Evidence map›Paper›PMID 27799559›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

VEGF-B gene therapy inhibits doxorubicin-induced cardiotoxicity by endothelial protection.

Markus Räsänen, Joni Degerman, Tuuli A Nissinen, Ilkka Miinalainen, Risto Kerkelä, Antti Siltanen, Janne T Backman, Eero Mervaala, Juha J Hulmi, Riikka Kivelä and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 1 pooled it
7.6field-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

87 citing papers in PubMed, 1 synthesis or guideline pooled it, 129 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Linking tumour angiogenesis and tumour immunity.Nature reviews. Immunology · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. VEGFR1 as a Target for Cardiovascular Gene Therapy.Journal of cardiovascular translational research · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Cardioprotective Potential ofCurrent pharmaceutical biotechnology · 2025
    Article
  18. Article
  19. Review
  20. Article

27 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 6 institutions in 1 country.

Markus RäsänenWihuri Research Institute, Biomedicum Helsinki, Haartmaninkatu 8, 00290 Helsinki, Finland.
Joni DegermanWihuri Research Institute, Biomedicum Helsinki, Haartmaninkatu 8, 00290 Helsinki, Finland.
Tuuli A NissinenDepartment of Biology of Physical Activity, University of Jyväskylä, 40014 Jyvaskyla, Finland.
Ilkka MiinalainenMedical Research Center Oulu, Research Unit of Biomedicine, University of Oulu and University Hospital Oulu, 90014 Oulu, Finland.
Risto KerkeläMedical Research Center Oulu, Research Unit of Biomedicine, University of Oulu and University Hospital Oulu, 90014 Oulu, Finland.
Antti SiltanenDepartment of Pharmacology, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.
Janne T BackmanDepartment of Clinical Pharmacology, Faculty of Medicine, University of Helsinki and Helsinki University Hospital, 00014 Helsinki, Finland.
Eero MervaalaDepartment of Pharmacology, Faculty of Medicine, University of Helsinki, 00014 Helsinki, Finland.
Juha J HulmiDepartment of Biology of Physical Activity, University of Jyväskylä, 40014 Jyvaskyla, Finland.
Riikka KiveläWihuri Research Institute, Biomedicum Helsinki, Haartmaninkatu 8, 00290 Helsinki, Finland; kari.alitalo@helsinki.fi riikka.kivela@helsinki.fi.
Kari AlitaloWihuri Research Institute, Biomedicum Helsinki, Haartmaninkatu 8, 00290 Helsinki, Finland; kari.alitalo@helsinki.fi riikka.kivela@helsinki.fi.
University of Helsinki · FIWihuri Research Institute · FIUniversity of Jyväskylä · FIHelsinki University Hospital · FIOulu University Hospital · FIUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Congestive heart failure is one of the leading causes of disability in long-term survivors of cancer. The anthracycline antibiotic doxorubicin (DOX) is used to treat a variety of cancers, but its utility is limited by its cumulative cardiotoxicity. As advances in cancer treatment have decreased cancer mortality, DOX-induced cardiomyopathy has become an increasing problem. However, the current means to alleviate the cardiotoxicity of DOX are limited. We considered that vascular endothelial growth factor-B (VEGF-B), which promotes coronary arteriogenesis, physiological cardiac hypertrophy, and ischemia resistance, could be an interesting candidate for prevention of DOX-induced cardiotoxicity and congestive heart failure. To study this, we administered an adeno-associated viral vector expressing VEGF-B or control vector to normal and tumor-bearing mice 1 wk before DOX treatment, using doses mimicking the concentrations used in the clinics. VEGF-B treatment completely inhibited the DOX-induced cardiac atrophy and whole-body wasting. VEGF-B also prevented capillary rarefaction in the heart and improved endothelial function in DOX-treated mice. VEGF-B also protected cultured endothelial cells from apoptosis and restored their tube formation. VEGF-B increased left ventricular volume without compromising cardiac function, reduced the expression of genes associated with pathological remodeling, and improved cardiac mitochondrial respiration. Importantly, VEGF-B did not affect serum or tissue concentrations of DOX or augment tumor growth. By inhibiting DOX-induced endothelial damage, VEGF-B could provide a novel therapeutic possibility for the prevention of chemotherapy-associated cardiotoxicity in cancer patients.

Indexed as

Genetic TherapyAdipose Tissue, WhiteAnimalsAntibiotics, AntineoplasticApoptosisCardiotoxicityCell Line, TumorDNA DamageDoxorubicinEndothelial CellsLiverMaleMice, Inbred C57BLMitochondria, HeartMyocardiumNeoplasmsAntibiotics, AntineoplasticDoxorubicinVascular Endothelial Growth Factor Bcancerendothelial cellheartheart failureVEGFB

Identifiers

PMID27799559
PMCPMC5135329
OpenAlexW2540430101

What OpenQuestion holds

Textmetadata
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.