Evidence map›Paper›PMID 27880844›Full record

ArticlePloS one2016

Atorvastatin Improves Ventricular Remodeling after Myocardial Infarction by Interfering with Collagen Metabolism.

Karla Reichert, Helison Rafael Pereira do Carmo, Anali Galluce Torina, Daniela Diógenes de Carvalho, Andrei Carvalho Sposito, Karlos Alexandre de Souza Vilarinho, Lindemberg da Mota Silveira-Filho, Pedro Paulo Martins de Oliveira, Orlando Petrucci

Erratum issuedOpen 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. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Karla ReichertLaboratory of Myocardial Ischemia/Reperfusion, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Helison Rafael Pereira do CarmoLaboratory of Myocardial Ischemia/Reperfusion, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Anali Galluce TorinaLaboratory of Myocardial Ischemia/Reperfusion, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Daniela Diógenes de CarvalhoLaboratory of Myocardial Ischemia/Reperfusion, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Andrei Carvalho SpositoDepartment of Internal Medicine, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Karlos Alexandre de Souza VilarinhoDepartment of Surgery, Discipline of Cardiac Surgery, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Lindemberg da Mota Silveira-FilhoDepartment of Surgery, Discipline of Cardiac Surgery, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Pedro Paulo Martins de OliveiraDepartment of Surgery, Discipline of Cardiac Surgery, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.
Orlando PetrucciLaboratory of Myocardial Ischemia/Reperfusion, Faculty of Medical Science, State University of Campinas - UNICAMP, Campinas, SP, Brazil.ORCID http://orcid.org/0000-0002-1455-7155
Universidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTherapeutic strategies that modulate ventricular remodeling can be useful after acute myocardial infarction (MI). In particular, statins may exert effects on molecular pathways involved in collagen metabolism. The aim of this study was to determine whether treatment with atorvastatin for 4 weeks would lead to changes in collagen metabolism and ventricular remodeling in a rat model of MI.

methodsMale Wistar rats were used in this study. MI was induced in rats by ligation of the left anterior descending coronary artery (LAD). Animals were randomized into three groups, according to treatment: sham surgery without LAD ligation (sham group, n = 14), LAD ligation followed by 10mg atorvastatin/kg/day for 4 weeks (atorvastatin group, n = 24), or LAD ligation followed by saline solution for 4 weeks (control group, n = 27). After 4 weeks, hemodynamic characteristics were obtained by a pressure-volume catheter. Hearts were removed, and the left ventricles were subjected to histologic analysis of the extents of fibrosis and collagen deposition, as well as the myocyte cross-sectional area. Expression levels of mediators involved in collagen metabolism and inflammation were also assessed.

resultsEnd-diastolic volume, fibrotic content, and myocyte cross-sectional area were significantly reduced in the atorvastatin compared to the control group. Atorvastatin modulated expression levels of proteins related to collagen metabolism, including MMP1, TIMP1, COL I, PCPE, and SPARC, in remote infarct regions. Atorvastatin had anti-inflammatory effects, as indicated by lower expression levels of TLR4, IL-1, and NF-kB p50.

conclusionTreatment with atorvastatin for 4 weeks was able to attenuate ventricular dysfunction, fibrosis, and left ventricular hypertrophy after MI in rats, perhaps in part through effects on collagen metabolism and inflammation. Atorvastatin may be useful for limiting ventricular remodeling after myocardial ischemic events.

Indexed as

AnimalsAnticholesteremic AgentsAtorvastatinCatheter AblationCollagenDisease Models, AnimalFibrosisGene ExpressionHeart VentriclesHemodynamicsInterleukin-1MaleMatrix Metalloproteinase 1Myocardial InfarctionMyocardiumNF-kappa B p50 SubunitAnticholesteremic AgentsAtorvastatinCollagenInterleukin-1Matrix Metalloproteinase 1NF-kappa B p50 SubunitTissue Inhibitor of Metalloproteinase-1

Identifiers

PMID27880844
PMCPMC5120826
OpenAlexW2553878245

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.