NIH HHS P01 HL088093
6 · The paper itself

Abstract

objectivesThe aim of this study was to assess the influence of pro-inflammatory interleukin (IL)-1 genotype status on the risk for coronary artery disease (CAD), defined as >50% diameter stenosis, and cardiovascular events mediated by oxidized phospholipids (OxPLs) and lipoprotein (Lp) (a).

backgroundOxPLs are pro-inflammatory, circulate on Lp(a), and mediate CAD. Genetic variations in the IL-1 region are associated with increased inflammatory mediators.

methodsIL-1 genotypes, OxPL on apolipoprotein B-100 (OxPL/apoB), and Lp(a) levels were measured in 499 patients undergoing coronary angiography. The composite genotype termed IL-1(+) was defined by 3 single-nucleotide polymorphisms in the IL-1 gene cluster associated with higher levels of pro-inflammatory cytokines. All other IL-1 genotypes were termed IL-1(-).

resultsAmong IL-1(+) patients, the highest quartile of OxPL/apoB was significantly associated with a higher risk for CAD compared with the lowest quartile (odds ratio [OR]: 2.84; p = 0.001). This effect was accentuated in patients age ≤60 years (OR: 7.03; p < 0.001). In IL-1(-) patients, OxPL/apoB levels showed no association with CAD. The interaction was significant for OxPL/apoB (OR: 1.99; p = 0.004) and Lp(a) (OR: 1.96; p < 0.001) in the IL-1(+) group versus the IL-1(-) group in patients age ≤60 years but not in those age >60 years. In IL-1(+) patients age ≤60 years, after adjustment for established risk factors, high-sensitivity C-reactive protein, and Lp(a), OxPL/apoB remained an independent predictor of CAD. IL-1(+) patients above the median OxPL/apoB presented to the cardiac catheterization laboratory a mean of 3.9 years earlier (p = 0.002) and had worse 4-year event-free survival (death, myocardial infarction, stroke, and need for revascularization) compared with other groups (p = 0.006).

conclusionsOur study suggests that IL-1 genotype status can stratify population risk for CAD and cardiovascular events mediated by OxPL. These data suggest a clinically relevant biological link between pro-inflammatory IL-1 genotype, oxidation of phospholipids, Lp(a), and genetic predisposition to CAD and cardiovascular events.

Indexed as

Polymorphism, Single NucleotideCoronary Artery DiseaseDisease-Free SurvivalDNAFemaleFollow-Up StudiesGenotypeHumansIncidenceInflammationInterleukin-1Lipoprotein(a)MaleMiddle AgedOxidation-ReductionPhospholipidsDNAInterleukin-1Lipoprotein(a)Phospholipidsatherosclerosisgenetic risk stratificationhaplotypeIL-1inflammationlipoprotein(a)lipoproteinsoxidationoxidized phospholipidspolymorphism

Identifiers

PMID24530664
PMCPMC4008715
OpenAlexW2095128549

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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.