Evidence map›Paper›PMID 28433556›Full record

ArticleInternational journal of cardiology2017

Bolus injections of novel thrombogenic site-targeted fusion proteins comprising annexin-V and Kunitz protease inhibitors attenuate intimal hyperplasia after balloon angioplasty.

Yung-Hsin Yeh, Shang-Hung Chang, Shin-Yu Chen, Chih-Jen Wen, Fu-Chan Wei, Rui Tang, Sam Achilefu, Tze-Chein Wun, Wei-Jan Chen

Open access · greenAbstract read
In one paragraph

Article in International journal of cardiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 2 countries.

Yung-Hsin YehCardiovascular Division, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan. Electronic address: yeongshinn@cgmh.org.tw.
Shang-Hung ChangCardiovascular Division, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan.
Shin-Yu ChenCardiovascular Division, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan.
Chih-Jen WenCollege of Medicine, Chang-Gung University, Center for Vascularized Composite Allotransplantation, Chang-Gung Medical Foundation, Department of Plastic and Reconstructive Surgery and Center for Vascularized Composite Allotransplantation, Chang-Gung Memorial Hospital, Taoyuan, Taiwan.
Fu-Chan WeiCollege of Medicine, Chang-Gung University, Center for Vascularized Composite Allotransplantation, Chang-Gung Medical Foundation, Department of Plastic and Reconstructive Surgery and Center for Vascularized Composite Allotransplantation, Chang-Gung Memorial Hospital, Taoyuan, Taiwan.
Rui TangDepartment of Radiology, Washington University Medical School, St Louis, MO 63110, USA.
Sam AchilefuDepartment of Radiology, Washington University Medical School, St Louis, MO 63110, USA.
Tze-Chein WunEVAS Therapeutics, LLC, 613 Huntley Heights Drive, Ballwin, MO 63021, USA.
Wei-Jan ChenCardiovascular Division, Chang-Gung Memorial Hospital, Chang-Gung University College of Medicine, Taoyuan, Taiwan. Electronic address: wjchen@cgmh.org.tw.
Chang Gung Memorial Hospital · TWWashington University in St. Louis · US

Funding

Novel antithrombotic agents to prevent hemodialysis vascular access failureR44HL093848 · NHLBI · EVAS THERAPEUTICS, LLC. · PI WUN, TZE-CHEIN · 2012 to 2013
$1.4M
Pharmacologic treatment of thromboembolismR43HL093848 · NHLBI · EVAS THERAPEUTICS, LLC. · PI WUN, TZE-CHEIN · 2009 to 2009
$167k
Novel Recombinant Anticoagulant ProteinsR43HL077061 · NHLBI · EVAS THERAPEUTICS, LLC. · PI WUN, TZE-CHEIN · 2005 to 2005
$153k
NHLBI NIH HHS R43 HL077061NHLBI NIH HHS R43 HL093848NHLBI NIH HHS R44 HL093848
6 · The paper itself

Abstract

backgroundSystemic administrations of conventional antithrombotics reduce neointima formation after angioplasty in experimental animals. However, clinical translation of these results has not been successful due to high risk for bleeding.

objectivesWe sought to determine whether novel annexin-V (ANV)-Kunitz protease inhibitor fusion proteins, TAP-ANV and ANV-6L15, can specifically target to vascular injury site and limit neointima formation without inducing systemic hypo-coagulation in a rat carotid artery balloon angioplasty injury model.

methodsNear infrared imaging was carried out after balloon-injury and injection of fluorescent ANV or ANV-6L15 to examine their bio-distributions. For peri-procedure treatment, TAP-ANV or ANV-6L15 was administered as i.v. boluses 3 times: 30-minutes before balloon-injury, immediate after procedure, and 120-minutes post-balloon-injury. For extended treatment, additional i.v. bolus injection was given on day-2, day-3 and every other day thereafter. Carotid arteries were collected on day-7 and day-14 for analysis. Blood was collected for measurement of clotting parameters.

resultsNear infrared imaging and immunochemistry showed that fluorescent ANV and ANV-6L15 specifically localized to injured carotid artery and significant amount of ANV-6L15 remained bound to the injured artery after 24-h. Peri-procedure injections of TAP-ANV or ANV-6L15 resulted in decrease of intima/media ratio by 56%. Extended injections of both yielded similar results. Both decreased the expression of PCNA on day-7 and increased the expression calponin on day-14 in the intima post-balloon-injury.

conclusionsTAP-ANV and ANV-6L15 can specifically localize to balloon injured carotid arteries after i.v. bolus injections, resulting in substantial attenuation of intimal hyperplasia without inducing a state of systemic hypo-coagulation.

Indexed as

Angioplasty, BalloonAnimalsAnnexin A5Carotid Artery, ExternalDose-Response Relationship, DrugHyperplasiaInjections, IntravenousMaleNeointimaRatsRats, WistarRecombinant Fusion ProteinsRecombinant ProteinsAnnexin A5ANV-6L15 proteinRecombinant Fusion ProteinsRecombinant ProteinsAnticoagulantsBalloon angioplastyIntimal hyperplasiaRecombinant Kunitz protease inhibitorThrombosis

Identifiers

PMID28433556
PMCPMC7331180
OpenAlexW2604467763

What OpenQuestion holds

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LicenceTDM
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.