Evidence map›Paper›PMID 24803739›Full record

ArticleMediators of inflammation2014

Inhibiting C-reactive protein for the treatment of cardiovascular disease: promising evidence from rodent models.

Alexander J Szalai, Mark A McCrory, Dongqi Xing, Fadi G Hage, Andrew Miller, Suzanne Oparil, Yiu-Fai Chen, Michelle Mazzone, Richard Early, Scott P Henry and 3 more

Abstract read
In one paragraph

Article in Mediators of inflammation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Review
  2. C-reactive protein promotes diabetic kidney disease via Smad3-mediated NLRP3 inflammasome activation.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Role of C-Reactive Protein in Kidney Diseases.Kidney diseases (Basel, Switzerland) · 2023
    Review
  7. Review
  8. [CRP apheresis in acute myocardial infarction and COVID-19].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Therapeutic Lowering of C-Reactive Protein.Frontiers in immunology · 2020
    Review
  17. Review
  18. Article
  19. Review
  20. 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

13 authors.

Alexander J SzalaiDivision of Clinical Immunology and Rheumatology, Department of Medicine, The University of Alabama at Birmingham, 1825 University Boulevard, SHEL 214, Birmingham, Al 35294-2182, USA.
Mark A McCroryDivision of Clinical Immunology and Rheumatology, Department of Medicine, The University of Alabama at Birmingham, 1825 University Boulevard, SHEL 214, Birmingham, Al 35294-2182, USA.
Dongqi XingDivision of Cardiovascular Disease, The University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Fadi G HageDivision of Cardiovascular Disease, The University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Andrew MillerDivision of Cardiovascular Disease, The University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Suzanne OparilDivision of Cardiovascular Disease, The University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Yiu-Fai ChenDivision of Cardiovascular Disease, The University of Alabama at Birmingham, Birmingham, AL 35294-0006, USA.
Michelle MazzoneCharles River Laboratories, Sparks, NV 89431, USA.
Richard EarlyCharles River Laboratories, Sparks, NV 89431, USA.
Scott P HenryIsis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92008, USA.
Thomas A ZanardiIsis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92008, USA.
Mark J GrahamIsis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92008, USA.
Rosanne M CrookeIsis Pharmaceuticals, 2855 Gazelle Court, Carlsbad, CA 92008, USA.

Funding

C-reactive protein in acute kidney injuryR01DK099092 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SZALAI, ALEXANDER J · 2014 to 2017
$1.3M
NIDDK NIH HHS R01 DK099092
6 · The paper itself

Abstract

Raised blood C-reactive protein (CRP) level is a predictor of cardiovascular events, but whether blood CRP is causal in the disease process is unknown. The latter would best be defined by pharmacological inhibition of the protein in the context of a randomized case-control study. However, no CRP specific drug is currently available so such a prospective study cannot be performed. Blood CRP is synthesized primarily in the liver and the liver is an organ where antisense oligonucleotide (ASO) drugs accumulate. Taking advantage of this we evaluated the efficacy of CRP specific ASOs in rodents with experimentally induced cardiovascular damage. Treating rats for 4 weeks with a rat CRP-specific ASO achieved >60% reduction of blood CRP. Notably, this effect was associated with improved heart function and pathology following myocardial infarction (induced by ligation of the left anterior descending artery). Likewise in human CRP transgenic mice treated for 2 weeks with a human CRP-specific ASO, blood human CRP was reduced by >70% and carotid artery patency was improved (2 weeks after surgical ligation). CRP specific ASOs might pave the way towards a placebo-controlled trial that could clarify the role of CRP in cardiovascular disease.

Indexed as

AnimalsCardiovascular DiseasesC-Reactive ProteinEchocardiographyFemaleMaleMiceMyocardial InfarctionOligonucleotides, AntisenseRatsRats, Sprague-DawleyC-Reactive ProteinOligonucleotides, Antisense

Identifiers

PMID24803739
PMCPMC3996300

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LicenceCC BY
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Registered trials

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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.