Evidence map›Paper›PMID 29616846›Full record

Trial reportJournal of alternative and complementary medicine (New York, N.Y.)2018

Specific Transcriptome Changes Associated with Blood Pressure Reduction in Hypertensive Patients After Relaxation Response Training.

Manoj K Bhasin, John W Denninger, Jeff C Huffman, Marie G Joseph, Halsey Niles, Emma Chad-Friedman, Roberta Goldman, Beverly Buczynski-Kelley, Barbara A Mahoney, Gregory L Fricchione and 4 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of alternative and complementary medicine (New York, N.Y.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07653594 (TRANScriptional Pathways Of Surgical Pain Modulated by Music Therapy Exposure), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

NCT07653594 nanot yet recruitingnot on this mapstarted 2027, after this paper: background citation

TRANScriptional Pathways Of Surgical Pain Modulated by Music Therapy Exposure (TRANSPOSE): A Single Arm Pilot Study

TypeinterventionalSponsorCase Comprehensive Cancer CenterRan2027 to 2027Enrolled20ConditionsSurgery, Stomach Cancer, Pancreas Cancer, Bile Duct CancerArmsMusic-assisted relaxation and imagery (MARI)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Large-scale genomic study reveals robust activation of the immune system following advanced Inner Engineering meditation retreat.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Psychosocial Stress and Cardiovascular Disease.Current treatment options in cardiovascular medicine · 2019
    Review
  13. Article
  14. 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

14 authors.

Manoj K Bhasin1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
John W Denninger1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Jeff C Huffman4 Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School , Boston, MA.
Marie G Joseph3 BIDMC Genomics, Proteomics, Bioinformatics and Systems Biology Center, Beth Israel Deaconess Medical Center , Boston, MA.
Halsey Niles1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Emma Chad-Friedman1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Roberta Goldman1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Beverly Buczynski-Kelley5 Department of Medicine, Corrigan-Minehan Heart Center, Cardiology Division, Section on Hypertension, Massachusetts General Hospital, Harvard Medical School , Boston, MA.
Barbara A Mahoney5 Department of Medicine, Corrigan-Minehan Heart Center, Cardiology Division, Section on Hypertension, Massachusetts General Hospital, Harvard Medical School , Boston, MA.
Gregory L Fricchione1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Jeffery A Dusek1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Herbert Benson1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.
Randall M Zusman5 Department of Medicine, Corrigan-Minehan Heart Center, Cardiology Division, Section on Hypertension, Massachusetts General Hospital, Harvard Medical School , Boston, MA.
Towia A Libermann1 Benson-Henry Institute for Mind Body Medicine, Massachusetts General Hospital , Boston, MA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMind-body practices that elicit the relaxation response (RR) have been demonstrated to reduce blood pressure (BP) in essential hypertension (HTN) and may be an adjunct to antihypertensive drug therapy. However, the molecular mechanisms by which the RR reduces BP remain undefined.

designGenomic determinants associated with responsiveness to an 8-week RR-based mind-body intervention for lowering HTN in 13 stage 1 hypertensive patients classified as BP responders and 11 as nonresponders were identified.

resultsTranscriptome analysis in peripheral blood mononuclear cells identified 1771 genes regulated by the RR in responders. Biological process- and pathway-based analysis of transcriptome data demonstrated enrichment in the following gene categories: immune regulatory pathways and metabolism (among downregulated genes); glucose metabolism, cardiovascular system development, and circadian rhythm (among upregulated genes). Further in silico estimation of cell abundance from the microarray data showed enrichment of the anti-inflammatory M2 subtype of macrophages in BP responders. Nuclear factor-κB, vascular endothelial growth factor, and insulin were critical molecules emerging from interactive network analysis.

conclusionsThese findings provide the first insights into the molecular mechanisms that are associated with the beneficial effects of the RR on HTN.

Indexed as

Relaxation TherapyAdultAgedBlood PressureFemaleGene Expression ProfilingGene Regulatory NetworksHumansHypertensionMaleMiddle AgedProspective StudiesRelaxationTranscriptomeblood pressuregene expressionhypertensionmicroarraymindfulnessrelaxation response

Identifiers

PMID29616846
PMCPMC5961875

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Registered trials

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.