Evidence map›Paper›PMID 28167354›Full record

ArticleAtherosclerosis2017

Coronary atherosclerosis and dilation in hyper IgE syndrome patients: Depiction by magnetic resonance vessel wall imaging and pathological correlation.

Khaled Z Abd-Elmoniem, Nadine Ramos, Saami K Yazdani, Ahmed M Ghanem, Steven M Holland, Alexandra F Freeman, Ahmed M Gharib

Abstract read
In one paragraph

Article in Atherosclerosis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
  2. Obesity and hepatic steatosis in STAT3 hyper-IgE syndrome.The journal of allergy and clinical immunology. In practice · 2026
    Article
  3. Article
  4. Observational
  5. Review
  6. The Child with Elevated IgE and Infection Susceptibility.Current allergy and asthma reports · 2020
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Autosomal Dominant Hyper-IgE Syndrome in the USIDNET Registry.The journal of allergy and clinical immunology. In practice
    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

7 authors.

Khaled Z Abd-ElmoniemNational Institute of Diabetes and Digestive and Kidney Diseases, Biomedical and Metabolic Imaging Branch, United States.
Nadine RamosNational Institute of Diabetes and Digestive and Kidney Diseases, Biomedical and Metabolic Imaging Branch, United States.
Saami K YazdaniUniversity of South Alabama, United States.
Ahmed M GhanemNational Institute of Diabetes and Digestive and Kidney Diseases, Biomedical and Metabolic Imaging Branch, United States; Electrical Engineering Department, Suez Canal University, Ismailia, Egypt.
Steven M HollandNational Institute of Allergy and Infectious Diseases, United States.
Alexandra F FreemanNational Institute of Allergy and Infectious Diseases, United States.
Ahmed M GharibNational Institute of Diabetes and Digestive and Kidney Diseases, Biomedical and Metabolic Imaging Branch, United States. Electronic address: agharib@mail.nih.gov.

Funding

Advanced Non Invasive Vascular Imaging MethodsZIADK075083 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI GHARIB, AHMED · 2013 to 2025
$34.7M
Intramural NIH HHS Z99 DK999999Intramural NIH HHS ZIA DK075083
6 · The paper itself

Abstract

BACKGROUND AND

aimsAutosomal dominant hyper-IgE (AD-HIES) is a primary immunodeficiency caused by mutations in STAT3. Elevated levels of IgE, an ineffective immune response, connective tissue abnormalities, and coronary arterial dilation and tortuosity characterize AD-HIES. To date, coronary artery evaluation in AD-HIES patients has been limited to lumenography measurements. Direct in vivo coronary vessel wall (VW) imaging may allow for better interrogation of coronary vessel abnormalities. The goal of this prospective study was to evaluate the coronary VW of AD-HIES patients using Magnetic Resonance Imaging (MRI) and histology. VW image findings were compared in healthy subjects and subjects with coronary atherosclerotic disease (CAD).

methodsA total of 28 subjects (10 with AD-HIES, 8 healthy, 10 with CAD) were studied by coronary VW MRI imaging. Additionally, a post-mortem coronary artery from one VW imaged AD-HIES patient was examined.

resultsCoronary VW in AD-HIES was thicker than in healthy controls but not significantly different from VW thickness in CAD subjects. AD-HIES coronaries showed increased VW area compared to healthy controls and CAD subjects. On histology, the AD-HIES coronary artery had findings consistent with atherosclerotic plaque, but had minimal luminal narrowing, deficient adventitia thickening and absence of both internal and external elastic laminae.

conclusionsThis is the first study to demonstrate subclinical coronary atherosclerosis in AD-HIES patients on VW imaging by MRI. Histologic evaluation confirmed the presence of atherosclerosis with lack of supportive adventitial thickening and elastic components. These findings suggest mechanisms for coronary dilation in AD-HIES and thereby help direct clinical management.

Indexed as

Magnetic Resonance ImagingPlaque, AtheroscleroticAdolescentAdultBiopsyCase-Control StudiesComputed Tomography AngiographyCoronary AngiographyCoronary Artery DiseaseCoronary VesselsDilatation, PathologicFemaleHumansJob SyndromeMaleMiddle AgedAutosomal dominant hyper-IgE (AD-HIES)Coronary arterial dilationCoronary atherosclerotic diseaseCoronary vessel wall imagingMagnetic resonance imaging (MRI)

Identifiers

PMID28167354
PMCPMC5387861

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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.