Evidence map›Paper›PMID 30097758›Full record

Observational studyBasic research in cardiology2018

A novel genetic marker of decreased inflammation and improved survival after acute myocardial infarction.

Edward D Coverstone, Richard G Bach, LiShiun Chen, Laura J Bierut, Allie Y Li, Petra A Lenzini, Heidi C O'Neill, John A Spertus, Carmen C Sucharov, Jerry A Stitzel and 2 more

Abstract readMulticenter StudyObservational StudyValidation Study
In one paragraph

Observational study in Basic research in cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 66 citations in OpenAlex.

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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 4 institutions in 1 country.

Edward D CoverstoneCardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 S. Euclid Ave., Campus, Box 8086, Saint Louis, MO, 63110, USA.
Richard G BachCardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 S. Euclid Ave., Campus, Box 8086, Saint Louis, MO, 63110, USA.
LiShiun ChenDepartment of Psychiatry, Washington University School of Medicine, Saint Louis, MO, USA.
Laura J BierutDepartment of Psychiatry, Washington University School of Medicine, Saint Louis, MO, USA.
Allie Y LiCardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 S. Euclid Ave., Campus, Box 8086, Saint Louis, MO, 63110, USA.
Petra A LenziniStatistical Genomics Division, Department of Genetics, Washington University School of Medicine, Saint Louis, MO, USA.
Heidi C O'NeillInstitute for Behavioral Genetics, University of Colorado, Boulder, USA.
John A SpertusSaint Luke's Mid America Heart Institute and the University of Missouri-Kansas City, Kansas City, MO, USA.
Carmen C SucharovCardiology Division, Department of Medicine, University of Colorado Denver, Aurora, USA.
Jerry A StitzelInstitute for Behavioral Genetics, University of Colorado, Boulder, USA.
Joel D SchillingCardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 S. Euclid Ave., Campus, Box 8086, Saint Louis, MO, 63110, USA.
Sharon CresciCardiovascular Division, Department of Medicine, Washington University School of Medicine, 660 S. Euclid Ave., Campus, Box 8086, Saint Louis, MO, 63110, USA. scresci@wustl.edu.ORCID 0000-0002-5417-1054
Washington University in St. Louis · USUniversity of Colorado Boulder · USSaint Luke's Hospital · USUniversity of Colorado Denver · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
SCCOR in Cardiac Dysfunction and DiseaseP50HL077113 · NHLBI · WASHINGTON UNIVERSITY · PI KELLY, DANIEL PATRICK · 2005 to 2009
$13.4M
PRINCIPLES IN CARDIVASCULAR RESEARCH TRAINING PROGRAMT32HL007081 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan, Karen Ellen Joynt Maddox · 1985 to 2026
$10.6M
Genetics Study of Nicotine Dependence in African AmericansR01DA025888 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J., JOHNSON, ERIC OTTO · 2009 to 2014
$4.7M
Genomic variants associated with angina and health status outcome after MIR01NR013396 · NINR · WASHINGTON UNIVERSITY · PI CRESCI, SHARON · 2011 to 2019
$4.5M
Nicotine Dependence to Smoking Cessation: Sequencing Common and Rare VariantsR01DA036583 · NIDA · WASHINGTON UNIVERSITY · PI BIERUT, LAURA J. · 2014 to 2017
$3.0M
MACROPHAGE METABOLISM AND INFLAMMATION IN METABOLIC DISEASER01DK110034 · NIDDK · WASHINGTON UNIVERSITY · PI SCHILLING, JOEL DAVID · 2016 to 2020
$1.7M
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NHLBI NIH HHS P50 HL077113NHLBI NIH HHS T32 HL007081NIDA NIH HHS R01 DA025888NIDA NIH HHS R01 DA036583NIDDK NIH HHS R01 DK110034NIH HHS P50 HL077113NIH HHS R01 DA025888NIH HHS R01 DA036583NIH HHS R01 NR013396NIH HHS T32-HL07081-38NIH HHS UL1TR000448NINR NIH HHS R01 NR013396
6 · The paper itself

Abstract

The CHRNA5 gene encodes a neurotransmitter receptor subunit involved in multiple processes, including cholinergic autonomic nerve activity and inflammation. Common variants in CHRNA5 have been linked with atherosclerotic cardiovascular disease. Association of variation in CHRNA5 and specific haplotypes with cardiovascular outcomes has not been described. The aim of this study was to examine the association of CHRNA5 haplotypes with gene expression and mortality among patients with acute myocardial infarction (AMI) and explore potential mechanisms of this association. Patients (N = 2054) hospitalized with AMI were genotyped for two common variants in CHRNA5. Proportional hazard models were used to estimate independent association of CHRNA5 haplotype with 1-year mortality. Both individual variants were associated with mortality (p = 0.0096 and 0.0004, respectively) and were in tight LD (D' = 0.99). One haplotype, HAP3, was associated with decreased mortality one year after AMI (adjusted HR = 0.42, 95% CI 0.26, 0.68; p = 0.0004). This association was validated in an independent cohort (N = 637) of post-MI patients (adjusted HR = 0.23, 95% CI 0.07, 0.79; p = 0.019). Differences in CHRNA5 expression by haplotype were investigated in human heart samples (n = 28). Compared with non-carriers, HAP3 carriers had threefold lower cardiac CHRNA5 mRNA expression (p = 0.023). Circulating levels of the inflammatory marker hsCRP were significantly lower in HAP3 carriers versus non-carriers (3.43 ± 4.2 versus 3.91 ± 5.1; p = 0.0379). Activation of the inflammasome, an important inflammatory complex involved in cardiovascular disease that is necessary for release of the pro-inflammatory cytokine IL-1 β, was assessed in bone marrow-derived macrophages (BMDM) from CHRNA5 knockout mice and wild-type controls. In BMDM from CHRNA5 knockout mice, IL-1β secretion was reduced by 50% compared to wild-type controls (p = 0.004). Therefore, a common haplotype of CHRNA5 that results in reduced cardiac expression of CHRNA5 and attenuated macrophage inflammasome activation is associated with lower mortality after AMI. These results implicate CHRNA5 and the cholinergic anti-inflammatory pathway in survival following AMI.

Indexed as

AgedAnimalsCells, CulturedFemaleGenetic Association StudiesGenetic MarkersGenetic Predisposition to DiseaseHaplotypesHumansInflammasomesInflammation MediatorsInterleukin-1betaMacrophagesMaleMice, Inbred C57BLMice, KnockoutCHRNA5 protein, humanCHRNA5 protein, mouseGenetic MarkersIL1B protein, mouseInflammasomesInflammation MediatorsInterleukin-1betaNerve Tissue ProteinsReceptors, NicotinicCardiovascular diseaseGenetic variationHaplotypeInflammationMortalityMyocardial infarction

Identifiers

PMID30097758
PMCPMC6292447
OpenAlexW2885492566

What OpenQuestion holds

Textmetadata
LicenceTDM
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.