Evidence map›Paper›PMID 30411815›Full record

ArticleJournal of clinical laboratory analysis2019

Serine hydroxymethyltransferase 1 promoter hypermethylation increases the risk of essential hypertension.

Guodong Xu, Changyi Wang, Xiuru Ying, Fanqian Kong, Huihui Ji, Jinshun Zhao, Xiaohong Zhang, Shiwei Duan, Liyuan Han, Li Li

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Accelerated epigenetic age in hypertension: a systematic review and meta-analysis.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Pooled it
  2. Article
  3. Review
  4. Article
  5. Hypermethylation of dihydrofolate reductase promoter increases the risk of hypertension in Chinese.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2020
    Article
  6. Article
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

10 authors.

Guodong XuDepartment of Preventive Medicine and Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China.
Changyi WangShenzhen Nanshan Center for Chronic Disease Control, Shenzhen, China.
Xiuru YingMedical Genetics Center, School of Medicine, Ningbo University, Ningbo, China.
Fanqian KongDepartment of Preventive Medicine and Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China.
Huihui JiMedical Genetics Center, School of Medicine, Ningbo University, Ningbo, China.
Jinshun ZhaoDepartment of Preventive Medicine and Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China.
Xiaohong ZhangDepartment of Preventive Medicine and Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China.
Shiwei DuanMedical Genetics Center, School of Medicine, Ningbo University, Ningbo, China.
Liyuan HanDepartment of Preventive Medicine and Zhejiang Provincial Key Laboratory of Pathophysiology, School of Medicine, Ningbo University, Ningbo, China.ORCID http://orcid.org/0000-0002-3329-3212
Li LiDepartment of Endocrinology and Metabolism, Ningbo First Hospital, Ningbo, China.

Funding

Jiangsu Postdoctoral Science Foundation 1601121BNational Natural Science Foundation of China 81803316Natural Science Foundation of Ningbo 2016A610169Natural Science Foundation of Ningbo 2017A610219Natural Science Foundation of Zhejiang Province LY17H260002Ningbo Scientific Innovation Team for Environmental Hazardous Factor Control and Prevention 2016C51001Ningbo University, China Postdoctoral Science Foundation 156458Project of Science and Technology Innovation for College Students in Zhejiang Province 2018R40509Public welfare technology and policy science (soft science) application research of Zhejiang Province 2017C35006
6 · The paper itself

Abstract

backgroundSerine hydroxymethyltransferase 1 (SHMT1) is an enzyme involved in folic acid metabolism and is known to contribute to the development of hypertension. We evaluated the relationship between SHMT1 promoter methylation and essential hypertension (EH).

methodsQuantitative methylation-specific polymerase chain reaction was used to measure the SHMT1 promoter methylation level in 241 EH patients and 288 age- and gender-matched healthy individuals. The diagnostic value of SHMT1 promoter hypermethylation was analyzed using a receiver operating characteristic (ROC) curve. The Gene Expression Omnibus (GEO) database and dual-luciferase reporter assay were used to validate our findings.

resultsCompared with the control group, significant differences in SHMT1 promoter methylation were found in both EH and hyperhomocysteinemia groups (P < 0.001 and P = 0.029, respectively). The area under the curve of the diagnosis of SHMT1 promoter hypermethylation for EH was 0.808, with a sensitivity and specificity of 73.9% and 77.8%, respectively. The risk of SHMT1 promoter hypermethylation was significantly higher in the >65-year group than in the ≤65-year group (odds ratio = 3.925; 95% confidence interval = 2.141-7.196). In addition, GEO database analysis showed that 5-aza-deoxycytidine increased gene expression in several carotid endothelial cell lines. A dual-luciferase reporter assay revealed that the target sequence in the SHMT1 promoter upregulated gene expression.

conclusionOur findings indicate that SHMT1 promoter hypermethylation increases the risk of EH and may be a promising biomarker for EH.

Indexed as

AgedAsian PeopleCase-Control StudiesDNA MethylationEssential HypertensionFemaleGenetic Predisposition to DiseaseGlycine HydroxymethyltransferaseHumansMaleMiddle AgedPromoter Regions, GeneticROC CurveGlycine HydroxymethyltransferaseSHMT protein, humanessential hypertensionmethylationpromoterSHMT1

Identifiers

PMID30411815
PMCPMC6818578

What OpenQuestion holds

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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.