Evidence map›Paper›PMID 26406236›Full record

ArticlePloS one2015

Hemodynamic Effects of the Non-Peptidic Angiotensin-(1-7) Agonist AVE0991 in Liver Cirrhosis.

Sabine Klein, Chandana B Herath, Robert Schierwagen, Josephine Grace, Tom Haltenhof, Frank E Uschner, Christian P Strassburg, Tilman Sauerbruch, Thomas Walther, Peter W Angus and 1 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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
  2. The Renin-Angiotensin System in Liver Disease.International journal of molecular sciences · 2024
    Review
  3. Review
  4. Article
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  9. Article
  10. Article
  11. Review
  12. Advances in therapeutic options for portal hypertension.Therapeutic advances in gastroenterology · 2018
    Review
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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

11 authors at 5 institutions in 3 countries.

Sabine KleinDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
Chandana B HerathDepartment of Medicine, University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Robert SchierwagenDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
Josephine GraceDepartment of Medicine, University of Melbourne, Austin Health, Heidelberg, Victoria, Australia.
Tom HaltenhofDepartment of Obstetrics, Centre for Perinatal Medicine, Division of Women and Child Health, University of Leipzig, Leipzig, Germany.
Frank E UschnerDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
Christian P StrassburgDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
Tilman SauerbruchDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
Thomas WaltherDepartment of Obstetrics, Centre for Perinatal Medicine, Division of Women and Child Health, University of Leipzig, Leipzig, Germany; Department of Pharmacology and Therapeutics, University College Cork, Cork, Ireland.
Peter W AngusDepartment of Gastronenterology and Hepatology, Austin Health, Heidelberg, Victoria, Australia.
Jonel TrebickaDepartment of Internal Medicine I, University of Bonn, Bonn, Germany.
University of Bonn · DEAustin Health · AULeipzig University · DEUniversity College Cork · IEUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsAlthough in cirrhosis with portal hypertension levels of the vasoconstrictor angiotensin II are increased, this is accompanied by increased production of angiotensin (Ang)-(1-7), the endogenous ligand of the Mas receptor (MasR), which blunts hepatic fibrosis and decreases hepatic vascular resistance. Therefore, we investigated the effects of the non-peptidic Ang-(1-7) agonist, AVE0991, in experimental cirrhosis.

methodsCirrhosis was induced by bile duct ligation (BDL) or carbon tetrachloride (CCl4) intoxication. The coloured microsphere technique assessed portal and systemic hemodynamic effects of AVE0991 in vivo. Hepatic expression of eNOS, p-eNOS, iNOS, JAK2, ROCK and p-Moesin were analyzed by western blots. Activities of ACE and ACE2 were investigated fluorometrically. Moreover, fibrosis was assessed in BDL rats receiving AVE0991.

resultsIn vivo, AVE0991 decreased portal pressure (PP) in both rat models of cirrhosis. Importantly, systemic effects were not observed. The hepatic effects of AVE0991 were based on upregulation of vasodilating pathways involving p-eNOS and iNOS, as well as by downregulation of the vasoconstrictive pathways (ROCK, p-Moesin). Short-term treatment with AVE0991 decreased the activity of ACE2, long-term treatment did not affect hepatic fibrosis in BDL rats.

conclusionsThe non-peptidic agonist of Ang-(1-7), AVE0991, decreases portal pressure without influencing systemic pressure. Thus, although it does not inhibit fibrosis, AVE0991 may represent a promising new therapeutic strategy for lowering portal pressure.

Indexed as

AnimalsDisease Models, AnimalGene Expression RegulationHumansImidazolesLiver Cirrhosis, ExperimentalPeptidyl-Dipeptidase APortal PressureProto-Oncogene MasRatsRats, Sprague-DawleyVascular ResistanceAVE 0991ImidazolesMAS1 protein, humanPeptidyl-Dipeptidase AProto-Oncogene Mas

Identifiers

PMID26406236
PMCPMC4583473
OpenAlexW2210812545

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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.