Evidence map›Paper›PMID 30205401›Full record

ArticleCardiorenal medicine2018

Levels of Proinflammatory Cytokines, Oxidative Stress, and Tissue Damage Markers in Patients with Acute Heart Failure with and without Cardiorenal Syndrome Type 1.

Grazia Maria Virzì, Andrea Breglia, Alessandra Brocca, Massimo de Cal, Chiara Bolin, Giorgio Vescovo, Claudio Ronco

Open access · bronzeAbstract read
In one paragraph

Article in Cardiorenal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

28 citing papers in PubMed, 41 citations in OpenAlex.

  1. Review
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  10. New Insight in Cardiorenal Syndrome: From Biomarkers to Therapy.International journal of molecular sciences · 2023
    Review
  11. Article
  12. Inflammation in acute heart failure.Frontiers in cardiovascular medicine · 2023
    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

7 authors at 4 institutions in 1 country.

Grazia Maria VirzìDepartment of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.
Andrea BregliaDepartment of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.
Alessandra BroccaDepartment of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.
Massimo de CalDepartment of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.
Chiara BolinInternal Medicine, San Bortolo Hospital, Vicenza, Italy.
Giorgio VescovoInternal Medicine, San Bortolo Hospital, Vicenza, Italy.
Claudio RoncoDepartment of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy.
Ospedale San Bortolo · ITOspedale Sant Antonio · ITUniversity of Padua · ITUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiorenal syndrome type 1 (CRS type 1) is characterized by a rapid worsening of cardiac function leading to acute kidney injury (AKI). Inflammation and oxidative stress seem to play a pivotal role in its pathophysiology. In this in vivo study, we examined the putative role of inflammation and humoral markers in the pathogenesis of the CRS type 1.

methodsWe enrolled 53 patients with acute heart failure (AHF); 17 of them developed AKI (CRS type 1). The cause of AKI was presumed to be related to cardiac dysfunction after having excluded other causes. We assessed the plasma levels of proinflammatory cytokines (TNF-α, IL-6, IL-18, sICAM, RANTES, GMCSF), oxidative stress marker (myeloperoxidase, MPO), brain natriuretic peptide (BNP), and neutrophil gelatinase-associated lipocalin (NGAL) in AHF and CRS type 1 patients.

resultsWe observed a significant increase in IL-6, IL-18, and MPO levels in CRS type 1 group compared to AHF (p < 0.001). We found higher NGAL at admission in the CRS type 1 group compared to the AHF group (p = 0.008) and a positive correlation between NGAL and IL-6 (Spearman's rho = 0.45, p = 0.003) and between IL-6 and BNP (Spearman's rho = 0.43, p = 0.004). We observed lower hemoglobin levels in CRS type 1 patients compared to AHF patients (p < 0.05) and inverse correlation between hemoglobin and cytokines (IL-6: Spearman's rho = -0.38, p = 0.005; IL-18: Spearman's rho = -0.32, p = 0.02).

conclusionPatients affected by CRS type 1 present increased levels of proinflammatory cytokines and oxidative stress markers, increased levels of tissue damage markers, and lower hemoglobin levels. All these factors may be implicated in the pathophysiology of CRS type 1 syndrome.

Indexed as

Oxidative StressAcute DiseaseAgedAged, 80 and overBiomarkersCardio-Renal SyndromeCytokinesHeart FailureHemoglobinsHumansIntercellular Signaling Peptides and ProteinsLipocalin-2Natriuretic Peptide, BrainPeroxidaseReceptors, Interleukin-6BiomarkersCytokinesHemoglobinsIL6R protein, humanIntercellular Signaling Peptides and Proteinsinterleukin-18 binding proteinLCN2 protein, humanLipocalin-2MPO protein, humanNatriuretic Peptide, BrainPeroxidaseReceptors, Interleukin-6Acute decompensated heart failureAcute kidney injuryCardiorenal cross talkCardiorenal syndromeCytokinesInflammationOxidative stressTissue damage

Identifiers

PMID30205401
PMCPMC6477492
OpenAlexW2891135942

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.