Evidence map›Paper›PMID 31407674›Full record

Observational studyMedical science monitor : international medical journal of experimental and clinical research2019

Increased Ratio of Circulating T-Helper 1 to T-Helper 2 Cells and Severity of Coronary Artery Disease in Patients with Acute Myocardial Infarction: A Prospective Observational Study.

Chang Li, Wenxia Zong, Ming Zhang, Yanming Tu, Qiyu Zhou, Mingke Ni, Zhiyong Li, Haizhen Liu, Jingyi Zhang

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Medical science monitor : international medical journal of experimental and clinical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

19 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Relationship Between CRP/ALB Ratio and Severity of Coronary Artery Lesions in Hypertensive Patients with Acute Myocardial Infarction.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Immune cells in cardiac repair and regeneration.Development (Cambridge, England) · 2022
    Review
  14. Journal of inflammation research · 2022
    Article
  15. Review
  16. Review
  17. Adaptive Immune Responses in Human Atherosclerosis.International journal of molecular sciences · 2020
    Review
  18. Article
  19. Review
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 1 institution in 1 country.

Chang LiHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Wenxia ZongHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Ming ZhangHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Yanming TuHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Qiyu ZhouHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Mingke NiHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Zhiyong LiHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Haizhen LiuHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Jingyi ZhangHubei No. 3 People's Hospital of Jianghan University, Wuhan, Hubei, China (mainland).
Jianghan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND This study aimed to determine the association between CD4-positive T-helper (Th) cell subsets, T-helper 1 (Th1) and T-helper 2 (Th2) in patients with acute myocardial infarction (AMI) and the severity of coronary artery disease (CAD) determined by coronary artery angiography. MATERIAL AND METHODS Three groups of patients with AMI who underwent coronary angiography and percutaneous coronary intervention (PCI) included patients with stable CAD (n=35), ST-segment elevation myocardial infarction (STEMI) (n=30), and non-STEMI (NSTEMI) (n=35), and controls (n=33). Measurement of high-sensitivity cardiac troponin T (hs-cTnT) was performed. The numbers of circulating CD4-positive Th1 and Th2 cells were measured using flow cytometry. Plasma levels of interferon-γ (IFN-γ) and interleukin-4 (IL-4) were measured using enzyme-linked immunosorbent assay (ELISA). RESULTS An increase in the Th1 lymphocyte population was associated with more CAD, and an increased Th1/Th2 ratio was found in patients with NSTEMI and STEMI (controls 7.27±2.98; stable CAD 7.58±2.52; NSTEMI 16.62±2.74; and STEMI 22.32±7.35) (P<0.001). The proportion of Th1 cells and the Th1/Th2 ratio increased as the number of affected arteries, the degree of stenosis, and the lesion length increased. At a median follow-up of 18.2 months, patients with CAD and an increased Th1/Th2 ratio had a significant increase in adverse cardiac events compared with patients with a reduced Th1/Th2 ratio (log-rank, P=0.042). CONCLUSIONS An increased ratio of circulating Th1 to Th2 cells in patients with AMI was associated with the severity of CAD determined by angiography.

Indexed as

AgedChinaCoronary AngiographyCoronary Artery DiseaseCoronary VesselsFemaleHumansMaleMiddle AgedMyocardial InfarctionPercutaneous Coronary InterventionProspective StudiesSeverity of Illness IndexST Elevation Myocardial InfarctionTh1 CellsTh2 Cells

Identifiers

PMID31407674
PMCPMC6703085
OpenAlexW2969187123

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.