Evidence map›Paper›PMID 28589926›Full record

ArticleNature communications2017

Exploiting macrophage autophagy-lysosomal biogenesis as a therapy for atherosclerosis.

Ismail Sergin, Trent D Evans, Xiangyu Zhang, Somashubhra Bhattacharya, Carl J Stokes, Eric Song, Sahl Ali, Babak Dehestani, Karyn B Holloway, Paul S Micevych and 10 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03700424 (The Use of Intravenous Trehalose to Reduce Vascular Inflammation in Acute Coronary Syndrome), which is not on this map. Cited by 204 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
204citing papers in PubMed, 1 pooled it
20.7field-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.

NCT03700424 phase2unknown statusnot on this mapstarted 2020, after this paper: background citation

The Use of Intravenous Trehalose to Reduce Vascular Inflammation in Acute Coronary Syndrome

TypeinterventionalSponsorMashhad University of Medical SciencesRan2020 to 2022Enrolled15ConditionsAcute Coronary SyndromeArmsTrehalose, Normal saline
3 · Its place in the literature

Who cites it

204 citing papers in PubMed, 1 synthesis or guideline pooled it, 347 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. From lipid overload to autophagy collapse: how lipid dysregulation drives chronic inflammation and metabolic disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Vascular Aging.Circulation · 2026
    Review
  12. Review
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  14. Review
  15. Article
  16. Article
  17. Article
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144 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

20 authors at 4 institutions in 3 countries.

Ismail SerginDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Trent D EvansDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Xiangyu ZhangDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Somashubhra BhattacharyaDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Carl J StokesDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Eric SongDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Sahl AliDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Babak DehestaniDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Karyn B HollowayDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Paul S MicevychDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Ali JavaheriDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Jan R CrowleyDepartment of Medicine, Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, 660S Euclid Avenue, St Louis, Missouri 63110, USA.
Andrea BallabioTelethon Institute of Genetics and Medicine, Via Campi Flegrei 34, 80078 Pozzuoli, Naples, Italy.
Joel D SchillingDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Slava EpelmanPeter Munk Cardiac Center, University Health Network, Toronto, Ontario, Canada M5G 2C4.
Conrad C WeihlDepartment of Neurology, Washington University School of Medicine, Campus Box 8111, 660S. Euclid Avenue, St Louis, Missouri 63110, USA.
Abhinav DiwanDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.
Daping FanDepartment of Cell Biology and Anatomy, University of South Carolina School of Medicine, Columbia, South Carolina 29209, USA.
Mohamed A ZayedDepartment of Surgery, Washington University School of Medicine, 660S. Euclid Avenue, St Louis, Missouri 63110, USA.
Babak RazaniDepartment of Medicine, Cardiovascular Division, Washington University School of Medicine, Campus Box 8086, 660 S Euclid Avenue, St Louis, Missouri 63110, USA.ORCID 0000-0002-7172-9240
Washington University in St. Louis · USTelethon Institute Of Genetics And Medicine · ITUniversity Health Network · CAUniversity of South Carolina · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Jennifer Lynn Powers Carson · 2013 to 2026
$27.1M
Use of Resveratrol to treat experimental multiple sclerosisP01AT003961 · NCCIH · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI SINGH, NARENDRA P · 2007 to 2018
$14.2M
PRINCIPLES IN CARDIVASCULAR RESEARCH TRAINING PROGRAMT32HL007081 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan, Karen Ellen Joynt Maddox · 1985 to 2026
$10.6M
ROLE OF AUTOPHAGIC FLUX IN CARDIAC MYOCYTE VIABILITYR01HL107594 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan · 2011 to 2026
$5.9M
THE ROLE OF MACROPHAGE LYSOSOMAL BIOGENESIS IN ATHEROSCLEROSISR01HL125838 · NHLBI · WASHINGTON UNIVERSITY · PI RAZANI, BABAK · 2015 to 2025
$4.6M
Sparstolonin B as an anti-atherogenic agentR01HL116626 · NHLBI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI FAN, DAPING · 2013 to 2017
$1.7M
De Novo Lipogenesis in Myocardial DysfunctionK08HL098559 · NHLBI · WASHINGTON UNIVERSITY · PI RAZANI, BABAK · 2010 to 2014
$589k
THE ROLE OF PHOSPHOLIPOGENESIS IN DIABETIC PERIPHERAL ARTERIAL DISEASEK08HL132060 · NHLBI · WASHINGTON UNIVERSITY · PI ZAYED, MOHAMED A. · 2017 to 2021
$466k
Characterization of a Lysosomal Acid Lipase Variant Associated with Coronary DiseaseF31HL132434 · NHLBI · WASHINGTON UNIVERSITY · PI EVANS, TRENT · 2016 to 2019
$114k
Enhancing Beneficial Autophagy to Prevent Heart FailureI01BX001969 · VA · ST. LOUIS VA MEDICAL CENTER · PI DIWAN, ABHINAV · 2014 to 2017
–
BLRD VA I01 BX001969NCCIH NIH HHS P01 AT003961NHLBI NIH HHS F31 HL132434NHLBI NIH HHS K08 HL098559NHLBI NIH HHS K08 HL132060NHLBI NIH HHS R01 HL107594NHLBI NIH HHS R01 HL116626NHLBI NIH HHS R01 HL125838NHLBI NIH HHS T32 HL007081NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

Macrophages specialize in removing lipids and debris present in the atherosclerotic plaque. However, plaque progression renders macrophages unable to degrade exogenous atherogenic material and endogenous cargo including dysfunctional proteins and organelles. Here we show that a decline in the autophagy-lysosome system contributes to this as evidenced by a derangement in key autophagy markers in both mouse and human atherosclerotic plaques. By augmenting macrophage TFEB, the master transcriptional regulator of autophagy-lysosomal biogenesis, we can reverse the autophagy dysfunction of plaques, enhance aggrephagy of p62-enriched protein aggregates and blunt macrophage apoptosis and pro-inflammatory IL-1β levels, leading to reduced atherosclerosis. In order to harness this degradative response therapeutically, we also describe a natural sugar called trehalose as an inducer of macrophage autophagy-lysosomal biogenesis and show trehalose's ability to recapitulate the atheroprotective properties of macrophage TFEB overexpression. Our data support this practical method of enhancing the degradative capacity of macrophages as a therapy for atherosclerotic vascular disease.

Indexed as

AutophagyAnimalsAtherosclerosisBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsHumansLysosomesMacrophagesMice, Inbred C57BLMice, KnockoutMice, TransgenicMicrotubule-Associated ProteinsPlaque, AtheroscleroticSequestosome-1 ProteinTrehaloseBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsMAP1LC3A protein, humanMap1lc3b protein, mouseMicrotubule-Associated ProteinsSequestosome-1 ProteinSqstm1 protein, mouseTcfeb protein, mouseTrehalose

Identifiers

PMID28589926
PMCPMC5467270
OpenAlexW2622769153

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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.