Evidence map›Paper›PMID 29626150›Full record

ArticleJournal of the American Heart Association2018

Rac1 Modulates Endothelial Function and Platelet Aggregation in Diabetes Mellitus.

Gabriele Giacomo Schiattarella, Albino Carrizzo, Federica Ilardi, Antonio Damato, Mariateresa Ambrosio, Michele Madonna, Valentina Trimarco, Marina Marino, Elena De Angelis, Silvio Settembrini and 4 more

Open access · goldAbstract 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-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

18 citing papers in PubMed, 36 citations in OpenAlex.

  1. Defective efferocytosis in diabetes: molecular mechanisms and emerging therapeutic strategies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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  6. Association of nitric oxide levels and lipid profile with endothelial dysfunction in type 2 diabetic patients.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2024
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  7. Design, Synthesis,Journal of medicinal chemistry · 2023
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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 at 3 institutions in 1 country.

Gabriele Giacomo SchiattarellaDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Albino CarrizzoIRCCS Neuromed, Pozzilli (Isernia), Italy.
Federica IlardiDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Antonio DamatoIRCCS Neuromed, Pozzilli (Isernia), Italy.
Mariateresa AmbrosioIRCCS Neuromed, Pozzilli (Isernia), Italy.
Michele MadonnaIRCCS Neuromed, Pozzilli (Isernia), Italy.
Valentina TrimarcoHypertension Research Center, Federico II University Hospital, Naples, Italy.
Marina MarinoPresidio Ospedaliero Umberto I, Nocera Inferiore (Salerno), Italy.
Elena De AngelisDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Silvio SettembriniServizio Diabetologia e Malattie Metaboliche, ASL Napoli 1 Centro, Naples, Italy.
Cinzia PerrinoDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Bruno TrimarcoDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy.
Giovanni EspositoDepartment of Advanced Biomedical Sciences, Federico II University, Naples, Italy cvecchione@unisa.it espogiov@unina.it.
Carmine VecchioneIRCCS Neuromed, Pozzilli (Isernia), Italy cvecchione@unisa.it espogiov@unina.it.
Federico II University Hospital · ITIstituto Neurologico Mediterraneo · ITPresidio Ospedaliero · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular complications and abnormal platelet function contribute to morbidity and mortality in diabetes mellitus. We hypothesized that the Rho-related GTPase protein, Rac1, can influence both endothelial and platelet function and might represent a potential novel therapeutic target in diabetes mellitus. METHODS AND

resultsWe used both in vitro and ex vivo approaches to test the effects of pharmacological inhibition of Rac1 during hyperglycemic condition. We evaluated the effect of NSC23766, a pharmacological inhibitor of Rac1, on vascular function in diabetic mice and platelet aggregation in diabetic subjects. We demonstrated that the administration of NSC23766 protects from hyperglycemia-induced endothelial dysfunction, restoring NO levels, and reduces oxidative stress generated by nicotinamide adenine dinucleotide phosphate oxidase. Mechanistically, we identified Rho-associated coiled-coil serine/threonine kinase-1 as a downstream target of Rac1. Moreover, we reported that during hyperglycemic conditions, human platelets showed hyperactivation of Rac1 and impaired NO release, which were both partially restored after NSC23766 treatment. Finally, we characterized the antiplatelet effect of NSC23766 during hyperglycemic conditions, demonstrating the additional role of Rac1 inhibition in reducing platelet aggregation in diabetic patients treated with common antiplatelet drugs.

conclusionsOur data suggest that the pharmacological inhibition of Rac1 could represent a novel therapeutic strategy to reduce endothelial dysfunction and platelet hyperaggregation in diabetes mellitus.

Indexed as

AminoquinolinesAnimalsBlood GlucoseBlood PlateletsDiabetes Mellitus, ExperimentalEndothelium, VascularFemaleHumansMaleMiceMiddle AgedPlatelet ActivationPlatelet AggregationPyrimidinesrac1 GTP-Binding ProteinVasodilationAminoquinolinesBlood GlucoseNSC 23766Pyrimidinesrac1 GTP-Binding Proteincardiovascular diseaseendothelial dysfunctionNOoxidative stressvascular reactivity

Identifiers

PMID29626150
PMCPMC6015399
OpenAlexW2795726115

What OpenQuestion holds

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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.