Evidence map›Paper›PMID 30365558›Full record

ArticlePloS one2018

Characterization and implications of the dynamics of eosinophils in blood and in the infarcted myocardium after coronary reperfusion.

Cesar Rios-Navarro, Jose Gavara, Veronica Vidal, Clara Bonanad, Paolo Racugno, Antoni Bayes-Genis, Gema Miñana, Oliver Husser, Ricardo Oltra, Julio Nuñez and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
4.0field-weighted citation impact, top 6% 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, 35 citations in OpenAlex.

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  7. Emerging Anti-Inflammatory COPD Treatments: Potential Cardiovascular Impacts.International journal of chronic obstructive pulmonary disease · 2024
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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

13 authors at 4 institutions in 2 countries.

Cesar Rios-NavarroInstitute of Health Research-INCLIVA, Valencia, Spain.
Jose GavaraInstitute of Health Research-INCLIVA, Valencia, Spain.
Veronica VidalMedicine Department, School of Medicine, University of Valencia, Valencia, Spain.
Clara BonanadInstitute of Health Research-INCLIVA, Valencia, Spain.
Paolo RacugnoInstitute of Health Research-INCLIVA, Valencia, Spain.
Antoni Bayes-GenisCardiology Department and Heart Failure Unit, Hospital Universitari Germans Trias iPujol, Badalona, Spain, Department of Medicine, Universitat Autonoma de Barcelona, Barcelona, Spain.
Gema MiñanaInstitute of Health Research-INCLIVA, Valencia, Spain.
Oliver HusserDepartment of Cardiology, St.-Johannes-Hospital, Dortmund, Germany.
Ricardo OltraIntensive Care Unit, Hospital Clínico Universitario de Valencia, Valencia, Spain.
Julio NuñezInstitute of Health Research-INCLIVA, Valencia, Spain.
Francisco J ChorroInstitute of Health Research-INCLIVA, Valencia, Spain.
Vicente BodiInstitute of Health Research-INCLIVA, Valencia, Spain.ORCID 0000-0001-6425-5828
Amparo Ruiz-SauriInstitute of Health Research-INCLIVA, Valencia, Spain.
Universitat de València · ESHospital Clínico Universitario de Valencia · ESSt.-Johannes-Hospital Dortmund · DEUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe characterized the dynamics of eosinophils in blood and in the infarcted myocardium in patients and in a swine model of reperfused myocardial infarction (MI). The association of eosinophil dynamics with various outcomes was assessed.

methodsSerial eosinophil count and pre-discharge cardiac magnetic resonance were carried out in a prospective series of 620 patients with a first ST-elevation MI. In a swine model of reperfused MI, the dynamics of circulating eosinophils and their presence in the infarcted myocardium were determined. In autopsies from chronic MI patients, eosinophils were quantified.

resultsPatient eosinophil count sharply decreased 12h post-reperfusion compared to arrival. A lower minimum eosinophil count was associated with more extensive edema, microvascular obstruction, and infarct size as measured by cardiac magnetic resonance, and also with a higher rate of cardiac events (death, re-infarction, or heart failure) during follow-up. In the experimental model, eosinophil count boosted during ischemia and dropped back immediately post-reperfusion. Myocardial samples revealed progressive eosinophil migration into the infarcted myocardium, especially areas with microvascular obstruction. Markers of eosinophil maturation and survival (interleukin-5), degranulation (eosinophil cationic protein) and migration (eotoxin-1) were detected in the blood of patients, and in porcine myocardium. Eosinophil infiltration was detected in autopsies from chronic MI patients.

conclusionEosinopenia post-MI was associated with an impaired cardiac structure and adverse events. The decay in circulating eosinophils soon after reperfusion mirrors their migration into the infarcted myocardium, as reflected by their presence in heart samples from swine and patients. Further studies are needed to understanding this unexplored pathway and its therapeutic implications.

Indexed as

Myocardial ReperfusionAnimalsCell CountCytokinesEosinophilsFemaleHumansMaleMiddle AgedMyocardial InfarctionSwineCytokines

Identifiers

PMID30365558
PMCPMC6203260
OpenAlexW2898315671

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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.