Evidence map›Paper›PMID 29452461›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2018

Angiogenesis precedes cardiomyocyte migration in regenerating mammalian hearts.

Arnar B Ingason, Andrew B Goldstone, Michael J Paulsen, Akshara D Thakore, Vi N Truong, Bryan B Edwards, Anahita Eskandari, Tanner Bollig, Amanda N Steele, Y Joseph Woo

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
2.8field-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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Arnar B IngasonDepartment of Medicine, University of Iceland, Reykjavík, Iceland; Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Andrew B GoldstoneDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Michael J PaulsenDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Akshara D ThakoreDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Vi N TruongDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Bryan B EdwardsDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Anahita EskandariDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Tanner BolligDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Amanda N SteeleDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif.
Y Joseph WooDepartment of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, Calif. Electronic address: joswoo@stanford.edu.
Stanford University · USStanford Medicine · USUniversity of Iceland · IS

Funding

ANGIOGENIC TISSUE ENGINEERING TO LIMIT POST-INFARCTION VENTRICULAR REMODELINGR01HL089315 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI WOO, Y JOSEPH · 2008 to 2023
$6.4M
NHLBI NIH HHS R01 HL089315
6 · The paper itself

Abstract

objectiveAlthough the mammalian heart's ability to fully regenerate is debated, its potential to extensively repair itself is gaining support. We hypothesized that heart regeneration relies on rapid angiogenesis to support myocardial regrowth and sought to characterize the timeline for angiogenesis and cell proliferation in regeneration.

methodsOne-day-old CD-1 mice (P1, N = 60) underwent apical resection or sham surgery. Hearts were explanted at serial time points from 0 to 30 days postresection and analyzed with immunohistochemistry to visualize vessel ingrowth and cardiomyocyte migration into the resected region. Proliferating cells were labeled with 5-ethynyl-2'-deoxyuridine injections 12 hours before explant. 5-Ethynyl-2'-deoxyuridine-positive cells were counted in both the apex and remote areas of the heart. Masson's trichrome was used to assess fibrosis.

resultsBy 30 days postresection, hearts regenerated with minimal fibrosis. Compared with sham surgery, apical resection stimulated a significant increase in proliferation of preexisting cardiomyocytes between 3 and 11 days after injury. Capillary migration into the apical thrombus was detected as early as 2 days postresection, with development of mature arteries by 5 days postresection. New vessels became perfused by 5 days postresection as evidenced by lectin injection. Vessel density and diameter significantly increased within the resected area over 21 days, and vessel ingrowth always preceded cardiomyocyte migration, with coalignment of most migrating cardiomyocytes with ingrowing vessels.

conclusionsEndothelial cells migrate into the apical thrombus early after resection, develop into functional arteries, and precede cardiomyocyte ingrowth during mammalian heart regeneration. This endogenous neonatal response emphasizes the importance of expeditious angiogenesis required for neomyogenesis.

Indexed as

Cardiac Surgical ProceduresCell MovementCell ProliferationNeovascularization, PhysiologicRegenerationAnimalsAnimals, NewbornCells, CulturedCoculture TechniquesCoronary CirculationCoronary VesselsEndothelial CellsFibrosisHeartMiceMyocytes, Cardiacangiogenesisarteriogenesiscardiac regenerationcardiomyocyte migrationvascular biology

Identifiers

PMID29452461
PMCPMC5985151
OpenAlexW2769783454

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.