Evidence map›Paper›PMID 26054584›Full record

ArticleJournal of vascular surgery2016

Systemic inflammation as a predictor of clinical outcomes after lower extremity angioplasty/stenting.

Kenneth DeSart, Kerri O'Malley, Bradley Schmit, Maria-Cecilia Lopez, Lyle Moldawer, Henry Baker, Scott Berceli, Peter Nelson

Abstract read
In one paragraph

Article in Journal of vascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Anti-phosphorylcholine IgM, an Anti-inflammatory Mediator, Predicts Peripheral Vein Graft Failure: A Prospective Observational Study.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2019
    Observational
  8. Review
  9. 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

8 authors at 4 institutions in 1 country.

Kenneth DeSartDepartment of Surgery, University of Florida College of Medicine, Gainesville, Fla.
Kerri O'MalleyDepartment of Surgery, University of Florida College of Medicine, Gainesville, Fla.
Bradley SchmitDepartment of Surgery, University of Florida College of Medicine, Gainesville, Fla.
Maria-Cecilia LopezDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, Fla.
Lyle MoldawerDepartment of Surgery, University of Florida College of Medicine, Gainesville, Fla.
Henry BakerDepartment of Molecular Genetics and Microbiology, University of Florida College of Medicine, Gainesville, Fla.
Scott BerceliDepartment of Surgery, University of Florida College of Medicine, Gainesville, Fla; Malcom Randall VA Medical Center, Gainesville, Fla.
Peter NelsonDivision of Vascular and Endovascular Surgery, University of South Florida Morsani College of Medicine, Tampa, Fla; James A. Haley VA Medical Center, Tampa, Fla. Electronic address: pnelson1@health.usf.edu.
Florida College · USUniversity of Florida · USMalcom Randall VA Medical Center · USUniversity of South Florida · US

Funding

Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Genomic and Proteomic Determinants of Lower Extremity Revascularization FailureK23HL084090 · NHLBI · UNIVERSITY OF FLORIDA · PI NELSON, PETER R · 2006 to 2010
$754k
NHLBI NIH HHS K23 HL084090NIGMS NIH HHS T32 GM008721
6 · The paper itself

Abstract

objectiveThe activation state of the systemic inflammatory milieu has been proposed as a critical regulator of vascular repair after injury. We evaluated the early inflammatory response after endovascular intervention for symptomatic peripheral arterial disease to determine its association with clinical success or failure.

methodsBlood samples were obtained from 14 patients undergoing lower extremity angioplasty/stenting and analyzed using high-throughput gene arrays, multiplex serum protein analyses, and flow cytometry.

resultsTime-dependent plasma protein and monocyte phenotype analyses demonstrated endovascular revascularization had a modest influence on the overall activation state of the systemic inflammatory system, with baseline variability exceeding the perturbations induced by the intervention. In contrast, specific time-dependent changes in the monocyte genome are evident in the initial 28 days, predominately in those genes associated with leukocyte extravasation. Investigating the relationship between inflammation and the 1-year success or failure of the intervention showed no single plasma protein was correlated with outcome, but a more comprehensive cluster analysis revealed a clear pattern of protein expression that was closely related to the clinical phenotype. Corresponding examination of the monocyte genome identified a gene subset at 1 day postprocedure that was predictive of clinical outcome, with most of these genes active in cell-cycle signaling.

conclusionsAlthough the global influence of angioplasty/stenting on systemic inflammation was modest, circulating cytokine and monocyte genome analyses support a pattern of early inflammation that is associated with ultimate intervention success vs failure. Molecular profiles incorporating genes involved in monocyte cell-cycle progression and homing, or proinflammatory cytokines, or both, offer the most promise for the development of class prediction tools for clinical application.

Indexed as

StentsAgedAngioplasty, BalloonCase-Control StudiesFemaleGene Expression ProfilingGene Expression RegulationGene Regulatory NetworksGenetic MarkersHumansInflammationInflammation MediatorsLower ExtremityMaleMiddle AgedMonocytesGenetic MarkersInflammation Mediators

Identifiers

PMID26054584
PMCPMC4670612
OpenAlexW612043802

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.