Evidence map›Paper›PMID 29766336›Full record

ArticleCardiovascular drugs and therapy2018

Ischaemic Preconditioning Protects Cardiomyocytes from Anthracycline-Induced Toxicity via the PI3K Pathway.

Angshuman Maulik, Sean M Davidson, Izabela Piotrowska, Malcolm Walker, Derek M Yellon

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular drugs and therapy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  4. Doxorubicin-Induced Cardiotoxicity: A Comprehensive Update.Journal of cardiovascular development and disease · 2025
    Review
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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

5 authors at 1 institution in 1 country.

Angshuman MaulikThe Hatter Cardiovascular Institute, 67 Chenies Mews, London, WC1E 6HX, UK.
Sean M DavidsonThe Hatter Cardiovascular Institute, 67 Chenies Mews, London, WC1E 6HX, UK.
Izabela PiotrowskaThe Hatter Cardiovascular Institute, 67 Chenies Mews, London, WC1E 6HX, UK.
Malcolm WalkerThe Hatter Cardiovascular Institute, 67 Chenies Mews, London, WC1E 6HX, UK.
Derek M YellonThe Hatter Cardiovascular Institute, 67 Chenies Mews, London, WC1E 6HX, UK. d.yellon@ucl.ac.uk.
Institute of Cancer Research · GB

Funding

British Heart Foundation PG/15/52/31598British Heart Foundation PG/16/85/32471British Heart Foundation PG/18/44/33790
6 · The paper itself

Abstract

purposeAnthracyclines cause chronic irreversible cardiac failure, but the mechanism remains poorly understood. Emerging data indicate that cardiac damage begins early, suggesting protective modalities delivered in the acute stage may confer prolonged benefit. Ischaemic preconditioning (IPC) activates the pro-survival reperfusion injury salvage kinase (RISK) pathway which involves PI3-kinase and MAPK/ERK1/2.

methodsWe investigated whether simulated IPC (sIPC), in the form of a sublethal exposure to a hypoxic buffer simulating ischaemic conditions followed by reoxygenation, protects primary adult rat cardiomyocytes against anthracycline-induced injury. PI3-kinase and MAPK/ERK1/2 were inhibited using LY294002, and PD98059. The role of reactive oxygen species (ROS), mitochondrial membrane potential (Δψ

resultssIPC protected cardiomyocytes against doxorubicin-induced death (35.4 ± 1.7% doxorubicin vs 14.7 ± 1.5% doxorubicin + sIPC; p < 0.01). This protection was abrogated by the PI3-kinase inhibitor, LY294002, but not the MAPK/ERK1/2 inhibitor, PD98059. A ROS scavenger failed to rescue cardiomyocytes from doxorubicin toxicity, and no significant influence on Δψ

conclusionsIPC is able to protect cardiomyocytes against anthracycline injury via a pathway involving PI3-kinase. This mechanism appears to be independent of ROS, changes to Δψ

Indexed as

Antibiotics, AntineoplasticDoxorubicinHeart DiseasesIschemic Preconditioning, MyocardialMyocytes, CardiacPhosphatidylinositol 3-KinaseAnimalsCardiotoxicityCell HypoxiaHeLa CellsHumansMaleRatsRats, Sprague-DawleySignal TransductionAntibiotics, AntineoplasticDoxorubicinPhosphatidylinositol 3-KinaseAnthracyclinesCardioprotectionCardiotoxicityPI-3kinasePreconditioning

Identifiers

PMID29766336
PMCPMC6018575
OpenAlexW2803156669

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Registered trials

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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.