Evidence map›Paper›PMID 29348122›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2018

Macrophage Transitions in Heart Valve Development and Myxomatous Valve Disease.

Alexia Hulin, Lindsey J Anstine, Andrew J Kim, Sarah J Potter, Tony DeFalco, Joy Lincoln, Katherine E Yutzey

Open access · bronzeAbstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 86 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Immune Mechanisms of Heart Valve Development, Homeostasis, and Disease.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Immune-mediated cardiac development and regeneration.Seminars in cell & developmental biology · 2025
    Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Immunotherapy in the Context of Aortic Valve Diseases.Cardiovascular drugs and therapy · 2024
    Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Macrophage lineages in heart development and regeneration.Current topics in developmental biology · 2024
    Review
  19. Review
  20. 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

7 authors at 1 institution in 1 country.

Alexia HulinFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.).
Lindsey J AnstineFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.).
Andrew J KimFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.).
Sarah J PotterFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.).
Tony DeFalcoFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.).
Joy LincolnFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.).
Katherine E YutzeyFrom the Division of Molecular Cardiovascular Biology, Heart Institute (A.H., A.J.K., K.E.Y.) and Division of Reproductive Sciences (S.J.P., T.D.), Cincinnati Children's Hospital Medical Center, OH; Center for Cardiovascular Research, Columbus, OH (L.J.A., J.L.); and Heart Center at Nationwide Children's Hospital Research Institute, Columbus, OH (L.J.A., J.L.). katherine.yutzey@cchmc.org.
Columbus Center · US

Funding

Wnt signaling in heart valve development and diseaseR01HL094319 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI YUTZEY, KATHERINE E · 2009 to 2015
$2.4M
Macrophage regulation of the spermatogonial stem cell nicheR35GM119458 · NIGMS · CINCINNATI CHILDRENS HOSP MED CTR · PI DEFALCO, TONY J. · 2016 to 2020
$1.9M
The Role of Sox9 in Calcific Aortic Valve DiseaseR01HL127033 · NHLBI · RESEARCH INST NATIONWIDE CHILDREN'S HOSP · PI LINCOLN, JOY · 2015 to 2018
$1.5M
NHLBI NIH HHS R01 HL094319NHLBI NIH HHS R01 HL127033NIGMS NIH HHS R35 GM119458
6 · The paper itself

Abstract

objectiveHematopoietic-derived cells have been reported in heart valves but remain poorly characterized. Interestingly, recent studies reveal infiltration of leukocytes and increased macrophages in human myxomatous mitral valves. Nevertheless, timing and contribution of macrophages in normal valves and myxomatous valve disease are still unknown. The objective is to characterize leukocytes during postnatal heart valve maturation and identify macrophage subsets in myxomatous valve disease. APPROACH AND

resultsLeukocytes are detected in heart valves after birth, and their numbers increase during postnatal valve development. Flow cytometry and immunostaining analysis indicate that almost all valve leukocytes are myeloid cells, consisting of at least 2 differentially localized macrophage subsets and dendritic cells. Beginning a week after birth, increased numbers of CCR2+ (C-C chemokine receptor type 2) macrophages are present, consistent with infiltrating populations of monocytes, and macrophages are localized in regions of biomechanical stress in the valve leaflets. Valve leukocytes maintain expression of CD (cluster of differentiation) 45 and do not contribute to significant numbers of endothelial or interstitial cells. Macrophage lineages were examined in aortic and mitral valves of

conclusionsOur study demonstrates the heterogeneity of myeloid cells in heart valves and highlights an alteration of macrophage subpopulations, notably an increased presence of infiltrating CCR2+ monocytes and CD206+ macrophages, in myxomatous valve disease.

Indexed as

Cell LineageAgedAge FactorsAnimalsAxin ProteinCX3C Chemokine Receptor 1Dendritic CellsDisease Models, AnimalExtracellular MatrixFemaleGene Expression Regulation, DevelopmentalGenes, ReporterHeart Valve DiseasesHeart ValvesHumansHyaluronic AcidAxin2 protein, mouseAxin ProteinCcr2 protein, mouseCX3C Chemokine Receptor 1Cx3cr1 protein, mouseHyaluronic AcidLectins, C-TypeLuminescent ProteinsMannose-Binding LectinsMannose ReceptorReceptors, CCR2Receptors, Cell Surfaceanimalsheart valve diseasesheart valvesleukocytesmacrophages

Identifiers

PMID29348122
PMCPMC5823761
OpenAlexW2782936593

What OpenQuestion holds

Textmetadata
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.