Evidence map›Paper›PMID 29986678›Full record

ArticleBMC pulmonary medicine2018

NOX4 expression and distal arteriolar remodeling correlate with pulmonary hypertension in COPD.

Xiaotong Guo, Yuchun Fan, Jieda Cui, Binwei Hao, Li Zhu, Xiao Sun, Jinxi He, Jiali Yang, Jianda Dong, Yanyang Wang and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 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
2.2field-weighted citation impact, top 12% 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

20 citing papers in PubMed, 33 citations in OpenAlex.

  1. Mechanisms Underlying Altitude-Induced and Group 3 Pulmonary Hypertension.International journal of molecular sciences · 2026
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  4. The vascular perspective on acute and chronic lung disease.The Journal of clinical investigation · 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

12 authors at 1 institution in 1 country.

Xiaotong GuoDepartment of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, Ningxia, 750004, People's Republic of China.
Yuchun FanDepartment of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, Ningxia, 750004, People's Republic of China.
Jieda CuiDepartment of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, Ningxia, 750004, People's Republic of China.
Binwei HaoDepartment of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, Ningxia, 750004, People's Republic of China.
Li ZhuDepartment of Radiology, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Xiao SunDepartment of Radiology, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Jinxi HeDepartment of Thoracic Surgery, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Jiali YangInstitute of Human Stem Cell Research, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Jianda DongDepartment of Pathology, Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Yanyang WangDepartment of Radiotherapy, General Hospital of Ningxia Medical University, Yinchuan, 750004, Ningxia, China.
Xiaoming LiuDepartment of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, Ningxia, 750004, People's Republic of China. liuxiaoming@nxmu.edu.cn.ORCID http://orcid.org/0000-0002-3902-9105
Juan ChenDepartment of Pulmonary and Critical Care Medicine, General Hospital of Ningxia Medical University, 804 Shengli South Street, Xingqing District, Yinchuan, Ningxia, 750004, People's Republic of China. chenjuan7419@163.com.
Ningxia Medical University · CN

Funding

National Natural Science Foundation of China 31472191National Natural Science Foundation of China 81360004National Natural Science Foundation of China 81760004Ningxia Medical University Scientific Research Project XY201702Ningxia Science and Technology Supporting Program 2015sProject of Postgraduate Education Innovation, Discipline Construction Program of Ningxia, China YXW 2017014
6 · The paper itself

Abstract

backgroundPulmonary hypertension (PH) in chronic obstructive pulmonary disease (COPD) is suggested as the consequence of emphysematous destruction of vascular bed and hypoxia of pulmonary microenvironment, mechanisms underpinning its pathogenesis however remain elusive. The dysregulated expression of nicotinamide adenine dinucleotide phosphate (NADPH)-oxidases and superoxide generation by pulmonary vasculatures have significant implications in the hypoxia-induced PH.

methodsIn this study, the involvement of NADPH oxidase subunit 4 (NOX4) in pulmonary arteriolar remodeling of PH in COPD was investigated by ascertaining the morphological alteration of pulmonary arteries and pulmonary blood flow using cardiac magnetic resonance imaging (cMRI), and the expression and correlation of NOX4 with pulmonary vascular remodeling and pulmonary functions in COPD lungs.

resultsResults demonstrated that an augmented expression of NOX4 was correlated with the increased volume of pulmonary vascular wall in COPD lung. While the volume of distal pulmonary arteries was inversely correlated with pulmonary functions, despite it was positively associated with the main pulmonary artery distensibility, right ventricular myocardial mass end-systolic and right ventricular myocardial mass end-diastolic in COPD. In addition, an increased malondialdehyde and a decreased superoxide dismutase were observed in sera of COPD patients. Mechanistically, the abundance of NOX4 and production of reactive oxygen species (ROS) in pulmonary artery smooth muscle cells could be dynamically induced by transforming growth factor-beta (TGF-β), which in turn led pulmonary arteriolar remodeling in COPD lungs.

conclusionThese results suggest that the NOX4-derived ROS production may play a key role in the development of PH in COPD by promoting distal pulmonary vascular remodeling.

Indexed as

AdultAgedCells, CulturedFemaleHumansHypertension, PulmonaryHypoxiaLungMagnetic Resonance ImagingMaleMiddle AgedMyocytes, Smooth MuscleNADPH Oxidase 4Pulmonary Disease, Chronic ObstructiveReactive Oxygen SpeciesTransforming Growth Factor betaNADPH Oxidase 4NOX4 protein, humanReactive Oxygen SpeciesTransforming Growth Factor betaCardiac magnetic resonance imagingChronic obstructive pulmonary diseaseNicotinamide adenine dinucleotide phosphate oxidase subunit 4Pulmonary arteriolar remodelingPulmonary hypertension

Identifiers

PMID29986678
PMCPMC6038356
OpenAlexW2815032404

What OpenQuestion holds

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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.