Evidence map›Paper›PMID 30576455›Full record

ReviewCardiovascular research2019

Innate immunity as a target for acute cardioprotection.

Coert J Zuurbier, Antonio Abbate, Hector A Cabrera-Fuentes, Michael V Cohen, Massimo Collino, Dominique P V De Kleijn, James M Downey, Pasquale Pagliaro, Klaus T Preissner, Masafumi Takahashi and 1 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Cardiovascular research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
6.3field-weighted citation impact, top 2% 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

88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
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  11. The molecular mechanisms and therapeutic implications of PANoptosis in ischemic diseases.Apoptosis : an international journal on programmed cell death · 2025
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  19. The roles of neutrophils in cardiovascular diseases.Frontiers in cardiovascular medicine · 2025
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28 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

11 authors at 8 institutions in 9 countries.

Coert J ZuurbierLaboratory of Experimental Intensive Care and Anesthesiology, Department of Anesthesiology, Amsterdam UMC, University of Amsterdam, Amsterdam Cardiovascular Sciences, 1081 HV Amsterdam, The Netherlands.
Antonio AbbateVCU Pauley Heart Center and Wright Center for Clinical and Translational Research, Richmond, VA, USA.
Hector A Cabrera-FuentesCardiovascular and Metabolic Disorders Program, Duke-NUS Medical School, Singapore, Singapore.
Michael V CohenDepartment of Medicine, University of South Alabama College of Medicine, Mobile, AL, USA.
Massimo CollinoDepartment of Drug Science and Technology, University of Turin, Torino, Italy.
Dominique P V De KleijnDepartment of Vascular Surgery, UMC Utrecht, Utrecht University, Utrecht, the Netherlands.
James M DowneyDepartment of Physiology and Cell Biology, University of South Alabama College of Medicine, Mobile, AL, USA.
Pasquale PagliaroDepartment of Biological and Clinical Sciences, University of Turin, Torino, Italy.
Klaus T PreissnerDepartment of Biochemistry, Medical School, Justus-Liebig-University, Giessen, Germany.
Masafumi TakahashiDivision of Inflammation Research, Center for Molecular Medicine, Jichi Medical University, Tochigi, Japan.
Sean M DavidsonThe Hatter Cardiovascular Institute, University College London, 67 Chenies Mews, London, UK.
University of South Alabama · USUniversity of Turin · ITAmsterdam University Medical Centers · NLJichi Medical University · JPTecnológico de Monterrey · MXUniversity College London · GBUniversity Medical Center Utrecht · NLUniversity of Giessen · DE

Funding

New therapeutic targets in acute myocardial infarctionR56HL136816 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI ABBATE, ANTONIO · 2017 to 2017
$388k
British Heart Foundation PG/16/85/32471British Heart Foundation PG/18/44/33790Department of HealthNHLBI NIH HHS R56 HL136816
6 · The paper itself

Abstract

Acute obstruction of a coronary artery causes myocardial ischaemia and if prolonged, may result in an ST-segment elevation myocardial infarction (STEMI). First-line treatment involves rapid reperfusion. However, a highly dynamic and co-ordinated inflammatory response is rapidly mounted to repair and remove the injured cells which, paradoxically, can further exacerbate myocardial injury. Furthermore, although cardiac remodelling may initially preserve some function to the heart, it can lead over time to adverse remodelling and eventually heart failure. Since the size of the infarct corresponds to the subsequent risk of developing heart failure, it is important to find ways to limit initial infarct development. In this review, we focus on the role of the innate immune system in the acute response to ischaemia-reperfusion (IR) and specifically its contribution to cell death and myocardial infarction. Numerous danger-associated molecular patterns are released from dying cells in the myocardium, which can stimulate pattern recognition receptors including toll like receptors and NOD-like receptors (NLRs) in resident cardiac and immune cells. Activation of the NLRP3 inflammasome, caspase 1, and pyroptosis may ensue, particularly when the myocardium has been previously aggravated by the presence of comorbidities. Evidence will be discussed that suggests agents targeting innate immunity may be a promising means of protecting the hearts of STEMI patients against acute IR injury. However, the dosing and timing of such agents should be carefully determined because innate immunity pathways may also be involved in cardioprotection. This article is part of a Cardiovascular Research Spotlight Issue entitled 'Cardioprotection Beyond the Cardiomyocyte', and emerged as part of the discussions of the European Union (EU)-CARDIOPROTECTION Cooperation in Science and Technology (COST) Action, CA16225.

Indexed as

Immunity, InnateAnimalsAnti-Inflammatory AgentsCardiovascular AgentsCaspase 1Caspase InhibitorsHeart FailureHumansInflammasomesMolecular Targeted TherapyMyocardial Reperfusion InjuryMyocardiumNLR Family, Pyrin Domain-Containing 3 ProteinReceptors, ImmunologicSignal TransductionST Elevation Myocardial InfarctionAnti-Inflammatory AgentsCardiovascular AgentsCaspase 1Caspase InhibitorsInflammasomesNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanReceptors, ImmunologicCardioprotectionInflammasomeInnate immunityIschaemiaReperfusion

Identifiers

PMID30576455
PMCPMC6529915
OpenAlexW2905659626

What OpenQuestion holds

Textmetadata
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.