Evidence map›Paper›PMID 26062773›Full record

ArticleHeart and vessels2016

Clopidogrel significantly lowers the development of atherosclerosis in ApoE-deficient mice in vivo.

Christian Heim, Julia Gebhardt, Martina Ramsperger-Gleixner, Johannes Jacobi, Michael Weyand, Stephan M Ensminger

Abstract read
PubMed Publisher
In one paragraph

Article in Heart and vessels, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. Article
  3. Toxicity and efficacy study of a combination of two retinoic acids in an ApoE knockout mouse model of atherosclerosis.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025
    Article
  4. Article
  5. The Signaling Pathway of the ADP Receptor P2YInternational journal of molecular sciences · 2023
    Review
  6. Review
  7. Pleiotropic effects of clopidogrel.Purinergic signalling · 2022
    Review
  8. PScientific reports · 2021
    Article
  9. Review
  10. P2YInternational journal of molecular sciences · 2020
    Review
  11. Article
  12. Article
  13. Platelets Are at the Nexus of Vascular Diseases.Frontiers in cardiovascular medicine · 2019
    Review
  14. Article
  15. The role of P2YCellular and molecular life sciences : CMLS · 2019
    Review
  16. CalDAG-GEFI Deficiency Reduces Atherosclerotic Lesion Development in Mice.Arteriosclerosis, thrombosis, and vascular biology · 2016
    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

6 authors at 2 institutions in 1 country.

Christian HeimDepartment of Cardiac Surgery, Friedrich-Alexander University, Erlangen-Nürnberg, Germany. christian.heim@uk-erlangen.de.
Julia GebhardtDepartment of Cardiac Surgery, Friedrich-Alexander University, Erlangen-Nürnberg, Germany.
Martina Ramsperger-GleixnerDepartment of Cardiac Surgery, Friedrich-Alexander University, Erlangen-Nürnberg, Germany.
Johannes JacobiDepartment of Nephrology, Friedrich-Alexander University, Erlangen-Nürnberg, Germany.
Michael WeyandDepartment of Cardiac Surgery, Friedrich-Alexander University, Erlangen-Nürnberg, Germany.
Stephan M EnsmingerDepartment of Cardiac Surgery, Friedrich-Alexander University, Erlangen-Nürnberg, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DERuhr University Bochum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The anti-platelet drug clopidogrel has been shown to modulate adhesion molecule and cytokine expression, both playing an important role in the pathogenesis of atherosclerosis. The aim of this study was to investigate the impact of clopidogrel on the development and progression of atherosclerosis. ApoE(-/-) mice fed an atherogenic diet (cholesterol: 1 %) for 6 months received a daily dose of clopidogrel (1 mg/kg) by i.p. injection. Anti-platelet treatment was started immediately in one experimental group, and in another group clopidogrel was started 2 month after beginning of the atherogenic diet. Blood was analysed at days 30, 60 and 120 to monitor the lipid profile. After 6 months the aortic arch and brachiocephalic artery were analysed by Sudan IV staining for plaque size and by morphometry for luminal occlusion. Serum levels of various adhesion molecules were investigated by ELISA and the cellular infiltrate was analysed by immunofluorescence. After daily treatment with 1 mg/kg clopidogrel mice showed a significant reduction of atherosclerotic lesions in the thoracic aorta and within cross sections of the aortic arch [plaque formation 55.2 % (clopidogrel/start) vs. 76.5 % (untreated control) n = 8, P < 0.05]. After treatment with clopidogrel P-/E-selectin levels and cytokine levels of MCP-1 and PDGFβ were significantly reduced as compared to controls. The cellular infiltrate showed significantly reduced macrophage and T-cell infiltration in clopidogrel-treated animals. These results show that clopidogrel can effectively delay the development and progression of 'de-novo' atherosclerosis. However, once atherosclerotic lesions were already present, anti-platelet treatment alone did not result in reverse remodelling of these lesions.

Indexed as

AnimalsAorta, ThoracicAortic DiseasesApolipoproteins EAtherosclerosisBiomarkersChemokine CCL2ClopidogrelDisease Models, AnimalDisease ProgressionE-SelectinGene Expression RegulationGenetic Predisposition to DiseaseLipidsLymphokinesMice, Inbred C57BLApolipoproteins EBiomarkersCcl2 protein, mouseChemokine CCL2ClopidogrelE-SelectinLipidsLymphokinesPdgfd protein, mousePlatelet Aggregation InhibitorsPlatelet-Derived Growth FactorP-SelectinRNA, MessengerTiclopidineAtherosclerosisClopidogrelPlatelets

Identifiers

PMID26062773
OpenAlexW628287171

What OpenQuestion holds

Textmetadata
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.