Evidence map›Paper›PMID 25612295›Full record

Trial reportPloS one2015

Endothelial nitric oxide synthase single nucleotide polymorphism and left ventricular function in early chronic kidney disease.

Sourabh Chand, Colin D Chue, Nicola C Edwards, James Hodson, Matthew J Simmonds, Alexander Hamilton, Stephen C L Gough, Lorraine Harper, Rick P Steeds, Jonathan N Townend and 2 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Coding Variants of theReports of biochemistry & molecular biology · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Review
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

12 authors at 4 institutions in 1 country.

Sourabh ChandDepartment of Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom; Centre for Translational Inflammation Research, University of Birmingham, Birmingham, B15 2WB, United Kingdom.
Colin D ChueDepartment of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom.
Nicola C EdwardsDepartment of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom.
James HodsonDepartment of Statistics, Wolfson Laboratory, Old Queen Elizabeth Hospital, Birmingham, B15 2TH, United Kingdom.
Matthew J SimmondsOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Churchill Hospital, Headington, Oxford, OX3 7LJ, United Kingdom.
Alexander HamiltonOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Churchill Hospital, Headington, Oxford, OX3 7LJ, United Kingdom.
Stephen C L GoughOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Churchill Hospital, Headington, Oxford, OX3 7LJ, United Kingdom; Oxford National Institute for Health Research Biomedical Research Centre, Churchill Hospital, Oxford, OX3 7LG, United Kingdom.
Lorraine HarperDepartment of Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom; Centre for Translational Inflammation Research, University of Birmingham, Birmingham, B15 2WB, United Kingdom.
Rick P SteedsDepartment of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom.
Jonathan N TownendDepartment of Cardiology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom.
Charles J FerroDepartment of Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom.
Richard BorrowsDepartment of Nephrology, Queen Elizabeth Hospital Birmingham, Birmingham, B15 2WB, United Kingdom; Centre for Translational Inflammation Research, University of Birmingham, Birmingham, B15 2WB, United Kingdom.
Queen Elizabeth Hospital Birmingham · GBUniversity of Birmingham · GBOxford Centre for Diabetes, Endocrinology and Metabolism · GBChurchill Hospital · GB

Funding

Department of Health PDF-2012-05-205
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is associated with accelerated cardiovascular disease and heart failure. Endothelial nitric oxide synthase (eNOS) Glu298Asp single nucleotide polymorphism (SNP) genotype has been associated with a worse phenotype amongst patients with established heart failure and in patients with progression of their renal disease. The association of a cardiac functional difference in non-dialysis CKD patients with no known previous heart failure, and eNOS gene variant is investigated.

methods140 non-dialysis CKD patients, who had cardiac magnetic resonance (CMR) imaging and tissue doppler echocardiography as part of two clinical trials, were genotyped for eNOS Glu298Asp SNP retrospectively.

resultsThe median estimated glomerular filtration rate (eGFR) was 50 mls/min and left ventricular ejection fraction (LVEF) was 74% with no overt diastolic dysfunction in this cohort. There were significant differences in LVEF across eNOS genotypes with GG genotype being associated with a worse LVEF compared to other genotypes (LVEF: GG 71%, TG 76%, TT 73%, p = 0.006). After multivariate analysis, (adjusting for age, eGFR, baseline mean arterial pressure, contemporary CMR heart rate, total cholesterol, high sensitive C-reactive protein, body mass index and gender) GG genotype was associated with a worse LVEF, and increased LV end-diastolic and systolic index (p = 0.004, 0.049 and 0.009 respectively).

conclusionseNOS Glu298Asp rs1799983 polymorphism in CKD patients is associated with relevant sub-clinical cardiac remodelling as detected by CMR. This gene variant may therefore represent an important genetic biomarker, and possibly highlight pathways for intervention, in these patients who are at particular risk of worsening cardiac disease as their renal dysfunction progresses.

Indexed as

Polymorphism, Single NucleotideVentricular Function, LeftAgedCholesterolC-Reactive ProteinEchocardiography, Doppler, ColorFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNitric Oxide Synthase Type IIIRadiographyRenal Insufficiency, ChronicCholesterolC-Reactive ProteinNitric Oxide Synthase Type IIINOS3 protein, human

Identifiers

PMID25612295
PMCPMC4303420
OpenAlexW2093217480

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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.