Evidence map›Paper›PMID 29322004›Full record

ArticleJournal of traditional and complementary medicine2018

Thoughts modulate the expression of inflammatory genes and may improve the coronary blood flow in patients after a myocardial infarction.

Carlo Dal Lin, Mariela Marinova, Giorgio Rubino, Elisabetta Gola, Alessandra Brocca, Giorgia Pantano, Laura Brugnolo, Cristiano Sarais, Umberto Cucchini, Biancarosa Volpe and 7 more

Abstract read
In one paragraph

Article in Journal of traditional and complementary medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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  8. Review
  9. Article
  10. The crosstalk between the cardiovascular and the immune system.Vascular biology (Bristol, England) · 2019
    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

17 authors.

Carlo Dal LinDepartment of Cardiac, Thoracic and Vascular Sciences, Padua University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Mariela MarinovaDepartment of Laboratory Medicine, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Giorgio RubinoDepartment of Cardiac, Thoracic and Vascular Sciences, Padua University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Elisabetta GolaDepartment of Medicine, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Alessandra BroccaDepartment of Medicine, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Giorgia PantanoDepartment of Laboratory Medicine, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Laura BrugnoloDepartment of Laboratory Medicine, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Cristiano SaraisDepartment of Cardiac, Thoracic and Vascular Sciences, Padua University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Umberto CucchiniDepartment of Cardiac, Thoracic and Vascular Sciences, Padua University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Biancarosa VolpeClinical Psychology, Department of Cardiac, Thoracic and Vascular Sciences, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Chiara CavalliClinical Psychology, Department of Cardiac, Thoracic and Vascular Sciences, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Maura BellioClinical Psychology, Department of Cardiac, Thoracic and Vascular Sciences, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Emilia FiorelloClinical Psychology, Department of Cardiac, Thoracic and Vascular Sciences, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Sofia ScaliClinical Psychology, Department of Cardiac, Thoracic and Vascular Sciences, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Mario PlebaniDepartment of Laboratory Medicine, University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Sabino IlicetoDepartment of Cardiac, Thoracic and Vascular Sciences, Padua University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.
Francesco TonaDepartment of Cardiac, Thoracic and Vascular Sciences, Padua University-Hospital, Via Giustiniani 2, 35100 Padua, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMental stress is one of the main risk factors for cardiovascular disease. Meditation and music listening are two techniques that are able to counteract it through the activation of specific brain areas, eliciting the so-called Relaxing Response (RR). Epidemiological evidence reveals that the RR practice has a beneficial prognostic impact on patients after myocardial infarction. We aimed to study the possible molecular mechanisms of RR underlying these findings.

methodsWe enrolled 30 consecutive patients after myocardial infarction and 10 healthy controls. 10 patients were taught to meditate, 10 to appreciate music and 10 did not carry out any intervention and served as controls. After training, and after 60 days of RR practice, we studied the individual variations, before and after the relaxation sessions, of the vital signs, the electrocardiographic and echocardiographic parameters along with coronary flow reserve (CFR) and the carotid's intima media thickness (IMT). Neuro-endocrine-immune (NEI) messengers and the expression of inflammatory genes (p53, Nuclear factor Kappa B (NfKB), and toll like receptor 4 (TLR4)) in circulating peripheral blood mononuclear cells were also all observed.

resultsThe RR results in a reduction of NEI molecules (p < 0.05) and oxidative stress (p < 0.001). The expression of the genes p53, NFkB and TLR4 is reduced after the RR and also at 60 days (p < 0.001). The CFR increases with the relaxation (p < 0.001) and the IMT regressed significantly (p < 0.001) after 6 months of RR practice.

conclusionsThe RR helps to advantageously modulate the expression of inflammatory genes through a cascade of NEI messengers improving, over time, microvascular function and the arteriosclerotic process.

Indexed as

EpigeneticsIntegrative cardiologyMeditationMusic therapyStress

Identifiers

PMID29322004
PMCPMC5755999

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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.