Evidence map›Paper›PMID 26165482›Full record

ArticleThe Annals of thoracic surgery2015

Interleukin-6 Receptor Inhibition Prevents Descending Thoracic Aortic Aneurysm Formation.

Nicolas H Pope, Morgan Salmon, William F Johnston, Guanyi Lu, Christine L Lau, Gilbert R Upchurch, Gorav Ailawadi

Open access · greenAbstract read
In one paragraph

Article in The Annals of thoracic surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

34 citing papers in PubMed, 47 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

7 authors at 1 institution in 1 country.

Nicolas H PopeDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
Morgan SalmonDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
William F JohnstonDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
Guanyi LuDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
Christine L LauDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
Gilbert R UpchurchDepartment of Surgery, University of Virginia, Charlottesville, Virginia.
Gorav AilawadiDepartment of Surgery, University of Virginia, Charlottesville, Virginia. Electronic address: ga3f@hscmail.mcc.virginia.edu.
University of Virginia · US

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Gender Differences in Experimental Aortic AneurysmsR01HL081629 · NHLBI · UNIVERSITY OF VIRGINIA · PI UPCHURCH, GILBERT RIVERS · 2007 to 2017
$4.1M
The Role of IL-1R1 in cell transitions in Aortic Aneurysm PathogenesisR01HL126668 · NHLBI · UNIVERSITY OF VIRGINIA · PI AILAWADI, GORAV · 2015 to 2019
$2.4M
The Effects of KLF4 in experimental aortic aneurysm formationK08HL098560 · NHLBI · UNIVERSITY OF VIRGINIA · PI AILAWADI, GORAV · 2010 to 2014
$656k
NHLBI NIH HHS K08 HL098560NHLBI NIH HHS KO8 HL098560NHLBI NIH HHS R01 HL081629NHLBI NIH HHS R01 HL126668NHLBI NIH HHS T32 HL007849NHLBI NIH HHS T32HL007849
6 · The paper itself

Abstract

backgroundThoracic aortic aneurysms (TAA) and abdominal aortic aneurysms (AAA) represent related but distinct disease processes. Interleukin-6 (IL-6) is known to be significantly upregulated in human TAA and AAA. We hypothesize that loss of IL-6 is protective in experimental TAA and AAA.

methodsMurine TAAs or AAAs were created using a novel model in C57/B6 mice by treating the intact aorta with elastase. Cytokine profiles were analyzed with antibody arrays (n = 5 per group). Separately, to determine the role of IL-6, thoracic (n = 7) or abdominal (n = 7) aortas of wild type mice and IL-6 knockout (KO) mice were treated with elastase. Additionally, thoracic animals treated with either the IL-6 receptor antagonist tocilizumab (n = 8) or vehicle (n = 5). Finally, human TAA and AAA were analyzed with human cytokine array.

resultsElastase treatment of thoracic aortas yielded dilation of 86.8% ± 9.6%, and abdominal aortas produced dilation of 85.6% ± 16.2%. Murine IL-6, CXCL13, and matrix metalloproteinase-9 were significantly elevated in TAA compared with AAA (p = 0.004, 0.028, and 0.001, respectively). The IL-6KO mice demonstrated significantly smaller TAA size relative to wild type mice (wild type 100.1% versus IL-6KO 76.5%, p = 0.04). The IL-6KO mice did not show protection from AAA (p = 0.732). Pharmacologic inhibition of IL-6 resulted in significant reduction in TAA size (tocilizumab 71.5% ± 13.2% versus vehicle 103.6% ± 20.7%, p = 0.005). Human TAA showed significantly greater IL-6 (p < 0.0001) compared with AAA and normal thoracic and abdominal aorta.

conclusionsInterleukin-6 is significantly greater in both murine and human TAA compared with AAA, suggesting fundamental differences in these disease processes. Interleukin-6 receptor antagonism attenuates experimental TAA formation, indicating that IL-6 may be a potential target for human thoracic aneurysmal disease.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedAorta, ThoracicAortic Aneurysm, ThoracicDisease Models, AnimalHumansImmunohistochemistryMaleMiceMice, Inbred C57BLReceptors, Interleukin-6Treatment OutcomeAntibodies, Monoclonal, HumanizedReceptors, Interleukin-6tocilizumab

Identifiers

PMID26165482
PMCPMC11420933
OpenAlexW841601192

What OpenQuestion holds

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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.