Evidence map›Paper›PMID 28286252›Full record

ArticleAtherosclerosis2017

PKC-epsilon and TLR4 synergistically regulate resistin-mediated inflammation in human macrophages.

Mary C Zuniga, Gayatri Raghuraman, Elizabeth Hitchner, Cornelia Weyand, William Robinson, Wei Zhou

Open access · greenAbstract 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 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Identification of Myeloid Protein Kinase C Epsilon as a Novel Atheroprotective Gene.Arteriosclerosis, thrombosis, and vascular biology · 2025
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  13. Adipokines in atherosclerosis: unraveling complex roles.Frontiers in cardiovascular medicine · 2023
    Review
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  16. Botanically-Derived ΔMolecules (Basel, Switzerland) · 2022
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  20. Review
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

6 authors at 3 institutions in 1 country.

Mary C ZunigaDepartment of Vascular Surgery, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Gayatri RaghuramanDepartment of Vascular Surgery, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Elizabeth HitchnerDepartment of Vascular Surgery, VA Palo Alto Health Care System, Palo Alto, CA, USA.
Cornelia WeyandDepartment of Vascular Surgery, VA Palo Alto Health Care System, Palo Alto, CA, USA; Division of Immunology and Rheumatology, Department of Medicine, Stanford University, Stanford, CA, USA.
William RobinsonDepartment of Vascular Surgery, VA Palo Alto Health Care System, Palo Alto, CA, USA; Division of Immunology and Rheumatology, Department of Medicine, Stanford University, Stanford, CA, USA.
Wei ZhouDivision of Vascular Surgery, Department of Surgery, University of Arizona, Tucson, AZ, USA; Department of Vascular Surgery, Southern Arizona VA Health Care System, Tucson, AZ, USA. Electronic address: zhouw@email.arizona.edu.
VA Palo Alto Health Care System · USSouthern Arizona VA Health Care System · USStanford University · US

Funding

The Role of Inflammation in Cardiovascular DiseaseP01HL129941 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNSTEIN, KENNETH E · 2016 to 2020
$12.4M
Long-term Cognitive Effects of Microembolization Associated with Carotid StentingR01NS070308 · NINDS · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI KRAEMER, FREDRIC B., ZHOU, WEI · 2011 to 2015
$1.9M
PKC Epsilon in Vascular DysfunctionI01BX001398 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI ZHOU, WEI · 2012 to 2015
–
BLRD VA I01 BX001398NHLBI NIH HHS P01 HL129941NINDS NIH HHS R01 NS070308
6 · The paper itself

Abstract

BACKGROUND AND

aimsResistin has been associated with atherosclerotic inflammation and cardiovascular complications. We and others have previously shown that PKC-epsilon (PKCε) is involved in resistin-induced smooth muscle cell (VSMC) dysfunction at a high pathological concentration. This study aimed to evaluate the role and potential pathways of resistin at a physiological concentration, in atherosclerosis-related inflammation.

methodsPlasma from patients with atherosclerosis was analyzed for resistin concentration. Patients were divided into tertiles based on resistin levels and cytokines were compared between tertiles. Macrophages were then treated with resistin in the presence or absence of PKCε inhibitor and/or TLR4 blocking-antibody, and their inflammatory state was evaluated with ELISA, RT-PCR, immunocytochemistry, and Western blot.

resultsWe observed significant associations between plasma resistin levels and TNF-α, IL-6, IL-12, MIP-1α, MIP-1β, and CD40L. Our in vitro analyses revealed that resistin activated PKCε via TLR4. This was followed by NF-kB activation and induction of a pro-inflammatory phenotype in macrophages, significantly upregulating CD40, downregulating CD206 and stimulating gene expression and secretion of the inflammatory cytokines, for which we found association in our plasma analysis. Resistin also induced persistent TRAM and CD40L upregulation up to 36 h after resistin treatment. PKCε and TLR4 inhibitors suppressed gene expression to levels similar to control, especially when used in combination.

conclusionsResistin, at a physiological concentration, exacerbates the inflammatory response of macrophages. PKCε is a key upstream mediator in resistin-induced inflammation that may interact synergistically with TLR4 to promote NF-kB activation, while TRAM is an important signal. PKCε and TRAM may represent novel molecular targets for resistin-associated chronic atherosclerotic inflammation.

Indexed as

Adaptor Proteins, Signal TransducingAgedAged, 80 and overAnti-Inflammatory AgentsAtherosclerosisCD40 LigandCells, CulturedCytokinesFemaleHumansInflammationInflammation MediatorsMacrophagesMaleMiddle AgedNF-kappa BAdaptor Proteins, Signal TransducingAnti-Inflammatory AgentsCD40 LigandCytokinesInflammation MediatorsNF-kappa BPRKCE protein, humanProtein Kinase C-epsilonProtein Kinase InhibitorsResistinRETN protein, humanTICAM2 protein, humanTLR4 protein, humanToll-Like Receptor 4AtherosclerosisCytokineMacrophageProtein kinase C epsilonResistinToll-like receptor 4

Identifiers

PMID28286252
PMCPMC5395299
OpenAlexW2590192857

What OpenQuestion holds

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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.