Evidence map›Paper›PMID 27532042›Full record

ArticleScience advances2016

Targeting macrophage necroptosis for therapeutic and diagnostic interventions in atherosclerosis.

Denuja Karunakaran, Michele Geoffrion, Lihui Wei, Wei Gan, Laura Richards, Prakriti Shangari, Ella M DeKemp, Rachelle A Beanlands, Ljubica Perisic, Lars Maegdefessel and 7 more

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 179 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 1 pooled it
9.3field-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

179 citing papers in PubMed, 1 synthesis or guideline pooled it, 284 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Distinct types of regulated cell death in atherosclerosis.Journal of pharmaceutical analysis · 2026
    Review
  11. Article
  12. Review
  13. Targeting PANoptosis in atherosclerosis: bridging cell death mechanisms and therapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Nanoengineered GATA3International journal of nanomedicine · 2026
    Article
  20. Article

119 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

17 authors at 3 institutions in 3 countries.

Denuja KarunakaranUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.ORCID 0000-0002-4789-8634
Michele GeoffrionUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.
Lihui WeiUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.; Canadian Molecular Imaging Centre of Excellence, University of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.
Wei GanUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.; Canadian Molecular Imaging Centre of Excellence, University of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.ORCID 0000-0002-1270-6495
Laura RichardsUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.
Prakriti ShangariUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.
Ella M DeKempUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.
Rachelle A BeanlandsUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.
Ljubica PerisicDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm 171 76, Sweden.
Lars MaegdefesselDepartment of Medicine, Karolinska Institute, Stockholm 171 76, Sweden.ORCID 0000-0001-5228-2634
Ulf HedinDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm 171 76, Sweden.
Subash SadDepartment of Biochemistry, Microbiology and Immunology, University of Ottawa, Ottawa, Ontario K1H8L1, Canada.
Liang GuoCVPath Institute Inc., Gaithersburg, MD 20878, USA.ORCID 0000-0002-1376-6772
Frank D KolodgieCVPath Institute Inc., Gaithersburg, MD 20878, USA.ORCID 0000-0002-6007-2044
Renu VirmaniCVPath Institute Inc., Gaithersburg, MD 20878, USA.
Terrence RuddyUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.; Canadian Molecular Imaging Centre of Excellence, University of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.ORCID 0000-0002-0686-5449
Katey J RaynerUniversity of Ottawa Heart Institute, Ottawa, Ontario K1Y4W7, Canada.; Department of Biochemistry, Microbiology and Immunology, University of Ottawa, Ottawa, Ontario K1H8L1, Canada.
University of Ottawa · CACVPath Institute · USKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis results from maladaptive inflammation driven primarily by macrophages, whose recruitment and proliferation drive plaque progression. In advanced plaques, macrophage death contributes centrally to the formation of plaque necrosis, which underlies the instability that promotes plaque rupture and myocardial infarction. Hence, targeting macrophage cell death pathways may offer promise for the stabilization of vulnerable plaques. Necroptosis is a recently discovered pathway of programmed cell necrosis regulated by RIP3 and MLKL kinases that, in contrast to apoptosis, induces a proinflammatory state. We show herein that necroptotic cell death is activated in human advanced atherosclerotic plaques and can be targeted in experimental atherosclerosis for both therapeutic and diagnostic interventions. In humans with unstable carotid atherosclerosis, expression of RIP3 and MLKL is increased, and MLKL phosphorylation, a key step in the commitment to necroptosis, is detected in advanced atheromas. Investigation of the molecular mechanisms underlying necroptosis showed that atherogenic forms of low-density lipoprotein increase RIP3 and MLKL transcription and phosphorylation-two critical steps in the execution of necroptosis. Using a radiotracer developed with the necroptosis inhibitor necrostatin-1 (Nec-1), we show that (123)I-Nec-1 localizes specifically to atherosclerotic plaques in Apoe (-/-) mice, and its uptake is tightly correlated to lesion areas by ex vivo nuclear imaging. Furthermore, treatment of Apoe (-/-) mice with established atherosclerosis with Nec-1 reduced lesion size and markers of plaque instability, including necrotic core formation. Collectively, our findings offer molecular insight into the mechanisms of macrophage cell death that drive necrotic core formation in atherosclerosis and suggest that this pathway can be used as both a diagnostic and therapeutic tool for the treatment of unstable atherosclerosis.

Indexed as

ApoptosisAmino Acid Chloromethyl KetonesAnimalsApolipoproteins EAtherosclerosisBone Marrow CellsCells, CulturedCholesterolCoronary VesselsHumansImidazolesIndolesInterleukin-1betaLipoproteins, LDLMacrophagesMiceAmino Acid Chloromethyl KetonesApolipoproteins Ebenzyloxycarbonyl-valyl-aspartic acid fluoromethyl ketoneCholesterolImidazolesIndolesInterleukin-1betaLipoproteins, LDLMLKL protein, humannecrostatin-1oxidized low density lipoproteinProtein KinasesReactive Oxygen SpeciesReceptor-Interacting Protein Serine-Threonine KinasesRIPK3 protein, humanAtherosclerosiscardiovascular disordersnecrosistarget cellsvascular diseases

Identifiers

PMID27532042
PMCPMC4985228
OpenAlexW2478800195

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.