Evidence map›Paper›PMID 26798667›Full record

ArticleAorta (Stamford, Conn.)2013

Indomethacin Prevents the Progression of Thoracic Aortic Aneurysm in Marfan Syndrome Mice.

Gao Guo, Claus-Eric Ott, Johannes Grünhagen, Begoña Muñoz-García, Angelika Pletschacher, Klaus Kallenbach, Yskert von Kodolitsch, Peter N Robinson

Open access · hybridAbstract read
In one paragraph

Article in Aorta (Stamford, Conn.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Mechanisms of metabolic reprogramming in abdominal aortic aneurysm.Frontiers in cell and developmental biology · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Therapies for Thoracic Aortic Aneurysms and Acute Aortic Dissections.Arteriosclerosis, thrombosis, and vascular biology · 2019
    Review
  10. Review
  11. Review
  12. Article
  13. 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

8 authors at 5 institutions in 1 country.

Gao GuoInstitute for Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany;
Claus-Eric OttInstitute for Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany;
Johannes GrünhagenInstitute for Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany;
Begoña Muñoz-GarcíaInstitute for Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany;
Angelika PletschacherInstitute for Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany;
Klaus KallenbachDepartment of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany;
Yskert von KodolitschCentre of Cardiology and Cardiovascular Surgery, Department of Cardiology/Angiology, University Hospital, Hamburg-Eppendorf, Hamburg, Germany;
Peter N RobinsonInstitute for Medical Genetics and Human Genetics, Charité-Universitätsmedizin Berlin, Berlin, Germany; ; Max-Planck-Institute for Molecular Genetics, Berlin, Germany; ; Berlin Center for Regenerative Therapies (BCRT), Charité-Universitätsmedizin Berlin, Berlin, Germany.
Berlin Institute of Health at Charité - Universitätsmedizin Berlin · DECharité - Universitätsmedizin Berlin · DEMax Planck Institute for Molecular Genetics · DEUniversity Hospital Heidelberg · DEUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMarfan syndrome (MFS), an inherited disorder of connective tissue characterized by abnormalities in the skeletal, ocular, and cardiovascular systems, is caused by mutations in the gene for fibrillin-1 (FBN1). The high mortality in untreated patients is primarily due to aneurysm and dissection of the ascending aorta. The complex pathogenesis of MFS involves changes in transforming growth factor β (TGF-β) signaling, increased matrix metalloproteinase (MMP) expression, and fragmentation of the extracellular matrix. A number of studies have demonstrated increased counts of macrophages and T cells in the ascending aorta of persons or mouse models of MFS, but the efficacy of anti-inflammatory therapy in mouse models of MFS has not yet been assessed.

methodsFBN1 underexpressing mgR/mgR Marfan mice were treated with oral indomethacin. Treatment was begun at the age of three weeks and continued for 8 weeks, following which the aorta of wild type as well as treated and untreated mgR/mgR mice was compared.

resultsIndomethacin treatment led to a statistically significant reduction of aortic elastin degeneration and macrophage infiltration, as well as a lessening of MMP-2, MMP-9, and MMP-12 upregulation. Additionally, indomethacin decreased both cyclooxygenases 2 (COX-2) expression and activity in the aorta of mgR/mgR mice. COX-2-mediated inflammatory infiltrate contributes to the progression of aortic aneurysm in mgR/mgR mice, providing evidence that COX-2 is a relevant therapeutic target in MFS-associated aortic aneurysmal disease.

conclusionsCOX-2 mediated inflammatory infiltration plays an important role in the pathogenesis of aortic aneurysm disease in MFS.

Indexed as

AneurysmAortaInflammatory infiltrateMarfan syndrome

Identifiers

PMID26798667
PMCPMC4682693
OpenAlexW1966585363

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.