Evidence map›Paper›PMID 26817611›Full record

ArticleJournal of vascular surgery2016

Pharmacologic blockade and genetic deletion of androgen receptor attenuates aortic aneurysm formation.

John P Davis, Morgan Salmon, Nicolas H Pope, Guanyi Lu, Gang Su, Akshaya Meher, Gorav Ailawadi, Gilbert R Upchurch

Open access · greenAbstract read
In one paragraph

Article in Journal of vascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 22 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

8 authors at 1 institution in 1 country.

John P DavisDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Morgan SalmonDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Nicolas H PopeDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Guanyi LuDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Gang SuDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Akshaya MeherDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Gorav AilawadiDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA.
Gilbert R UpchurchDivision of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA. Electronic address: gru6n@virginia.edu.
University of Virginia · US

Funding

Cardiovascular Surgery Training ProgramT32HL007849 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI KRON, IRVING L., LAUBACH, VICTOR E · 1998 to 2025
$7.0M
Gender Differences in Experimental Aortic AneurysmsR01HL081629 · NHLBI · UNIVERSITY OF VIRGINIA · PI UPCHURCH, GILBERT RIVERS · 2007 to 2017
$4.1M
The Role of IL-1R1 in cell transitions in Aortic Aneurysm PathogenesisR01HL126668 · NHLBI · UNIVERSITY OF VIRGINIA · PI AILAWADI, GORAV · 2015 to 2019
$2.4M
Role of Neutrophil Extracellular Traps in AAA PathogenesisR01HL124131 · NHLBI · UNIVERSITY OF VIRGINIA · PI UPCHURCH, GILBERT RIVERS · 2014 to 2017
$1.6M
NHLBI NIH HHS R01 HL081629NHLBI NIH HHS R01 HL124131NHLBI NIH HHS R01 HL126668NHLBI NIH HHS T32 HL007849
6 · The paper itself

Abstract

backgroundTestosterone is theorized to play a major role in the pathophysiology of abdominal aortic aneurysms (AAAs) because this disease occurs primarily in men. The role of the androgen receptor (AR) in the formation of AAAs has not been well elucidated, and therefore, it is hypothesized that androgen blockade will attenuate experimental aortic aneurysm formation.

methodsAortas of 8- to 12-week-old male C57Bl/6 wild-type (WT) mice or male AR knockout (AR(-/-)) mice were perfused with purified porcine pancreatic elastase (0.35 U/mL) to induce AAA formation. Two groups of WT male mice were treated with the AR blockers flutamide (50 mg/kg) or ketoconazole (150 mg/kg) twice daily by intraperitoneal injection. Aortas were harvested on day 14 after video micrometry was used to measure AAA diameter. Cytokine arrays and histologic analysis were performed on aortic tissue. Groups were compared using an analysis of variance and a Tukey post hoc test.

resultsFlutamide and ketoconazole treatment (mean ± standard error of the mean) attenuated AAA formation in WT mice (84.2% ± 22.8% [P = .009] and 91.5% ± 18.2% [P = .037]) compared with WT elastase (121% ± 5.23%). In addition, AR(-/-) mice showed attenuation of AAA growth (64.4% ± 22.7%; P < .0001) compared with WT elastase. Cytokine arrays of aortic tissue revealed decreased levels of proinflammatory cytokines interleukin (IL)-α, IL-6, and IL-17 in flutamide-treated and AR(-/-) groups compared with controls.

conclusionsPharmacologic and genetic AR blockade cause attenuation of AAA formation. Therapies for AR blockade used in prostate cancer may provide medical treatment to halt progression of AAAs in humans.

Indexed as

Gene DeletionAndrogen AntagonistsAnimalsAorta, AbdominalAortic Aneurysm, AbdominalCytokinesDisease Models, AnimalDisease ProgressionFlutamideGene Expression RegulationGenotypeHumansInflammation MediatorsKetoconazoleMaleMice, Inbred C57BLAndrogen AntagonistsAR protein, humanAR protein, mouseCytokinesFlutamideInflammation MediatorsKetoconazolePancreatic ElastaseReceptors, AndrogenRNA, Messenger

Identifiers

PMID26817611
PMCPMC4884130
OpenAlexW2260197240

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.