Evidence map›Paper›PMID 27128471›Full record

Observational studyPloS one2016

Coronary Artery-Bypass-Graft Surgery Increases the Plasma Concentration of Exosomes Carrying a Cargo of Cardiac MicroRNAs: An Example of Exosome Trafficking Out of the Human Heart with Potential for Cardiac Biomarker Discovery.

Costanza Emanueli, Andrew I U Shearn, Abas Laftah, Francesca Fiorentino, Barnaby C Reeves, Cristina Beltrami, Andrew Mumford, Aled Clayton, Mark Gurney, Saran Shantikumar and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 2% 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

79 citing papers in PubMed, 3 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Programmed cardiomyocyte death in myocardial infarction.Apoptosis : an international journal on programmed cell death · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Exosome Isolation from Pericardial Fluids.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  13. Heart failure with preserved ejection fraction in pigs causes shifts in posttranscriptional checkpoints.American journal of physiology. Heart and circulatory physiology · 2024
    Article
  14. Review
  15. Review
  16. Role of Exosomes in Cardiovascular Diseases.Reviews in cardiovascular medicine · 2024
    Review
  17. Article
  18. Article
  19. Review
  20. Review

19 more citing papers are in PubMed but not listed here.

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 4 institutions in 1 country.

Costanza EmanueliBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
Andrew I U ShearnBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
Abas LaftahNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Francesca FiorentinoNational Heart and Lung Institute, Imperial College London, London, United Kingdom.
Barnaby C ReevesBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
Cristina BeltramiBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
Andrew MumfordBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
Aled ClaytonInstitute of Cancer & Genetics, University of Cardiff, Cardiff, United Kingdom.
Mark GurneyInstitute of Cancer & Genetics, University of Cardiff, Cardiff, United Kingdom.
Saran ShantikumarBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
Gianni D AngeliniBristol Heart Institute, University of Bristol, Bristol, United Kingdom.
University of Bristol · GBImperial College London · GBCardiff University · GBNIHR Bristol Cardiovascular Biomedical Research Unit · GB

Funding

British Heart Foundation FS/10/61/28566British Heart Foundation RG/15/5/31446
6 · The paper itself

Abstract

introductionExosome nanoparticles carry a composite cargo, including microRNAs (miRs). Cultured cardiovascular cells release miR-containing exosomes. The exosomal trafficking of miRNAs from the heart is largely unexplored. Working on clinical samples from coronary-artery by-pass graft (CABG) surgery, we investigated if: 1) exosomes containing cardiac miRs and hence putatively released by cardiac cells increase in the circulation after surgery; 2) circulating exosomes and exosomal cardiac miRs correlate with cardiac troponin (cTn), the current "gold standard" surrogate biomarker of myocardial damage. METHODS AND

resultsThe concentration of exosome-sized nanoparticles was determined in serial plasma samples. Cardiac-expressed (miR-1, miR-24, miR-133a/b, miR-208a/b, miR-210), non-cardiovascular (miR-122) and quality control miRs were measured in whole plasma and in plasma exosomes. Linear regression analyses were employed to establish the extent to which the circulating individual miRs, exosomes and exosomal cardiac miR correlated with cTn-I. Cardiac-expressed miRs and the nanoparticle number increased in the plasma on completion of surgery for up to 48 hours. The exosomal concentration of cardiac miRs also increased after CABG. Cardiac miRs in the whole plasma did not correlate significantly with cTn-I. By contrast cTn-I was positively correlated with the plasma exosome level and the exosomal cardiac miRs.

conclusionsThe plasma concentrations of exosomes and their cargo of cardiac miRs increased in patients undergoing CABG and were positively correlated with hs-cTnI. These data provide evidence that CABG induces the trafficking of exosomes from the heart to the peripheral circulation. Future studies are necessary to investigate the potential of circulating exosomes as clinical biomarkers in cardiac patients.

Indexed as

Coronary Artery BypassAgedBiomarkersCoronary VesselsExosomesFemaleHumansLinear ModelsMaleMicroRNAsMiddle AgedMyocardiumProspective StudiesTroponin IBiomarkersMicroRNAsTroponin I

Identifiers

PMID27128471
PMCPMC4851293
OpenAlexW2342701554

What OpenQuestion holds

Textmetadata
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.