Evidence map›Paper›PMID 28099082›Full record

ReviewAnnual review of medicine2017

Therapeutics Targeting Drivers of Thoracic Aortic Aneurysms and Acute Aortic Dissections: Insights from Predisposing Genes and Mouse Models.

Dianna M Milewicz, Siddharth K Prakash, Francesco Ramirez

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Annual review of medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05610462 (A Multicenter Randomized Controlled Trial of Exercise in Aortic Dissection Survivors), which is not on this map. Cited by 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 1 pooled it
11.4field-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.

NCT05610462 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Multicenter Randomized Controlled Trial of Exercise in Aortic Dissection Survivors

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2023 to 2024Enrolled126ConditionsThoracic Aortic DissectionArmsGuided Exercise Training Program, Usual Care
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Transport across the thoracic aortic wall: implications for aneurysm pathobiology, diagnosis, and treatment.American journal of physiology. Heart and circulatory physiology · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Mitochondrial NADNature cardiovascular research · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

24 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

3 authors at 2 institutions in 1 country.

Dianna M MilewiczDivision of Medical Genetics, Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas 77030; email: Dianna.M.Milewicz@uth.tmc.edu.
Siddharth K PrakashDivision of Medical Genetics, Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas 77030; email: Dianna.M.Milewicz@uth.tmc.edu.
Francesco RamirezDepartment of Pharmacological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY 10029.
The University of Texas Health Science Center at Houston · USIcahn School of Medicine at Mount Sinai · US

Funding

Center for Clinical and Translational Sciences (CCTS)UL1TR000371 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MCPHERSON, DAVID D · 2012 to 2016
$13.4M
Pathology and Molecular Imaging CoreP01HL110869 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2012 to 2016
$10.4M
Genetic Predisposition To Thoracic Aortic Aneurysms/DissectionsR01HL109942 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILEWICZ, DIANNA M · 2012 to 2023
$7.5M
Mouse Models for Systems Therapeutics Degenerative DiseasesR01AR069307 · NIAMS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI IYENGAR, SRINIVAS RAVI V, RAMIREZ, FRANCESCO B · 2017 to 2021
$2.6M
Characterization of a novel pathway of aortic aneurysm formation.R01HL126173 · NHLBI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI RAMIREZ, FRANCESCO B · 2015 to 2018
$1.7M
NCATS NIH HHS UL1 TR000371NHLBI NIH HHS P01 HL110869NHLBI NIH HHS R01 HL109942NHLBI NIH HHS R01 HL126173NIAMS NIH HHS R01 AR069307
6 · The paper itself

Abstract

Thoracic aortic diseases, including aneurysms and dissections of the thoracic aorta, are a major cause of morbidity and mortality. Risk factors for thoracic aortic disease include increased hemodynamic forces on the ascending aorta, typically due to poorly controlled hypertension, and heritable genetic variants. The altered genes predisposing to thoracic aortic disease either disrupt smooth muscle cell (SMC) contraction or adherence to an impaired extracellular matrix, or decrease canonical transforming growth factor beta (TGF-β) signaling. Paradoxically, TGF-β hyperactivity has been postulated to be the primary driver for the disease. More recently, it has been proposed that the response of aortic SMCs to the hemodynamic load on a structurally defective aorta is the primary driver of thoracic aortic disease, and that TGF-β overactivity in diseased aortas is a secondary, unproductive response to restore tissue function. The engineering of mouse models of inherited aortopathies has identified potential therapeutic agents to prevent thoracic aortic disease.

Indexed as

Angiotensin IIAnimalsAntihypertensive AgentsAortic Aneurysm, ThoracicAortic DissectionDisease Models, AnimalGenetic Predisposition to DiseaseHumansLosartanMarfan SyndromeMechanoreceptorsMiceMuscle, Smooth, VascularSignal TransductionTransforming Growth Factor betaAngiotensin IIAntihypertensive AgentsLosartanTransforming Growth Factor betaACTA2angiotensin receptoraortopathylosartanMarfan syndromemutationphenotypeTGF-βthoracic aortic disease

Identifiers

PMID28099082
PMCPMC5499376
OpenAlexW2572871393

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.