Evidence map›Paper›PMID 30249941›Full record

ArticleJournal of atherosclerosis and thrombosis2019

Inflammatory Mediators Across the Spectrum of Ankle-Brachial Index.

Demet Ozkaramanli Gur, Ozcan Gur, Savas Guzel, Aydin Akyuz, Selami Gurkan, Seref Alpsoy, Nisa Simge Gulec, Fatma Koc

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

11 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Evaluation of Plasma Biomarkers for Causal Association With Peripheral Artery Disease.Arteriosclerosis, thrombosis, and vascular biology · 2024
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  4. 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

8 authors at 2 institutions in 1 country.

Demet Ozkaramanli GurDepartment of Cardiology, Namik Kemal University Faculty of Medicine.
Ozcan GurDepartment of Cardiovascular Surgery, Namik Kemal University Faculty of Medicine.
Savas GuzelDepartment of Biochemistry, Namik Kemal University Faculty of Medicine.
Aydin AkyuzDepartment of Cardiology, Namik Kemal University Faculty of Medicine.
Selami GurkanDepartment of Cardiovascular Surgery, Namik Kemal University Faculty of Medicine.
Seref AlpsoyDepartment of Cardiology, Namik Kemal University Faculty of Medicine.
Nisa Simge GulecIstanbul University, Cerrahpasa Faculty of Medicine.
Fatma KocDepartment of Biochemistry, Namik Kemal University Faculty of Medicine.
Namık Kemal University · TRIstanbul University-Cerrahpaşa · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPeripheral artery disease (PAD) is a manifestation of atherosclerosis with poor prognosis. It is generally complicated by vascular calcification, which is located either in the intima as patchy infiltrates; or circumferentially in the media, also known as medial arterial calcification (MAC). Obstructive PAD is reflected by low anklebrachial index (ABI ≤ 0.9), whereas MAC is revealed by high ABI (ABI >1.4). Considering the increase in cardiovascular mortality at both ends of the ABI spectrum, this study aimed to explore the underlying pathology through cytokines with established prognostic significance; namely pentraxin-3(PTX3), high sensitivity C-reactive protein (hsCRP), copeptin, soluble triggering receptor expressed on myeloid cells-1 (sTREM-1), NT-proBNP, and neopterin.

methodsWe categorized 180 patients with previous multivessel coronary artery bypass grafting surgery into three groups based on their ABI measurements; 60 patients with ABI ≤ 0.9, 60 patients with ABI within 0.91 and 1.4 (normal ABI), and 60 patients with ABI >1.4 constituted the "PAD," "normal," "MAC" groups, respectively. The circulating levels of the biochemical markers were determined.

resultsIn the PAD group, the cytokine levels with predominantly proatherogenic actions such as PTX3, hsCRP, copeptin, and sTREM-1 were increased and these cytokine levels declined as the ABI increased. In the MAC group, the cytokine concentrations with pleiotropic actions such as NT-proBNP and neopterin increased and; NT-proBNP and neopterin concentrations decreased as ABI decreased. The linear regression analysis revealed that neopterin (β=0.72), PTX3 (β=-0.32), and copeptin (β=-0.48) were independent predictors of ABI.

conclusionsThese findings suggest that different inflammatory pathways influence the pathology at the opposing ends of the ABI spectrum. Consequently, we suggest that PTX3, copeptin, and neopterin are promising biomarkers for future research.

Indexed as

Ankle Brachial IndexAgedBiomarkersC-Reactive ProteinFemaleFollow-Up StudiesGlycopeptidesHumansInflammation MediatorsMalePentraxinsPeripheral Arterial DiseasePrognosisProspective StudiesSerum Amyloid P-ComponentSurvival RateBiomarkerscopeptinsC-Reactive ProteinGlycopeptidesInflammation MediatorsPentraxinsSerum Amyloid P-ComponentTREM1 protein, humanTriggering Receptor Expressed on Myeloid Cells-1Ankle-brachial indexCopeptinNeopterinPentraxin-3Peripheral artery disease

Identifiers

PMID30249941
PMCPMC6456454
OpenAlexW2893281704

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.