Evidence map›Paper›PMID 29875326›Full record

ArticleJCI insight2018

Modulation of subsets of cardiac B lymphocytes improves cardiac function after acute injury.

Luigi Adamo, Lora J Staloch, Cibele Rocha-Resende, Scot J Matkovich, Wenlong Jiang, Geetika Bajpai, Carla J Weinheimer, Attila Kovacs, Joel D Schilling, Philip M Barger and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Myocardial Immune Cells: The Basis of Cardiac Immunology.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Pooled it
  2. Trial
  3. Chemokine Receptor 2-targeted Molecular Imaging in Pulmonary Fibrosis. A Clinical Trial.American journal of respiratory and critical care medicine · 2021
    Trial
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  11. A murine model ofMicrobiology spectrum · 2025
    Article
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  13. A murine model ofbioRxiv : the preprint server for biology · 2024
    Article
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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

12 authors at 2 institutions in 1 country.

Luigi AdamoCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Lora J StalochCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Cibele Rocha-ResendeCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Scot J MatkovichCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Wenlong JiangCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Geetika BajpaiCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Carla J WeinheimerCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Attila KovacsCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Joel D SchillingCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Philip M BargerCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Deepta BhattacharyaDepartment of Immunobiology, University of Arizona, Tucson, Arizona, USA.
Douglas L MannCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Washington University in St. Louis · USUniversity of Arizona · US

Funding

PRINCIPLES IN CARDIVASCULAR RESEARCH TRAINING PROGRAMT32HL007081 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan, Karen Ellen Joynt Maddox · 1985 to 2026
$10.6M
ROLE OF AUTOPHAGIC FLUX IN CARDIAC MYOCYTE VIABILITYR01HL107594 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan · 2011 to 2026
$5.9M
CYTOPROTECTIVE EFFECTS OF INFLAMMATION MEDIATED MEMBRANE REPAIRR01HL111094 · NHLBI · WASHINGTON UNIVERSITY · PI MANN, DOUGLAS L · 2012 to 2016
$1.9M
MACROPHAGE METABOLISM AND INFLAMMATION IN METABOLIC DISEASER01DK110034 · NIDDK · WASHINGTON UNIVERSITY · PI SCHILLING, JOEL DAVID · 2016 to 2020
$1.7M
NHLBI NIH HHS R01 HL107594NHLBI NIH HHS R01 HL111094NHLBI NIH HHS T32 HL007081NIDDK NIH HHS R01 DK110034
6 · The paper itself

Abstract

Despite the long-standing recognition that the immune response to acute myocardial injury contributes to adverse left ventricular (LV) remodeling, it has not been possible to effectively target this clinically. Using 2 different in vivo models of acute myocardial injury, we show that pirfenidone confers beneficial effects in the murine heart through an unexpected mechanism that depends on cardiac B lymphocytes. Naive hearts contained a large population of CD19+CD11b-CD23-CD21-IgD+IgMlo lymphocytes, and 2 smaller populations of CD19+CD11b+ B1a and B1b cells. In response to tissue injury, there was an increase in neutrophils, monocytes, macrophages, as well as an increase in CD19+ CD11b- B lymphocytes. Treatment with pirfenidone had no effect on the number of neutrophils, monocytes, or macrophages, but decreased CD19+CD11b- lymphocytes. B cell depletion abrogated the beneficial effects of pirfenidone. In vitro studies demonstrated that stimulation with lipopolysaccharide and extracts from necrotic cells activated CD19+ lymphocytes through a TIRAP-dependent pathway. Treatment with pirfenidone attenuated this activation of B cells. These findings reveal a previously unappreciated complexity of myocardial B lymphocytes within the inflammatory infiltrate triggered by cardiac injury and suggest that pirfenidone exerts beneficial effects in the heart through a unique mechanism that involves modulation of cardiac B lymphocytes.

Indexed as

AnimalsB-Lymphocyte SubsetsDiphtheria ToxinDisease Models, AnimalFemaleHeart VentriclesHumansLipopolysaccharidesLymphocyte ActivationLymphocyte DepletionMiceMyocardial InfarctionMyocardiumPyridonesReperfusion InjuryVentricular RemodelingDiphtheria ToxinLipopolysaccharidespirfenidonePyridonesB cellsCardiologyHeart failure

Identifiers

PMID29875326
PMCPMC6124442
OpenAlexW2805165680

What OpenQuestion holds

Textmetadata
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.