Evidence map›Paper›PMID 27239732›Full record

ArticleLaboratory investigation; a journal of technical methods and pathology2016

Activation of the vitamin D receptor selectively interferes with calcineurin-mediated inflammation: a clinical evaluation in the abdominal aortic aneurysm.

Arend Jan Nieuwland, Vivianne Bc Kokje, Olivier H Koning, Jaap F Hamming, Karoly Szuhai, Frans H J Claas, Jan H N Lindeman

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In one paragraph

Article in Laboratory investigation; a journal of technical methods and pathology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Innovation in pathogenesis and management of aortic aneurysm.World journal of experimental medicine · 2024
    Review
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Pharmacologic Management of Aneurysms.Circulation research · 2019
    Review
  13. Role of Vitamin D in Cardiovascular Diseases.Endocrinology and metabolism clinics of North America · 2017
    Review
  14. 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

7 authors at 2 institutions in 1 country.

Arend Jan NieuwlandDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Vivianne Bc KokjeDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Olivier H KoningDepartment Surgery, Jeroen Bosch Ziekenhuis, Den Bosch, The Netherlands.
Jaap F HammingDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Karoly SzuhaiDepartment of Molecular Cell Biology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-1228-4245
Frans H J ClaasDepartment of Immunology, Leiden University Medical Center, Leiden, The Netherlands.
Jan H N LindemanDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLJeroen Bosch Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In vitro and in vivo studies attribute potent immune regulatory properties to the vitamin D receptor (VDR). Yet, it is unclear to what extend these observations translate to the clinical context of (vascular) inflammation. This clinical study evaluates the potential of a VDR agonist to quench vascular inflammation. Patients scheduled for open abdominal aneurysm repair received paricalcitol 1 μg daily during 2-4 weeks before repair. Results were compared with matched controls. Evaluation in a parallel group showed that AAA patients are vitamin D insufficient (median plasma vitamin D: 43 (30-62 (IQR)) nmol/l). Aneurysm wall samples were collected during surgery, and the inflammatory footprint was studied. The brief paricalcitol intervention resulted in a selective 73% reduction in CD4+ T-helper cell content (P<0.024) and a parallel 35% reduction in T-cell (CD3+) content (P<0.032). On the mRNA level, paricalcitol reduced expression of T-cell-associated cytokines IL-2, 4, and 10 (P<0.019). No effect was found on other inflammatory mediators. On the protease level, selective effects were found for cathepsin K (P<0.036) and L (P<0.005). Collectively, these effects converge at the level of calcineurin activity. An effect of the VDR agonist on calcineurin activity was confirmed in a mixed lymphocyte reaction. In conclusion, brief course of the VDR agonist paricalcitol has profound effects on local inflammation via reduced T-cell activation. The anti-inflammatory potential of VDR activation in vitamin D insufficient patients is highly selective and appears to be mediated by an effect on calcineurin-mediated responses.

Indexed as

AgedAnti-Inflammatory AgentsAortic Aneurysm, AbdominalCalcineurinCytokinesErgocalciferolsFemaleHumansInflammation MediatorsLymphocyte ActivationMaleMiddle AgedReceptors, CalcitriolRNA, MessengerT-Lymphocyte SubsetsAnti-Inflammatory AgentsCalcineurinCytokinesErgocalciferolsInflammation MediatorsparicalcitolReceptors, CalcitriolRNA, MessengerVDR protein, human

Identifiers

PMID27239732
OpenAlexW2417224980

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.