Evidence map›Paper›PMID 30111293›Full record

ArticleBMC cardiovascular disorders2018

Plasma levels of soluble VEGF receptor isoforms, circulating pterins and VEGF system SNPs as prognostic biomarkers in patients with acute coronary syndromes.

Edward C A Marks, Tom M Wilkinson, Chris M Frampton, Lorraine Skelton, Anna P Pilbrow, Tim G Yandle, Chris J Pemberton, Robert N Doughty, Gillian A Whalley, Chris J Ellis and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Review of OxLDL Driven Inflammatory Cell Activation.Current atherosclerosis reports · 2025
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. VEGF-A related SNPs: a cardiovascular context.Frontiers in cardiovascular medicine · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Review
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

17 authors at 5 institutions in 2 countries.

Edward C A MarksChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Tom M WilkinsonChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Chris M FramptonChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Lorraine SkeltonChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Anna P PilbrowChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Tim G YandleChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Chris J PembertonChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Robert N DoughtyDepartment of Medicine, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.
Gillian A WhalleyDepartment of Medicine, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.
Chris J EllisDepartment of Medicine, Faculty of Medicine and Health Sciences, University of Auckland, Auckland, New Zealand.
Richard W TroughtonChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Maurice C OwenCanterbury Scientific Ltd, 71 Whiteleigh Ave, Christchurch, New Zealand.
Neil R PattinsonCanterbury Scientific Ltd, 71 Whiteleigh Ave, Christchurch, New Zealand.
Vicky A CameronChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
A Mark RichardsChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand.
Steven P GiesegSchool of Biological Sciences, University of Canterbury, Christchurch, New Zealand.
Barry R PalmerChristchurch Heart institute, Department of Medicine, University of Otago, PO Box 4345, Christchurch, New Zealand. barry.palmer@otago.ac.nz.ORCID 0000-0003-0741-5033
University of Otago · NZUniversity of Auckland · NZUniversity of Canterbury · NZMassey University · NZNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of collateral circulation in coronary artery disease is cardio-protective. A key process in forming new blood vessels is attraction to occluded arteries of monocytes with their subsequent activation as macrophages. In patients from a prospectively recruited post-acute coronary syndromes cohort we investigated the prognostic performance of three products of activated macrophages, soluble vascular endothelial growth factor (VEGF) receptors (sFlt-1 and sKDR) and pterins, alongside genetic variants in VEGF receptor genes, VEGFR-1 and VEGFR-2.

methodsBaseline levels of sFlt-1 (VEGFR1), sKDR (VEGFR2) and pterins were measured in plasma samples from subgroups (n = 513; 211; 144, respectively) of the Coronary Disease Cohort Study (CDCS, n = 2067). DNA samples from the cohort were genotyped for polymorphisms from the VEGFR-1 gene SNPs (rs748252 n = 2027, rs9513070 n = 2048) and VEGFR-2 gene SNPs (rs2071559 n = 2050, rs2305948 n = 2066, rs1870377 n = 2042).

resultsAt baseline, levels of sFlt-1 were significantly correlated with age, alcohol consumption, NTproBNP, BNP and other covariates relevant to cardiovascular pathophysiology. Total neopterin levels were associated with alcohol consumption at baseline. 7,8 dihydroneopterin was associated with BMI. The A allele of VEGFR-2 variant rs1870377 was associated with higher plasma sFlt-1 and lower levels of sKDR at baseline. Baseline plasma sFlt-1 was univariately associated with all cause mortality with (p < 0.001) and in a Cox's proportional hazards regression model sFlt-1 and pterins were both associated with mortality independent of established predictors (p < 0.027).

conclusionssFlt-1 and pterins may have potential as prognostic biomarkers in acute coronary syndromes patients. Genetic markers from VEGF system genes warrant further investigation as markers of levels of VEGF system components in these patients.

trial registrationAustralian New Zealand Clinical Trials Registry. ACTRN12605000431628 . 16 September 2005, Retrospectively registered.

Indexed as

Polymorphism, Single NucleotideAcute Coronary SyndromeAgedAge FactorsAlcohol DrinkingCoronary AngiographyFemaleGenetic Association StudiesGenetic MarkersGenetic Predisposition to DiseaseHumansMacrophage ActivationMacrophagesMalePhenotypePredictive Value of TestsFLT1 protein, humanGenetic MarkersKDR protein, humanPterinsVascular Endothelial Growth Factor Receptor-1Vascular Endothelial Growth Factor Receptor-2Acute coronary syndromesKDRMortalityNeopterinPrognosissFlt-1

Identifiers

PMID30111293
PMCPMC6094571
OpenAlexW2887482381

What OpenQuestion holds

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LicenceCC BY
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.