Evidence map›Paper›PMID 26788996›Full record

ArticleJournal of vascular research2015

Prevention of Venous Neointimal Hyperplasia by a Multitarget Receptor Tyrosine Kinase Inhibitor.

Sun Hyung Kwon, Li Li, Yuxia He, Chieh Sheng Tey, Huan Li, Ilya Zhuplatov, Seung-Jung Kim, Christi M Terry, Donald K Blumenthal, Yan-Ting Shiu and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of vascular research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Reduced Expression of Glutathione S-TransferaseJournal of the American Society of Nephrology : JASN · 2018
    Article
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 2 institutions in 2 countries.

Sun Hyung Kwon *Department of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, U.S.A.
Li Li *Division of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Yuxia HeDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Chieh Sheng TeyDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Huan LiDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Ilya ZhuplatovDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Seung-Jung KimSchool of Medicine, Division of Nephrology, Ewha Womans University, Seoul, South Korea.
Christi M TerryDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Donald K BlumenthalDepartment of Pharmacology and Toxicology, University of Utah, Salt Lake City, Utah, U.S.A.
Yan-Ting ShiuDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
Alfred K CheungDivision of Nephrology & Hypertension, Department of Medicine, University of Utah, Salt Lake City, Utah, U.S.A.
University of Utah · USEwha Womans University · KR

Funding

PREVENTION OF HEMODIALYSIS VASCULAR ACCESS STENOSISR01HL067646 · NHLBI · UNIVERSITY OF UTAH · PI CHEUNG, ALFRED K · 2002 to 2010
$8.0M
Hemodynamics and Vascular Wall Biology Determine Arteriovenous Fistula MaturationR01DK088777 · NIDDK · UNIVERSITY OF UTAH · PI BERCELI, SCOTT A, CHEUNG, ALFRED K · 2011 to 2014
$2.6M
Mechanotransduction in Neointimal Hyperplasia Formation in Arteriovenous GraftsR01DK100505 · NIDDK · UNIVERSITY OF UTAH · PI SHIU, YAN-TING E. · 2014 to 2017
$1.3M
NHLBI NIH HHS R01 HL067646NHLBI NIH HHS R01HL67646NIDDK NIH HHS R01 DK088777NIDDK NIH HHS R01 DK100505NIDDK NIH HHS R01DK100505
6 · The paper itself

Abstract

BACKGROUND/

aimsVenous neointimal hyperplasia (NH) is the predominant cause of stenosis in hemodialysis arteriovenous grafts (AVG), but there is currently no clinically used therapy to prevent NH.

methodsA porcine AVG model was used to identify potential pharmacological targets to prevent NH. Sunitinib, a broad-spectrum tyrosine kinase inhibitor, was examined as a potential anti-NH drug utilizing in vitro and ex vivo models.

resultsIn an in vivo porcine model, PDGF, VEGF and their receptors PDGFR-α and VEGFR-2 were upregulated at the venous anastomosis within 2 weeks after AVG placement, with NH development by 4 weeks. Sunitinib inhibited PDGF-stimulated proliferation, migration, phosphorylation of MAPK and PI3K/Akt proteins and changes in the expression of cell-cycle regulatory proteins in vascular smooth-muscle cells as well as VEGF-stimulated endothelial cell proliferation in vitro. In an ex vivo model, significant NH was observed in porcine vein segments perfused for 12 days under pathological shear stress. Sunitinib (100 nM) inhibited NH formation, with the intima-to-lumen area ratio decreasing from 0.45 ± 0.25 to 0.04 ± 0.02 (p < 0.05) with treatment.

conclusionThese findings demonstrate sunitinib to be a potential NH-preventive drug as well as the utility of an ex vivo model to investigate pharmacotherapies under pathophysiological flow conditions.

Indexed as

NeointimaAnimalsArteriovenous Shunt, SurgicalBecaplerminBlood Vessel Prosthesis ImplantationCarotid Artery, CommonCell Cycle ProteinsCell MovementCell ProliferationCells, CulturedDisease Models, AnimalDose-Response Relationship, DrugEndothelial CellsFemaleGraft Occlusion, VascularHumansBecaplerminCell Cycle ProteinsIndolesProtein Kinase InhibitorsProto-Oncogene Proteins c-sisPyrrolesReceptors, Platelet-Derived Growth FactorReceptors, Vascular Endothelial Growth FactorSunitinibVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID26788996
PMCPMC4761319
OpenAlexW2304049513

What OpenQuestion holds

Textmetadata
LicenceTDM
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.