Evidence map›Paper›PMID 28674420›Full record

ArticleScientific reports2017

Improved risk stratification in prevention by use of a panel of selected circulating microRNAs.

Till Keller, Jes-Niels Boeckel, Stefan Groß, Jens Klotsche, Lars Palapies, David Leistner, Lars Pieper, Günnter K Stalla, Hendrik Lehnert, Sigmund Silber and 9 more

Abstract read
In one paragraph

Article in Scientific reports, 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. Review
  2. Article
  3. MicroRNAs and Cardiovascular Disease Risk.Current cardiology reports · 2024
    Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Platelet microRNAs and vascular injury.The Journal of clinical investigation · 2019
    Article
  12. Article
  13. Review
  14. 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

19 authors.

Till KellerDepartment of Internal Medicine III, Cardiology, University Hospital, Goethe University Frankfurt, Frankfurt, Germany. keller@chestpain.de.ORCID 0000-0002-0895-6491
Jes-Niels BoeckelDepartment of Internal Medicine III, Cardiology, University Hospital, Goethe University Frankfurt, Frankfurt, Germany.
Stefan GroßGerman Centre for Cardiovascular Research (DZHK), Partner site RheinMain, Frankfurt, Germany.
Jens KlotscheInstitute of Clinical Psychology and Psychotherapy, Technical University Dresden, Dresden, Germany.
Lars PalapiesDepartment of Internal Medicine III, Cardiology, University Hospital, Goethe University Frankfurt, Frankfurt, Germany.
David LeistnerDepartment of Internal Medicine III, Cardiology, University Hospital, Goethe University Frankfurt, Frankfurt, Germany.
Lars PieperInstitute of Clinical Psychology and Psychotherapy, Technical University Dresden, Dresden, Germany.
Günnter K StallaMax Planck Institute of Psychiatry, Endocrinology, Munich, Munich, Germany.
Hendrik LehnertUniversity Clinic Schleswig-Holstein, Lübeck, Germany.
Sigmund SilberOutpatient Clinic, Munich, Germany.
David PittrowInstitute of Clinical Pharmacology, Technical University Dresden, Dresden, Germany.
Winfried MaerzSynlab Akademie für ärztliche Fortbildung, Synlab Services GmbH, Mannheim, Germany.
Marcus DörrDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Hans-Ulrich WittchenInstitute of Clinical Psychology and Psychotherapy, Technical University Dresden, Dresden, Germany.
Sebastian E BaumeisterInstitute for Community Medicine, University Medicine Greifswald, Greifswald, Germany.
Uwe VölkerInterfaculty Institute for Genetics and Functional Genomics, Department of Cardiology, University Medicine Greifswald, Greifswald, Germany.
Stephan B FelixDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Stefanie DimmelerGerman Centre for Cardiovascular Research (DZHK), Partner site RheinMain, Frankfurt, Germany.
Andreas M ZeiherDepartment of Internal Medicine III, Cardiology, University Hospital, Goethe University Frankfurt, Frankfurt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Risk stratification is crucial in prevention. Circulating microRNAs have been proposed as biomarkers in cardiovascular disease. Here a miR panel consisting of miRs related to different cardiovascular pathophysiologies, was evaluated to predict outcome in the context of prevention. MiR-34a, miR-223, miR-378, miR-499 and miR-133 were determined from peripheral blood by qPCR and combined to a risk panel. As derivation cohort, 178 individuals of the DETECT study, and as validation cohort, 129 individuals of the SHIP study were used in a case-control approach. Overall mortality and cardiovascular events were outcome measures. The Framingham Risk Score(FRS) and the SCORE system were applied as risk classification systems. The identified miR panel was significantly associated with mortality given by a hazard ratio(HR) of 3.0 (95% (CI): 1.09-8.43; p = 0.034) and of 2.9 (95% CI: 1.32-6.33; p = 0.008) after adjusting for the FRS in the derivation cohort. In a validation cohort the miR-panel had a HR of 1.31 (95% CI: 1.03-1.66; p = 0.03) and of 1.29 (95% CI: 1.02-1.64; p = 0.03) in a FRS/SCORE adjusted-model. A FRS/SCORE risk model was significantly improved to predict mortality by the miR panel with continuous net reclassification index of 0.42/0.49 (p = 0.014/0.005). The present miR panel of 5 circulating miRs is able to improve risk stratification in prevention with respect to mortality beyond the FRS or SCORE.

Indexed as

Circulating MicroRNAGenetic Association StudiesGenetic Predisposition to DiseaseAdultAgedBiomarkersCardiovascular DiseasesFemaleHumansMaleMicroRNAsMiddle AgedPrognosisReproducibility of ResultsRisk AssessmentRisk FactorsBiomarkersCirculating MicroRNAMicroRNAs

Identifiers

PMID28674420
PMCPMC5495799

What OpenQuestion holds

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Registered trials

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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.