Evidence map›Paper›PMID 26252367›Full record

ArticleAmerican journal of respiratory and critical care medicine2015

Endothelin-1 Pathway Polymorphisms and Outcomes in Pulmonary Arterial Hypertension.

Raymond L Benza, Mardi Gomberg-Maitland, Teresa Demarco, Adaani E Frost, Adam Torbicki, David Langleben, Tomas Pulido, Priscilla Correa-Jaque, Michael J Passineau, Howard W Wiener and 4 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Variation inCirculation research · 2026
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  16. Vascular pathobiology of pulmonary hypertension.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Review
  17. Article
  18. Association Between Circulating CD4Journal of cardiovascular translational research · 2023
    Article
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 10 institutions in 9 countries.

Raymond L Benza1 Division of Cardiovascular Disease, Department of Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Mardi Gomberg-Maitland2 Division of Cardiovascular Disease, Department of Medicine, University of Chicago, Chicago, Illinois.
Teresa Demarco3 Division of Cardiovascular Disease, Department of Medicine, University of California San Francisco, San Francisco, California.
Adaani E Frost4 Baylor College of Medicine, Houston, Texas.
Adam Torbicki5 Department of Pulmonary Circulation and Thromboembolic Diseases, Centre of Postgraduate Medical Education, ECZ, Otwock, Poland.
David Langleben6 Department of Medicine, Sir Mortimer B. Davis Jewish General Hospital, McGill University, Montreal, Canada.
Tomas Pulido7 Cardiopulmonary Department, National Heart Institute, Mexico City, Mexico.
Priscilla Correa-Jaque1 Division of Cardiovascular Disease, Department of Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Michael J Passineau1 Division of Cardiovascular Disease, Department of Medicine, Allegheny General Hospital, Pittsburgh, Pennsylvania.
Howard W Wiener8 Department of Epidemiology and.
Mayumi Tamari9 Institute of Physical and Chemical Research (RIKEN), Center for Integrative Medical Sciences, Yokohama, Japan.
Tomomitsu Hirota9 Institute of Physical and Chemical Research (RIKEN), Center for Integrative Medical Sciences, Yokohama, Japan.
Michiaki Kubo9 Institute of Physical and Chemical Research (RIKEN), Center for Integrative Medical Sciences, Yokohama, Japan.
Hemant K Tiwari10 Department of Biostatistics, University of Alabama at Birmingham, Birmingham, Alabama; and.
Allegheny General Hospital · USRIKEN · JPBaylor College of Medicine · USInstitute of Plasma Physics and Laser Microfusion · PLJewish General Hospital · CANational Institute of Epidemiology · INNew Mexico Heart Institute · USUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Illinois Chicago · US

Funding

NHLBI NIH HHS 5R01HL478946
6 · The paper itself

Abstract

rationalePulmonary arterial hypertension (PAH) is a progressive fatal disease. Variable response and tolerability to PAH therapeutics suggests that genetic differences may influence outcomes. The endothelin pathway is central to pulmonary vascular function, and several polymorphisms and/or mutations in the genes coding for endothelin (ET)-1 and its receptors correlate with the clinical manifestations of other diseases.

objectivesTo examine the interaction of ET-1 pathway polymorphisms and treatment responses of patients with PAH treated with ET receptor antagonists (ERAs).

methodsA total of 1,198 patients with PAH were prospectively enrolled from 45 U.S. and Canadian pulmonary hypertension centers or retrospectively from global sites participating in the STRIDE (Sitaxsentan To Relieve Impaired Exercise) trials. Comprehensive objective measures including a 6-minute-walk test, Borg dyspnea score, functional class, and laboratory studies were completed at baseline, before the initiation of ERAs, and repeated serially. Single-nucleotide polymorphisms from ET-1 pathway candidate genes were selected from a completed genome-wide association study performed on the study cohort. MEASUREMENTS AND MAIN

resultsPatient efficacy outcomes were analyzed for a relationship between ET-1 pathway polymorphisms and clinical efficacy using predefined, composite positive and negative outcome measures in 715 European descent samples. A single-nucleotide polymorphism (rs11157866) in the G-protein alpha and gamma subunits gene was significantly associated, accounting for multiple testing, with a combined improvement in functional class and 6-minute-walk distance at 12 and 18 months and marginally significant at 24 months.

conclusionsET-1 pathway associated polymorphisms may influence the clinical efficacy of ERA therapy for PAH. Further prospective studies are needed.

Indexed as

Antihypertensive AgentsEndothelin-1Endothelin Receptor AntagonistsExercise TestExercise ToleranceFemaleFollow-Up StudiesGenome-Wide Association StudyHumansHypertension, PulmonaryMaleMiddle AgedPolymorphism, Single NucleotideProspective StudiesRetrospective StudiesTreatment OutcomeAntihypertensive AgentsEndothelin-1Endothelin Receptor Antagonistsendothelin receptor antagonistspharmacogeneticspolymorphismspulmonary arterial hypertension

Identifiers

PMID26252367
PMCPMC4731699
OpenAlexW2184246313

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.