Evidence map›Paper›PMID 26140943›Full record

Trial reportAnnals of vascular surgery2015

Investigating the Effect of a Single Infusion of Reconstituted High-Density Lipoprotein in Patients with Symptomatic Carotid Plaques.

Hosaam Nasr, Evelyn Torsney, Robin N Poston, Lawrence Hayes, David C Gaze, Russell Basser, Matthew M Thompson, Ian M Loftus, Gillian W Cockerill

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of vascular surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Hosaam NasrCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK. Electronic address: hosaamnasr@aol.com.
Evelyn TorsneyCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK.
Robin N PostonQueen Mary University of London, London, UK.
Lawrence HayesCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK.
David C GazeCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK.
Russell BasserCSL-Bioplasma Ltd, Melbourne, VIC, Australia.
Matthew M ThompsonCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK.
Ian M LoftusCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK.
Gillian W CockerillCentre for Cardiovascular Sciences, Division of Clinical Sciences, St George's University of London, London, UK.
St George's, University of London · GBQueen Mary University of London · GB

Funding

British Heart Foundation PG/10/001/28098
6 · The paper itself

Abstract

backgroundElevation of plasma high-density lipoprotein (HDL) cholesterol concentration reduces cardiovascular mortality and morbidity. HDLs have been shown to possess acute anti-inflammatory, antioxidant, and antithrombotic properties. We hypothesize that HDL therapy can acutely alter local and systemic manifestations of plaque instability.

methodsForty patients with early symptomatic carotid disease were randomized to either receive reconstituted HDL (rHDL) 40 mg/kg (n = 20) or placebo (n = 20). Carotid endarterectomies were performed 24 hr later. Plaques were obtained intraoperatively and used for measurement of thrombomodulatory genes expression. Plasma samples were collected before the infusion, 24 and 48 hr later to measure changes in systemic markers of plaque instability.

resultsNo significant differences were noted in thrombomodulatory genes expression between the 2 groups. Systemic levels of tissue factor, matrix metalloproteinase 9 (MMP-9), and monocyte chemotactic factor-1 (MCP-1) were significantly reduced in the rHDL group. However, the effects on MMP-9 and MCP-1 were abolished in the immediate postoperative period. Although rHDL did not affect plasma interleukin-6 levels 24 hr following the infusion, it prevented the significant postoperative elevation seen in the placebo group.

conclusionsA single infusion of rHDL can acutely alter plasma biomarkers associated with plaque instability and cardiovascular morbidity.

Indexed as

Endarterectomy, CarotidPlaque, AtheroscleroticAgedAged, 80 and overBiomarkersCarotid Artery, InternalCarotid StenosisFemaleGene Expression RegulationHumansInflammation MediatorsInfusions, IntravenousLipoproteins, HDLLondonMaleMiddle AgedBiomarkersInflammation MediatorsLipoproteins, HDL

Identifiers

PMID26140943
PMCPMC6419536
OpenAlexW1694509661

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.