Evidence map›Paper›PMID 31289820›Full record

ArticleEuropean heart journal2020

Single systemic transfer of a human gene associated with exceptional longevity halts the progression of atherosclerosis and inflammation in ApoE knockout mice through a CXCR4-mediated mechanism.

Annibale Alessandro Puca, Albino Carrizzo, Chiara Spinelli, Antonio Damato, Mariateresa Ambrosio, Francesco Villa, Anna Ferrario, Anna Maciag, Francesco Fornai, Paola Lenzi and 20 more

Open access · bronzeAbstract readClinical Study
In one paragraph

Article in European heart journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

45 citing papers in PubMed, 68 citations in OpenAlex.

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  5. Cellular and molecular mechanisms underlying cardiovascular aging.Cellular & molecular biology letters · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 11 institutions in 2 countries.

Annibale Alessandro PucaAgeing Unit, IRCCS MultiMedica, Via G. Fantoli 16/15, 20138 Milan, Italy.
Albino CarrizzoIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Chiara SpinelliAgeing Unit, IRCCS MultiMedica, Via G. Fantoli 16/15, 20138 Milan, Italy.
Antonio DamatoIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Mariateresa AmbrosioIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Francesco VillaAgeing Unit, IRCCS MultiMedica, Via G. Fantoli 16/15, 20138 Milan, Italy.
Anna FerrarioAgeing Unit, IRCCS MultiMedica, Via G. Fantoli 16/15, 20138 Milan, Italy.
Anna MaciagAgeing Unit, IRCCS MultiMedica, Via G. Fantoli 16/15, 20138 Milan, Italy.
Francesco FornaiIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Paola LenziDepartment of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, via Roma 55, 56126 Pisa, Italy.
Valentina ValentiUOC Cardiologia Ospedale Santa Maria Goretti, 04100 Latina, Italy.
Flavio di NonnoIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Giulio AccarinoDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Via S. Allende, 84081 Baronissi (SA), Italy.
Michele MadonnaIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Maurizio ForteIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Gaetano CalìDepartment of Endocrinology and Experimental Oncology Institute, CNR, Via Sergio Pansini, 80131 Naples, Italy.
Andrea BaragettiDepartment of Pharmacological and Biomolecular Sciences, Università Degli Studi di Milano, via Vanvitelli 32, 20129 Milan, Italy.
Giuseppe Danilo NorataDepartment of Pharmacological and Biomolecular Sciences, Università Degli Studi di Milano, via Vanvitelli 32, 20129 Milan, Italy.
Alberico Luigi CatapanoDepartment of Pharmacological and Biomolecular Sciences, Università Degli Studi di Milano, via Vanvitelli 32, 20129 Milan, Italy.
Monica CattaneoAgeing Unit, IRCCS MultiMedica, Via G. Fantoli 16/15, 20138 Milan, Italy.
Raffaele IzzoDepartment of Advanced Biomedical Sciences, University Federico II of Naples, 80131 Naples, Italy.
Valentina TrimarcoDepartment of Advanced Biomedical Sciences, University Federico II of Naples, 80131 Naples, Italy.
Francesco MontellaDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Via S. Allende, 84081 Baronissi (SA), Italy.
Francesco VersaciUOC Cardiologia Ospedale Santa Maria Goretti, 04100 Latina, Italy.
Alberto AuricchioTelethon Institute of Genetics and Medicine (TIGEM), 80078 Pozzuoli (Na), Italy.
Giacomo FratiIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Sebastiano SciarrettaIRCCS Neuromed, Loc. Camerelle, 86077 Pozzilli (IS), Italy.
Paolo MadedduBristol Medical School (Translational Health Sciences), Bristol Heart Institute, University of Bristol, Upper Maudlin Street, Bristol BS2 8HW, UK.
Elena CiagliaDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Via S. Allende, 84081 Baronissi (SA), Italy.
Carmine VecchioneDepartment of Medicine, Surgery and Dentistry, "Scuola Medica Salernitana" University of Salerno, Via S. Allende, 84081 Baronissi (SA), Italy.
Istituto Neurologico Mediterraneo · ITMultiMedica · ITUniversity of Salerno · ITUniversity of Milan · ITUniversity of Naples Federico II · ITUniversity of Pisa · ITFederico II University Hospital · ITInstitute for Experimental Endocrinology and Oncology · ITOspedale Santa Maria Goretti · ITUniversity of Bristol · GBUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsHere, we aimed to determine the therapeutic effect of longevity-associated variant (LAV)-BPIFB4 gene therapy on atherosclerosis. METHODS AND

resultsApoE knockout mice (ApoE-/-) fed a high-fat diet were randomly allocated to receive LAV-BPIFB4, wild-type (WT)-BPIFB4, or empty vector via adeno-associated viral vector injection. The primary endpoints of the study were to assess (i) vascular reactivity and (ii) atherosclerotic disease severity, by Echo-Doppler imaging, histology and ultrastructural analysis. Moreover, we assessed the capacity of the LAV-BPIFB4 protein to shift monocyte-derived macrophages of atherosclerotic mice and patients towards an anti-inflammatory phenotype. LAV-BPIFB4 gene therapy rescued endothelial function of mesenteric and femoral arteries from ApoE-/- mice; this effect was blunted by AMD3100, a CXC chemokine receptor type 4 (CXCR4) inhibitor. LAV-BPIFB4-treated mice showed a CXCR4-mediated shift in the balance between Ly6Chigh/Ly6Clow monocytes and M2/M1 macrophages, along with decreased T cell proliferation and elevated circulating levels of interleukins IL-23 and IL-27. In vitro conditioning with LAV-BPIFB4 protein of macrophages from atherosclerotic patients resulted in a CXCR4-dependent M2 polarization phenotype. Furthermore, LAV-BPIFB4 treatment of arteries explanted from atherosclerotic patients increased the release of atheroprotective IL-33, while inhibiting the release of pro-inflammatory IL-1β, inducing endothelial nitric oxide synthase phosphorylation and restoring endothelial function. Finally, significantly lower plasma BPIFB4 was detected in patients with pathological carotid stenosis (>25%) and intima media thickness >2 mm.

conclusionTransfer of the LAV of BPIFB4 reduces the atherogenic process and skews macrophages towards an M2-resolving phenotype through modulation of CXCR4, thus opening up novel therapeutic possibilities in cardiovascular disease.

Indexed as

AtherosclerosisPlaque, AtheroscleroticAgedAnimalsApolipoproteins ECarotid Intima-Media ThicknessFemaleHumansInflammationIntercellular Signaling Peptides and ProteinsLongevityMaleMiceMice, Inbred C57BLMice, KnockoutMice, Knockout, ApoEApolipoproteins EBPIFB4 protein, humanCXCR4 protein, humanIntercellular Signaling Peptides and ProteinsPhosphoproteinsReceptors, CXCR4AtherosclerosisImmune systemLow-density lipoproteinVascular function

Identifiers

PMID31289820
PMCPMC7340354
OpenAlexW2957875858

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.