Evidence map›Paper›PMID 30571380›Full record

ArticleJournal of the American Heart Association2018

Elevated Inflammatory Plasma Biomarkers in Patients With Fabry Disease: A Critical Link to Heart Failure With Preserved Ejection Fraction.

Haran Yogasundaram, Anish Nikhanj, Brendan N Putko, Michel Boutin, Shailly Jain-Ghai, Aneal Khan, Christiane Auray-Blais, Michael L West, Gavin Y Oudit

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06007768 (Autoimmune and Inflammatory Response Biomarkers in Fabry Disease), which is not on this map. Cited by 65 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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.

NCT06007768 completednot on this mapstarted 2022, after this paper: background citation

Autoimmune and Inflammatory Response Biomarkers in Fabry Disease

TypeobservationalSponsorFundacion para la Investigacion Biomedica del Hospital Universitario Ramon y CajalRan2022 to 2023Enrolled32ConditionsFabry Disease
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
  2. NovelJournal of clinical medicine · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Staging of Fabry cardiomyopathy in clinical practice: an algorithm proposal.International journal of cardiology. Heart & vasculature · 2026
    Article
  8. Fabry Disease: A Focus on the Role of Oxidative Stress.Antioxidants (Basel, Switzerland) · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Cardiac manifestations of Fabry disease.NPJ cardiovascular health · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

5 more citing papers are in PubMed but not listed here.

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

9 authors at 4 institutions in 1 country.

Haran Yogasundaram1 Division of Cardiology Department of Medicine University of Alberta Edmonton Canada.
Anish Nikhanj1 Division of Cardiology Department of Medicine University of Alberta Edmonton Canada.
Brendan N Putko1 Division of Cardiology Department of Medicine University of Alberta Edmonton Canada.
Michel Boutin4 Division of Medical Genetics Department of Pediatrics Université de Sherbrooke Québec Canada.
Shailly Jain-Ghai2 Department of Medical Genetics University of Alberta Edmonton Canada.
Aneal Khan5 Department of Medical Genetics and Pediatrics University of Calgary Canada.
Christiane Auray-Blais4 Division of Medical Genetics Department of Pediatrics Université de Sherbrooke Québec Canada.
Michael L West6 Division of Nephrology Department of Medicine Dalhousie University Halifax Canada.
Gavin Y Oudit1 Division of Cardiology Department of Medicine University of Alberta Edmonton Canada.
University of Alberta · CAUniversité de Sherbrooke · CADalhousie University · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Because systemic inflammation and endothelial dysfunction lead to heart failure with preserved ejection fraction, we characterized plasma levels of inflammatory and cardiac remodeling biomarkers in patients with Fabry disease ( FD ). Methods and Results Plasma biomarkers were studied in multicenter cohorts of patients with FD (n=68) and healthy controls (n=40). Plasma levels of the following markers of inflammation and cardiac remodeling were determined: tumor necrosis factor ( TNF ), TNF receptor 1 ( TNFR 1) and 2 ( TNFR 2), interleukin-6, matrix metalloprotease-2 ( MMP -2), MMP -8, MMP -9, galectin-1, galectin-3, B-type natriuretic peptide ( BNP ), midregional pro-atrial natriuretic peptide ( MR -pro ANP ), and globotriaosylsphingosine. Clinical profile, cardiac magnetic resonance imaging, and echocardiogram were reviewed and correlated with biomarkers. Patients with FD had elevated plasma levels of BNP , MR -pro ANP , MMP -2, MMP -9, TNF , TNFR 1, TNFR 2, interleukin-6, galectin-1, globotriaosylsphingosine, and analogues. Plasma TNFR 2, TNF , interleukin-6, MMP -2, and globotriaosylsphingosine were elevated in FD patients with left ventricular hypertrophy, whereas diastolic dysfunction correlated with higher BNP , MR -pro ANP , and MMP -2 levels. Patients with late gadolinium enhancement on cardiac magnetic resonance imaging had greater levels of BNP , MR -pro ANP , TNFR 1, TNFR 2, and MMP -2. Plasma BNP , MR -pro ANP , MMP -2, MMP -8, TNF , TNFR 1, TNFR 2, galectin-1, and galectin-3 were elevated in patients with renal dysfunction. Patients undergoing enzyme replacement therapy who have more severe disease had higher MMP -2, TNF , TNFR 1, TNFR 2, and globotriaosylsphingosine analogue levels. Conclusions Inflammatory and cardiac remodeling biomarkers are elevated in FD patients and correlate with disease progression. These features are consistent with a phenotype dominated by heart failure with preserved ejection fraction and suggest a key pathogenic role of systemic inflammation in FD .

Indexed as

AdultAtrial RemodelingBiomarkersFabry DiseaseFemaleHeart FailureHumansInflammationMaleMiddle AgedStroke VolumeBiomarkersbiomarkersFabry diseaseheart failure with preserved ejection fractionhypertrophyinflammation

Identifiers

PMID30571380
PMCPMC6404196
OpenAlexW2905085875

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.