Evidence map›Paper›PMID 30509711›Full record

ArticleRespiratory medicine2018

Decreased serum TRAIL is associated with increased mortality in smokers with comorbid emphysema and coronary artery disease.

Oluremi Ajala, Yingze Zhang, Aman Gupta, Jessica Bon, Frank Sciurba, Divay Chandra

Open access · bronzeAbstract read
In one paragraph

Article in Respiratory medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Methods to assess atherosclerotic cardiovascular risk in chronic respiratory diseases: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Pooled it
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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

6 authors at 2 institutions in 1 country.

Oluremi AjalaDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Yingze ZhangEmphysema COPD Research Center, University of Pittsburgh, Pittsburgh, PA, USA.
Aman GuptaDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Jessica BonEmphysema COPD Research Center, University of Pittsburgh, Pittsburgh, PA, USA.
Frank SciurbaEmphysema COPD Research Center, University of Pittsburgh, Pittsburgh, PA, USA.
Divay ChandraEmphysema COPD Research Center, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: DIC15@pitt.edu.
University of Pittsburgh · USBrigham and Women's Hospital · US

Funding

Peripheral Markers of Phenotypic Heterogeneity in COPDP50HL084948 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DONAHOE, MICHAEL P · 2007 to 2012
$12.8M
Autoimmunity as a Mechanism for Atherosclerosis in COPDK23HL126912 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHANDRA, DIVAY · 2015 to 2019
$797k
NHLBI NIH HHS K23 HL126912NHLBI NIH HHS P50 HL084948
6 · The paper itself

Abstract

backgroundSmokers are highly susceptible to lung and cardiovascular disease that can reduce their survival. Tumor necrosis factor (TNF)-related apoptosis-inducing ligand (TRAIL) is a protein in the circulation that may suppress vascular and pulmonary inflammation. Therefore, we hypothesized that diminished circulating TRAIL levels would be associated with poor survival in smokers with lung and cardiovascular disease.

methodsSerum TRAIL level was measured by immunoassay in 474 smokers. Coronary atherosclerosis was assessed by coronary artery calcium scoring along with emphysema, lung function, and survival.

resultsThe 474 smokers were 65.7 ± 6.3 years old and 52.2% male with 55.3 ± 31.5 pack-years of tobacco-exposure. 83 of them died during 3588.2 person-years of follow up. At baseline, lower TRAIL level was associated with more coronary artery calcium (OR = 1.2 per SD, 95%CI 1.1-1.5, p = 0.02), and with history of myocardial infarction (OR = 2.3 per SD, 95%CI 1.2-4.5, p = 0.02), angina (OR = 1.6 per SD, 95%CI 1.1-2.6, p = 0.03), and angioplasty (OR = 1.8 per SD, 95%CI 1.0-3.1, p = 0.04) in models adjusted for cardiovascular risk-factors, FEV

conclusionsTRAIL level is reduced in smokers with comorbid emphysema and coronary artery disease, and is associated with reduced survival.

Indexed as

AgedBiomarkersBiosimilar PharmaceuticalsComorbidityCoronary Artery DiseaseEmphysemaFemaleHumansMaleMiddle AgedSmokersSmokingSurvival RateTNF-Related Apoptosis-Inducing LigandBiomarkersBiosimilar PharmaceuticalsTNF-Related Apoptosis-Inducing LigandTNFSF10 protein, humanCOPDCoronary artery calciumEmphysemaMortalityTRAIL

Identifiers

PMID30509711
PMCPMC6296762
OpenAlexW2896420642

What OpenQuestion holds

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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.