Evidence map›Paper›PMID 27437576›Full record

ArticleNature2016

CD47-blocking antibodies restore phagocytosis and prevent atherosclerosis.

Yoko Kojima, Jens-Peter Volkmer, Kelly McKenna, Mete Civelek, Aldons Jake Lusis, Clint L Miller, Daniel Direnzo, Vivek Nanda, Jianqin Ye, Andrew J Connolly and 8 more

Open access · greenAbstract read
In one paragraph

Article in Nature, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 438 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
438citing papers in PubMed, 1 pooled it
22.7field-weighted citation impact, top 1% 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

438 citing papers in PubMed, 1 synthesis or guideline pooled it, 637 citations in OpenAlex.

  1. Pooled it
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  6. bioRxiv : the preprint server for biology · 2026
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378 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 4 institutions in 2 countries.

Yoko Kojima
Jens-Peter Volkmer
Kelly McKenna
Mete Civelek
Aldons Jake Lusis
Clint L Miller
Daniel Direnzo
Vivek Nanda
Jianqin Ye
Andrew J Connolly
Eric E Schadt
Thomas Quertermous
Paola Betancur
Lars Maegdefessel
Ljubica Perisic Matic
Ulf Hedin
Irving L Weissman
Nicholas J Leeper
Stanford University · USKarolinska Institutet · SEUniversity of California, Los Angeles · USIcahn School of Medicine at Mount Sinai · US

Funding

Interrogation of individual cells to identify progenitors and their nichesU01HL099999 · NHLBI · STANFORD UNIVERSITY · PI WEISSMAN, IRVING L. · 2009 to 2015
$7.8M
T32 Training Program in Mechanisms and Innovation in Vascular DiseaseT32HL098049 · NHLBI · STANFORD UNIVERSITY · PI Nicholas James Leeper, Philip S Tsao · 2010 to 2026
$6.3M
Mechanism of the Coronary Heart Disease Association at Chromosome 6q23.2R01HL109512 · NHLBI · STANFORD UNIVERSITY · PI QUERTERMOUS, THOMAS · 2011 to 2019
$6.1M
Training in Myocardial Biology at Stanford (TIMBS)T32HL094274 · NHLBI · STANFORD UNIVERSITY · PI Euan A Ashley, Daniel Bernstein · 2010 to 2026
$5.0M
The paradoxical role of CDKN2B in blood vessel sprouting and maturationR01HL125224 · NHLBI · STANFORD UNIVERSITY · PI LEEPER, NICHOLAS JAMES · 2015 to 2018
$1.9M
The role of CDKN2B in efferocytosis and atherosclerosisR01HL123370 · NHLBI · STANFORD UNIVERSITY · PI LEEPER, NICHOLAS JAMES · 2015 to 2018
$1.6M
Identification of causal coronary heart disease variation in smooth muscle cellsR33HL120757 · NHLBI · STANFORD UNIVERSITY · PI QUERTERMOUS, THOMAS · 2016 to 2018
$1.6M
NHLBI NIH HHS R01 HL109512NHLBI NIH HHS R01 HL123370NHLBI NIH HHS R01HL12337001NHLBI NIH HHS R01 HL125224NHLBI NIH HHS R01HL12522401NHLBI NIH HHS R33 HL120757NHLBI NIH HHS T32 HL094274NHLBI NIH HHS T32 HL098049NHLBI NIH HHS U01 HL099999NHLBI NIH HHS U01HL099999
6 · The paper itself

Abstract

Atherosclerosis is the disease process that underlies heart attack and stroke. Advanced lesions at risk of rupture are characterized by the pathological accumulation of diseased vascular cells and apoptotic cellular debris. Why these cells are not cleared remains unknown. Here we show that atherogenesis is associated with upregulation of CD47, a key anti-phagocytic molecule that is known to render malignant cells resistant to programmed cell removal, or 'efferocytosis'. We find that administration of CD47-blocking antibodies reverses this defect in efferocytosis, normalizes the clearance of diseased vascular tissue, and ameliorates atherosclerosis in multiple mouse models. Mechanistic studies implicate the pro-atherosclerotic factor TNF-α as a fundamental driver of impaired programmed cell removal, explaining why this process is compromised in vascular disease. Similar to recent observations in cancer, impaired efferocytosis appears to play a pathogenic role in cardiovascular disease, but is not a fixed defect and may represent a novel therapeutic target.

Indexed as

AnimalsAntibodies, BlockingApoptosisAtherosclerosisCarotid ArteriesCD47 AntigenCoronary VesselsDisease Models, AnimalFemaleHumansMaleMiceNF-kappa BPhagocytosisProtein BiosynthesisTumor Necrosis Factor-alphaAntibodies, BlockingCD47 AntigenNF-kappa BTumor Necrosis Factor-alpha

Identifiers

PMID27437576
PMCPMC4980260
OpenAlexW2497350880

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.