Evidence map›Paper›PMID 27501378›Full record

ArticlePloS one2016

Targeted Therapy for Acute Autoimmune Myocarditis with Nano-Sized Liposomal FK506 in Rats.

Keiji Okuda, Hai Ying Fu, Takashi Matsuzaki, Ryo Araki, Shota Tsuchida, Punniyakoti V Thanikachalam, Tatsuya Fukuta, Tomohiro Asai, Masaki Yamato, Shoji Sanada and 10 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

20 authors at 8 institutions in 2 countries.

Keiji OkudaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Hai Ying FuDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Takashi MatsuzakiDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Ryo ArakiDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Shota TsuchidaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Punniyakoti V ThanikachalamDepartment of Pharmaceutical Chemistry, International Medical University, Kuala Lumpur, Malaysia.
Tatsuya FukutaDepartment of Medical Biochemistry, University of Shizuoka Graduate School of Pharmaceutical Sciences, Shizuoka, Japan.
Tomohiro AsaiDepartment of Medical Biochemistry, University of Shizuoka Graduate School of Pharmaceutical Sciences, Shizuoka, Japan.
Masaki YamatoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Shoji SanadaDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Hiroshi AsanumaDepartment of Internal Medicine, Meiji University of Integrative Medicine, Nantan, Kyoto, Japan.
Yoshihiro AsanoDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Masanori AsakuraClinical Research and Development, National Cerebral and Cardiovascular Center Research Institute, Suita, Osaka, Japan.
Haruo HanawaDepartment of Cardiovascular Biology and Medicine, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan.
Hiroyuki HaoDepartment of Pathology, Nihon University School of Medicine, Tokyo, Japan.
Naoto OkuDepartment of Medical Biochemistry, University of Shizuoka Graduate School of Pharmaceutical Sciences, Shizuoka, Japan.
Seiji TakashimaDepartment of Medical Biochemistry, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Masafumi KitakazeClinical Research and Development, National Cerebral and Cardiovascular Center Research Institute, Suita, Osaka, Japan.
Yasushi SakataDepartment of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Tetsuo MinaminoDepartment of Cardiorenal and Cerebrovascular Medicine, Faculty of Medicine, Kagawa University, Miki, Kagawa, Japan.
Osaka University · JPUniversity of Shizuoka · JPNational Cerebral and Cardiovascular Center · JPInternational Medical University · MYKagawa University · JPMeiji University of Integrative Medicine · JPNihon University · JPNiigata University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immunosuppressive agents are used for the treatment of immune-mediated myocarditis; however, the need to develop a more effective therapeutic approach remains. Nano-sized liposomes may accumulate in and selectively deliver drugs to an inflammatory lesion with enhanced vascular permeability. The aims of this study were to investigate the distribution of liposomal FK506, an immunosuppressive drug encapsulated within liposomes, and the drug's effects on cardiac function in a rat experimental autoimmune myocarditis (EAM) model. We prepared polyethylene glycol-modified liposomal FK506 (mean diameter: 109.5 ± 4.4 nm). We induced EAM by immunization with porcine myosin and assessed the tissue distribution of the nano-sized beads and liposomal FK506 in this model. After liposomal or free FK506 was administered on days 14 and 17 after immunization, the cytokine expression in the rat hearts along with the histological findings and hemodynamic parameters were determined on day 21. Ex vivo fluorescent imaging revealed that intravenously administered fluorescent-labeled nano-sized beads had accumulated in myocarditic but not normal hearts on day 14 after immunization and thereafter. Compared to the administration of free FK506, FK506 levels were increased in both the plasma and hearts of EAM rats when liposomal FK506 was administered. The administration of liposomal FK506 markedly suppressed the expression of cytokines, such as interferon-γ and tumor necrosis factor-α, and reduced inflammation and fibrosis in the myocardium on day 21 compared to free FK506. The administration of liposomal FK506 also markedly ameliorated cardiac dysfunction on day 21 compared to free FK506. Nano-sized liposomes may be a promising drug delivery system for targeting myocarditic hearts with cardioprotective agents.

Indexed as

Acute DiseaseAnimalsAutoimmune DiseasesCytokinesDisease Models, AnimalImmunosuppressive AgentsLiposomesMaleMyocarditisNanoparticlesRatsRats, Inbred LewTacrolimusCytokinesImmunosuppressive AgentsLiposomesTacrolimus

Identifiers

PMID27501378
PMCPMC4976871
OpenAlexW2512078025

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.