Evidence map›Paper›PMID 26840480›Full record

ArticlePloS one2016

Simvastatin Efficiently Lowers Small LDL-IgG Immune Complex Levels: A Therapeutic Quality beyond the Lipid-Lowering Effect.

Gerd Hörl, Harald Froehlich, Ulrika Ferstl, Gerhard Ledinski, Josepha Binder, Gerhard Cvirn, Tatjana Stojakovic, Michael Trauner, Christoph Koidl, Erwin Tafeit and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Endothelial lipase increases antioxidative capacity of high-density lipoprotein.Biochimica et biophysica acta. Molecular and cell biology of lipids · 2019
    Article
  7. Article
  8. Article
  9. Article
  10. Update on cardiovascular disease in lupus.Current opinion in rheumatology · 2016
    Review
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

14 authors at 2 institutions in 1 country.

Gerd HörlInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Harald FroehlichDivision of Angiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Ulrika FerstlInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Gerhard LedinskiInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Josepha BinderDivision of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Gerhard CvirnInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Tatjana StojakovicClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Michael TraunerDivision of Gastroenterology and Hepatology, Department of Medicine III, Medical University of Vienna, Vienna, Austria.
Christoph KoidlInstitute of Hygiene, Medical University of Graz, Graz, Austria.
Erwin TafeitInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Karin AmreinDivision of Endocrinology and Metabolism, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Hubert ScharnaglClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria.
Günther JürgensInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Seth HallströmInstitute of Physiological Chemistry, Center of Physiological Medicine, Medical University of Graz, Graz, Austria.
Medical University of Graz · ATMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated a polyethylene glycol non-precipitable low-density lipoprotein (LDL) subfraction targeted by IgG and the influence of statin therapy on plasma levels of these small LDL-IgG-immune complexes (LDL-IgG-IC). LDL-subfractions were isolated from 6 atherosclerotic subjects and 3 healthy individuals utilizing iodixanol density gradient ultracentrifugation. Cholesterol, apoB and malondialdehyde (MDA) levels were determined in each fraction by enzymatic testing, dissociation-enhanced lanthanide fluorescence immunoassay and high-performance liquid chromatography, respectively. The levels of LDL-IgG-IC were quantified densitometrically following lipid electrophoresis, particle size distribution was assessed with dynamic light scattering and size exclusion chromatography. The influence of simvastatin (40 mg/day for three months) on small LDL-IgG-IC levels and their distribution among LDL-subfractions (salt gradient separation) were investigated in 11 patients with confirmed coronary artery disease (CAD). We demonstrate that the investigated LDL-IgG-IC are small particles present in atherosclerotic patients and healthy subjects. In vitro assembly of LDL-IgG-IC resulted in particle density shifts indicating a composition of one single molecule of IgG per LDL particle. Normalization on cholesterol levels revealed MDA values twice as high for LDL-subfractions rich in small LDL-IgG-IC if compared to dominant LDL-subfractions. Reactivity of affinity purified small LDL-IgG-IC to monoclonal antibody OB/04 indicates a high degree of modified apoB and oxidative modification. Simvastatin therapy studied in the CAD patients significantly lowered LDL levels and to an even higher extent, small LDL-IgG-IC levels without affecting their distribution. In conclusion simvastatin lowers levels of small LDL-IgG-IC more effectively than LDL-cholesterol and LDL-apoB levels in atherosclerotic patients. This antiatherogenic effect may additionally contribute to the known beneficial effects of this drug in the treatment of atherosclerosis.

Indexed as

AdultAgedAged, 80 and overAntigen-Antibody ComplexApolipoproteins BCholesterol, LDLCoronary Artery DiseaseCoronary RestenosisFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsImmunoglobulin GMaleMalondialdehydeMiddle AgedPeripheral Arterial DiseaseAntigen-Antibody ComplexApolipoproteins BCholesterol, LDLHydroxymethylglutaryl-CoA Reductase InhibitorsImmunoglobulin GMalondialdehydeSimvastatin

Identifiers

PMID26840480
PMCPMC4739583
OpenAlexW2259767465

What OpenQuestion holds

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LicenceCC BY
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.