Evidence map›Paper›PMID 29535140›Full record

ArticleJournal of the American Heart Association2018

Elevated Circulating Fibrocytes Is a Marker of Left Atrial Fibrosis and Recurrence of Persistent Atrial Fibrillation.

Yang Liu, Xiao-Hui Niu, Xiaomeng Yin, Yue-Jian Liu, Chao Han, Jie Yang, Xin Huang, Xiaohong Yu, Lianjun Gao, Yan-Zong Yang and 2 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Serum-Soluble ST2 Is a Novel Biomarker for Evaluating Left Atrial Low-Voltage Zone in Paroxysmal Atrial Fibrillation.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Trial
  2. Circulating Fibrocytes: Cellular Mediators of Tissue Fibrosis.International journal of molecular sciences · 2026
    Review
  3. Mechanisms underlying atrial fibrillation in chronic kidney disease.Journal of molecular and cellular cardiology · 2025
    Review
  4. Review
  5. Article
  6. Atrial cardiomyopathy revisited-evolution of a concept: a clinical consensus statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), the Asian Pacific Heart Rhythm Society (APHRS), and the Latin American Heart Rhythm Society (LAHRS).Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  17. Innate Immunity Effector Cells as Inflammatory Drivers of Cardiac Fibrosis.International journal of molecular sciences · 2020
    Review
  18. IL-18/IL-18R1 promotes circulating fibrocyte differentiation in the aging population.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2020
    Article
  19. Atrial Myopathy.JACC. Basic to translational science · 2019
    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

12 authors.

Yang LiuInstitute of Cardiovascular Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China liuyang19831119@163.com hhli1935@aliyun.com.
Xiao-Hui NiuInstitute of Cardiovascular Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Xiaomeng YinDepartment of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Yue-Jian LiuCentral Laboratory, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Chao HanRegenerative Medicine Centre, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Jie YangDepartment of Occupational and Environmental Health, School of Public Health, Dalian Medical University, Dalian, China.
Xin HuangInstitute of Cardiovascular Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Xiaohong YuDepartment of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Lianjun GaoDepartment of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Yan-Zong YangDepartment of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Yun-Long XiaDepartment of Cardiology, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Hui-Hua LiInstitute of Cardiovascular Diseases, The First Affiliated Hospital of Dalian Medical University, Dalian, China liuyang19831119@163.com hhli1935@aliyun.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn atrial fibrillation (AF), a more extensively fibrotic left atrium (LA) provides a substrate for arrhythmias and increases risk of relapse following ablation. Fibrocytes are bone marrow-derived circulating mesenchymal progenitors that have been identified in the atrium of patients with AF who have valvular diseases. The present study investigates the associations between circulating fibrocytes and LA fibrosis or the prevalence of recurrence after ablation in patients with persistent AF. METHODS AND

resultsWe measured the proportion, differentiation, and migration of circulating fibrocytes from patients with persistent AF (n=40), those with paroxysmal AF (n=30), and sinus rhythm controls (n=30). LA low-voltage (fibrosis) area was identified by an electroanatomic mapping system, and patients were followed up for 1 year after ablation. The relationship between circulating fibrocyte percentage and LA low-voltage area or recurrence was assessed by multivariate regression analysis. Circulating fibrocyte percentage positively associated with LA low-voltage area in the persistent AF group, and circulating fibrocyte (≥4.05%) was a significant predictor of 1-year recurrence after ablation. Cultured fibrocytes exhibited enhanced potential of differentiation in the persistent AF group (67.58±1.54%) versus the paroxysmal AF group (56.67±1.52%) and sinus rhythm controls (48.43±1.79%). Furthermore, expression of fibroblast activation markers and cell migratory ability were also elevated in differentiated fibrocytes from patients with persistent AF. Transforming growth factor β1 and stromal cell-derived factor 1 were elevated in the plasma of patients with persistent AF and were shown to promote fibrocyte differentiation and migration, respectively.

conclusionsIn patients with persistent AF, increased circulating fibrocytes served as a marker of LA fibrosis and recurrence.

Indexed as

Atrial Function, LeftAtrial RemodelingAgedAtrial FibrillationCase-Control StudiesCatheter AblationCell CountCell DifferentiationCell MovementCells, CulturedChemokine CXCL12FemaleFibrosisHeart AtriaHumansMaleChemokine CXCL12CXCL12 protein, humanTGFB1 protein, humanTransforming Growth Factor beta1atrial fibrillationatrial fibrosisbiomarkerdifferentiationfibrocyte

Identifiers

PMID29535140
PMCPMC5907563

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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.