Evidence map›Paper›PMID 26244503›Full record

ArticlePloS one2015

Iron Stores, Hepcidin, and Aortic Stiffness in Individuals with Hypertension.

Luca Valenti, Alessandro Maloberti, Stefano Signorini, Marta Milano, Francesca Cesana, Fabrizio Cappellini, Paola Dongiovanni, Marianna Porzio, Francesco Soriano, Maura Brambilla and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 36 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

14 authors at 2 institutions in 1 country.

Luca ValentiInternal Medicine and Metabolic Diseases, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Università degli Studi di Milano, Milan, Italy.
Alessandro MalobertiCardiology IV, De Gasperi Department, Niguarda Ca' Granda Hospital, and Medicine Department, Università Milano Bicocca, Milan, Italy.
Stefano SignoriniLaboratory Medicine, Desio Hospital, Università Milano Bicocca, Milan, Italy.
Marta MilanoInternal Medicine and Metabolic Diseases, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Università degli Studi di Milano, Milan, Italy.
Francesca CesanaCardiology IV, De Gasperi Department, Niguarda Ca' Granda Hospital, and Medicine Department, Università Milano Bicocca, Milan, Italy.
Fabrizio CappelliniLaboratory Medicine, Desio Hospital, Università Milano Bicocca, Milan, Italy.
Paola DongiovanniInternal Medicine and Metabolic Diseases, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Università degli Studi di Milano, Milan, Italy.
Marianna PorzioInternal Medicine and Metabolic Diseases, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Università degli Studi di Milano, Milan, Italy.
Francesco SorianoCardiology IV, De Gasperi Department, Niguarda Ca' Granda Hospital, and Medicine Department, Università Milano Bicocca, Milan, Italy.
Maura BrambillaLaboratory Medicine, Desio Hospital, Università Milano Bicocca, Milan, Italy.
Giancarlo CesanaGeneral Direction, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Research Centre on Public Health, University Milano Bicocca, Milan, Italy.
Paolo BrambillaLaboratory Medicine, Desio Hospital, Università Milano Bicocca, Milan, Italy.
Cristina GiannattasioCardiology IV, De Gasperi Department, Niguarda Ca' Granda Hospital, and Medicine Department, Università Milano Bicocca, Milan, Italy.
Silvia FargionInternal Medicine and Metabolic Diseases, Fondazione IRCCS Ca' Granda Ospedale Policlinico, Università degli Studi di Milano, Milan, Italy.
University of Milano-Bicocca · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsIron accumulation within the arterial wall has been hypothesized to promote atherosclerosis progression. Aim of this study was to evaluate whether the hormone hepcidin and iron stores are associated with arterial stiffness in subjects with essential hypertension.

methodsCirculating hepcidin, ferritin, and mutations in the hemochromatosis gene were compared between subjects included in the first vs. third tertile (n=284 each) of carotid-femoral pulse wave velocity (PWV) in an unselected cohort of patients with arterial hypertension.

resultsAt univariate logistic regression analysis, high PWV was associated with higher ferritin levels (p=0.010), but lower hepcidin (p=0.045), and hepcidin ferritin/ratio (p<0.001). Hemochromatosis mutations predisposing to iron overload were associated with high PWV (p=0.025). At multivariate logistic regression analysis, high aortic stiffness was associated with older age, male sex, lower BMI, higher systolic blood pressure and heart rate, hyperferritinemia (OR 2.05, 95% c.i. 1.11-3.17 per log ng/ml; p=0.022), and lower circulating hepcidin concentration (OR 0.29, 95% c.i. 0.16-0.51 per log ng/ml; p<0.001). In subgroup analyses, high PWV was associated with indices of target organ damage, including micro-albuminuria (n=125, p=0.038), lower ejection fraction (n=175, p=0.031), cardiac diastolic dysfunction (p=0.004), and lower S wave peak systolic velocity (p<0.001). Ferritin was associated with cardiac diastolic dysfunction, independently of confounders (p=0.006).

conclusionsIn conclusion, hyperferritinemia is associated with high aortic stiffness and cardiac diastolic dysfunction, while low circulating hepcidin with high aortic stiffness.

Indexed as

Vascular StiffnessAdultAgedAortaEssential HypertensionFemaleFerritinsHepcidinsHumansHypertensionIronMaleMiddle AgedPulse Wave AnalysisFerritinsHepcidinsIron

Identifiers

PMID26244503
PMCPMC4526526
OpenAlexW1846851754

What OpenQuestion holds

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LicenceCC BY
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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.