Evidence map›Paper›PMID 30580560›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2019

Cholesterol Mass Efflux Capacity, Incident Cardiovascular Disease, and Progression of Carotid Plaque.

Steven Shea, James H Stein, Neal W Jorgensen, Robyn L McClelland, Liana Tascau, Sandi Shrager, Jay W Heinecke, Laurent Yvan-Charvet, Alan R Tall

Open access · greenAbstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
11.4field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Protective effect ofFood & nutrition research · 2025
    Article
  10. Article
  11. ANGPTL3 is a novel HDL component that regulates HDL function.Journal of translational medicine · 2024
    Article
  12. Article
  13. Article
  14. HDL Function across the Lifespan: From Childhood, to Pregnancy, to Old Age.International journal of molecular sciences · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Steven SheaFrom the Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York (S. Shea, L.T., L.Y.-C., A.R.T.).
James H SteinDepartment of Medicine, University of Wisconsin School of Medicine and Public Health, Madison (J.H.S.).
Neal W JorgensenDepartment of Biostatistics, University of Washington, Seattle (N.W.J., R.L.M., S. Shrager).
Robyn L McClellandDepartment of Biostatistics, University of Washington, Seattle (N.W.J., R.L.M., S. Shrager).
Liana TascauFrom the Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York (S. Shea, L.T., L.Y.-C., A.R.T.).
Sandi ShragerDepartment of Biostatistics, University of Washington, Seattle (N.W.J., R.L.M., S. Shrager).
Jay W HeineckeDepartment of Medicine, University of Washington, Seattle (J.W.H.).
Laurent Yvan-CharvetFrom the Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York (S. Shea, L.T., L.Y.-C., A.R.T.).
Alan R TallFrom the Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York (S. Shea, L.T., L.Y.-C., A.R.T.).
University of Washington · USColumbia University · USUniversity of Wisconsin–Madison · US

Funding

Role of Serum Amyloid A in Diabetic Vascular DiseaseP01HL092969 · NHLBI · UNIVERSITY OF WASHINGTON · PI GOLDBERG, IRA J · 2008 to 2019
$23.5M
Vascular Effects of Heparan Sulfate ProteoglycansP50HL056984 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI TALL, ALAN RICHARD · 1997 to 2006
$13.1M
Cholesterol efflux, CHIP and inflammasome activationR01HL107653 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ALAN richard TALL · 2011 to 2026
$7.7M
HLD-mediated cholesterol efflux and plaque inflammation in MESAR01HL127637 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEA, STEVEN J · 2016 to 2019
$3.2M
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095161 · HC · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEA, STEVEN · 1999 to 2001
$642k
NHLBI NIH HHS N01 HC095161NHLBI NIH HHS P01 HL092969NHLBI NIH HHS P50 HL056984NHLBI NIH HHS R01 HL107653NHLBI NIH HHS R01 HL127637
6 · The paper itself

Abstract

Objective- To assess the role of HDL (high-density lipoprotein)-mediated cholesterol mass efflux capacity (CMEC) in incident cardiovascular disease and carotid plaque progression. Approach and Results- We measured CMEC in 2 cohorts aged 45 to 84 years at baseline derived from the MESA (Multi-Ethnic Study of Atherosclerosis). Cohort 1 comprised 465 cases with incident cardiovascular disease events during 10 years of follow-up and 465 age- and sex-matched controls; cohort 2 comprised 407 cases with progression of carotid plaque measured by ultrasonography at 2 exams >10 years and 407 similarly matched controls. Covariates and outcome events were ascertained according to the MESA protocol. CMEC level was modestly correlated with HDL cholesterol ( R=0.13; P<0.001) but was not associated with age, sex, race/ethnicity, body mass index, diabetes mellitus, alcohol use, smoking status, or statin use. Higher CMEC level was significantly associated with lower odds of cardiovascular disease (odds ratio, 0.82 per SD of CMEC [95% CI, 0.69-0.98; P=0.031] in the fully adjusted model) in cohort 1 but higher odds of carotid plaque progression (odds ratio, 1.24 per SD of CMEC [95% CI, 1.04-1.48; P=0.018] in the fully adjusted model) in cohort 2 but without dose-response effect. In subgroup analysis within cohort 1, higher CMEC was associated with lower risk of incident coronary heart disease events (odds ratio, 0.72 per SD of CMEC (95% CI, 0.5-0.91; P=0.007) while no association was found with stroke events. Conclusions- These findings support a role for HDL-mediated cholesterol efflux in an atheroprotective mechanism for coronary heart disease but not stroke.

Indexed as

AgedAged, 80 and overCardiovascular DiseasesCarotid Artery DiseasesCholesterolCholesterol, HDLCoronary DiseaseDisease ProgressionFemaleHumansMaleMiddle AgedPlaque, AtheroscleroticCholesterolCholesterol, HDLatherosclerosiscardiovascular diseasescholesterollipoproteinsstroke

Identifiers

PMID30580560
PMCPMC6310062
OpenAlexW2898140812

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.