Evidence map›Paper›PMID 26891724›Full record

ArticleBasic research in cardiology2016

Atheroprotection through SYK inhibition fails in established disease when local macrophage proliferation dominates lesion progression.

Alexandra Lindau, Carmen Härdtner, Sonja P Hergeth, Kelly Daryll Blanz, Bianca Dufner, Natalie Hoppe, Nathaly Anto-Michel, Jan Kornemann, Jiadai Zou, Louisa M S Gerhardt and 17 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Basic research in cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  9. Macrophages in Atheromatous Plaque Developmental Stages.Frontiers in cardiovascular medicine · 2022
    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

27 authors at 5 institutions in 4 countries.

Alexandra LindauDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Carmen HärdtnerDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Sonja P HergethDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Kelly Daryll BlanzDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Bianca DufnerDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Natalie HoppeDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Nathaly Anto-MichelDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Jan KornemannDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Jiadai ZouDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Louisa M S GerhardtDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Timo HeidtDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Florian WilleckeDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Serjosha GeisDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Peter StachonDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Dennis WolfDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Peter LibbyDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Filip K SwirskiCenter for Systems Biology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Clinton S RobbinsPeter Munk Cardiac Centre, Toronto, ON, Canada.
William McPheatAstraZeneca R&D, Molndal, Gothenburg, Sweden.
Shaun HawleyAstraZeneca R&D, Alderley Park, Macclesfield, UK.
Martin BraddockAstraZeneca R&D, Alderley Park, Macclesfield, UK.
Ralf GilsbachInstitute of Experimental and Clinical Pharmacology and Toxicology, University of Freiburg, Freiburg, Germany.
Lutz HeinInstitute of Experimental and Clinical Pharmacology and Toxicology, University of Freiburg, Freiburg, Germany.
Constantin von zur MühlenDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Christoph BodeDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Andreas ZirlikDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. andreas.zirlik@universitaets-herzzentrum.de.
Ingo HilgendorfDepartment of Cardiology and Angiology I, University Heart Center Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. ingo.hilgendorf@universitaets-herzzentrum.de.
Universitäts-Herzzentrum Freiburg-Bad Krozingen · DEAstraZeneca (United Kingdom) · GBHarvard University · USUniversity of Freiburg · DEAstraZeneca (Sweden) · SE

Funding

Monocyte Heterogeneity in Experimental and Human AtherosclerosisR01HL095612 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SWIRSKI, FILIP K · 2009 to 2016
$3.4M
Lifestyle effects on hematopoiesis and atherosclerosisR01HL128264 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI NAHRENDORF, MATTHIAS, SWIRSKI, FILIP K · 2015 to 2018
$3.3M
NHLBI NIH HHS R01 HL095612NHLBI NIH HHS R01 HL128264
6 · The paper itself

Abstract

Macrophages in the arterial intima sustain chronic inflammation during atherogenesis. Under hypercholesterolemic conditions murine Ly6C(high) monocytes surge in the blood and spleen, infiltrate nascent atherosclerotic plaques, and differentiate into macrophages that proliferate locally as disease progresses. Spleen tyrosine kinase (SYK) may participate in downstream signaling of various receptors that mediate these processes. We tested the effect of the SYK inhibitor fostamatinib on hypercholesterolemia-associated myelopoiesis and plaque formation in Apoe(-/-) mice during early and established atherosclerosis. Mice consuming a high cholesterol diet supplemented with fostamatinib for 8 weeks developed less atherosclerosis. Histologic and flow cytometric analysis of aortic tissue showed that fostamatinib reduced the content of Ly6C(high) monocytes and macrophages. SYK inhibition limited Ly6C(high) monocytosis through interference with GM-CSF/IL-3 stimulated myelopoiesis, attenuated cell adhesion to the intimal surface, and blocked M-CSF stimulated monocyte to macrophage differentiation. In Apoe(-/-) mice with established atherosclerosis, however, fostamatinib treatment did not limit macrophage accumulation or lesion progression despite a significant reduction in blood monocyte counts, as lesional macrophages continued to proliferate. Thus, inhibition of hypercholesterolemia-associated monocytosis, monocyte infiltration, and differentiation by SYK antagonism attenuates early atherogenesis but not established disease when local macrophage proliferation dominates lesion progression.

Indexed as

AminopyridinesAnimalsAtherosclerosisCell AdhesionCells, CulturedDisease ProgressionDrug Evaluation, PreclinicalFemaleIntracellular Signaling Peptides and ProteinsMacrophagesMiceMonocytesMorpholinesMyelopoiesisOxazinesProtein-Tyrosine KinasesAminopyridinesfostamatinibIntracellular Signaling Peptides and ProteinsMorpholinesOxazinesProtein-Tyrosine KinasesPyridinesPyrimidinesSyk KinaseSyk protein, mouseAtherosclerosisEgressMacrophagesMonocytesProgenitorsProliferationSYK

Identifiers

PMID26891724
PMCPMC4759214
OpenAlexW2283021481

What OpenQuestion holds

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LicenceCC BY
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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.