Evidence map›Paper›PMID 29126223›Full record

ArticleCardiovascular research2018

Atheroprone flow activates inflammation via endothelial ATP-dependent P2X7-p38 signalling.

Jack P Green, Celine Souilhol, Ioannis Xanthis, Laura Martinez-Campesino, Neil P Bowden, Paul C Evans, Heather L Wilson

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

34 citing papers in PubMed, 54 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Impact of Estrogen on Purinergic Signaling in Microvascular Disease.International journal of molecular sciences · 2025
    Review
  6. Article
  7. Mechanisms of mitochondrial damage-associated molecular patterns associated with inflammatory response in cardiovascular diseases.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Insights from Murine Studies on the Site Specificity of Atherosclerosis.International journal of molecular sciences · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. 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 at 1 institution in 1 country.

Jack P GreenDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
Celine SouilholDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
Ioannis XanthisDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
Laura Martinez-CampesinoDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
Neil P BowdenDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
Paul C EvansDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
Heather L WilsonDepartment of Infection, Immunity & Cardiovascular Disease, University of Sheffield, Beech Hill Road, Sheffield S10 2RX, UK.
University of Sheffield · GB

Funding

British Heart Foundation FS/12/73/29772British Heart Foundation FS/13/27/30191British Heart Foundation RG/13/1/30042
6 · The paper itself

Abstract

Objective: Atherosclerosis is a focal disease occurring at arterial sites of disturbed blood flow that generates low oscillating shear stress. Endothelial inflammatory signalling is enhanced at sites of disturbed flow via mechanisms that are incompletely understood. The influence of disturbed flow on endothelial adenosine triphosphate (ATP) receptors and downstream signalling was assessed. Methods and results: Cultured human endothelial cells were exposed to atheroprotective (high uniform) or atheroprone (low oscillatory) shear stress for 72 h prior to assessment of ATP responses. Imaging of cells loaded with a calcium-sensitive fluorescent dye revealed that atheroprone flow enhanced extracellular calcium influx in response to 300 µM 2'(3')-O-(4-Benzoylbenzoyl) adenosine-5'-triphosphate. Pre-treatment with pharmacological inhibitors demonstrated that this process required purinergic P2X7 receptors. The mechanism involved altered expression of P2X7, which was induced by atheroprone flow conditions in cultured cells. Similarly, en face staining of the murine aorta revealed enriched P2X7 expression at an atheroprone site. Functional studies in cultured endothelial cells showed that atheroprone flow induced p38 phosphorylation and up-regulation of E-selectin and IL-8 secretion via a P2X7-dependent mechanism. Moreover, genetic deletion of P2X7 significantly reduced E-selectin at atheroprone regions of the murine aorta. Conclusions: These findings reveal that P2X7 is regulated by shear forces leading to its accumulation at atheroprone sites that are exposed to disturbed patterns of blood flow. P2X7 promotes endothelial inflammation at atheroprone sites by transducing ATP signals into p38 activation. Thus P2X7 integrates vascular mechanical responses with purinergic signalling to promote endothelial dysfunction and may provide an attractive potential therapeutic target to prevent or reduce atherosclerosis.

Indexed as

Mechanotransduction, CellularAdenosine TriphosphateAnimalsAtherosclerosisCalcium SignalingCells, CulturedDisease Models, AnimalE-SelectinFemaleHumansHuman Umbilical Vein Endothelial CellsInflammationInterleukin-8Mice, Inbred BALB CMice, Inbred C57BLMice, KnockoutAdenosine TriphosphateCXCL8 protein, humanE-SelectinInterleukin-8P2RX7 protein, humanP2rx7 protein, mousep38 Mitogen-Activated Protein KinasesReceptors, Purinergic P2X7SELE protein, humanAtherosclerosisATPEndotheliumP2X7Shear stress

Identifiers

PMID29126223
PMCPMC5852506
OpenAlexW2768623326

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.