Evidence map›Paper›PMID 31504243›Full record

ArticleCardiovascular research2020

Homeobox B9 integrates bone morphogenic protein 4 with inflammation at atheroprone sites.

Celine Souilhol, Ismael Gauci, Shuang Feng, Blanca Tardajos Ayllon, Marwa Mahmoud, Lindsay Canham, Maria Fragiadaki, Jovana Serbanovic-Canic, Victoria Ridger, Paul Charles Evans

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 37 citations in OpenAlex.

  1. Observational
  2. Review
  3. Transcytosis of LDL Across Arterial Endothelium: Mechanisms and Therapeutic Targets.Arteriosclerosis, thrombosis, and vascular biology · 2025
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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

10 authors at 1 institution in 1 country.

Celine SouilholDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Ismael GauciDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Shuang FengDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Blanca Tardajos AyllonDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Marwa MahmoudDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Lindsay CanhamDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Maria FragiadakiDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Jovana Serbanovic-CanicDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Victoria RidgerDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Paul Charles EvansDepartment of Infection, Immunity and Cardiovascular Disease, Bateson Centre for Lifecourse Biology, INSIGNEO Institute for Cardiovascular Medicine, Faculty of Medicine Dentistry and Health, Beech Hill Road, University of Sheffield, Sheffield S10 2RX, UK.
Centre for Life · GB

Funding

British Heart Foundation PG/17/56/33115British Heart Foundation PG/18/63/33968British Heart Foundation RG/19/10/34506
6 · The paper itself

Abstract

aimsAtherosclerosis develops near branches and bends of arteries that are exposed to disturbed blood flow which exerts low wall shear stress (WSS). These mechanical conditions alter endothelial cells (EC) by priming them for inflammation and by inducing turnover. Homeobox (Hox) genes are developmental genes involved in the patterning of embryos along their anterior-posterior and proximal-distal axes. Here we identified Hox genes that are regulated by WSS and investigated their functions in adult arteries. METHODS AND

resultsEC were isolated from inner (low WSS) and outer (high WSS) regions of the porcine aorta and the expression of Hox genes was analysed by quantitative real-time PCR. Several Hox genes (HoxA10, HoxB4, HoxB7, HoxB9, HoxD8, HoxD9) were significantly enriched at the low WSS compared to the high WSS region. Similarly, studies of cultured human umbilical vein EC (HUVEC) or porcine aortic EC revealed that the expression of multiple Hox genes (HoxA10, HoxB9, HoxD8, HoxD9) was enhanced under low (4 dyn/cm2) compared to high (13 dyn/cm2) WSS conditions. Gene silencing studies identified Hox genes (HoxB9, HoxD8, HoxD9) that are positive regulators of inflammatory molecule expression in EC exposed to low WSS, and others (HoxB9, HoxB7, HoxB4) that regulated EC turnover. We subsequently focused on HoxB9 because it was strongly up-regulated by low WSS and, uniquely, was a driver of both inflammation and proliferation. At a mechanistic level, we demonstrate using cultured EC and murine models that bone morphogenic protein 4 (BMP4) is an upstream regulator of HoxB9 which elicits inflammation via induction of numerous inflammatory mediators including TNF and downstream NF-κB activation. Moreover, the BMP4-HoxB9-TNF pathway was potentiated by hypercholesterolaemic conditions.

conclusionsLow WSS induces multiple Hox genes that control the activation state and turnover of EC. Notably, low WSS activates a BMP4-HoxB9-TNF signalling pathway to initiate focal arterial inflammation, thereby demonstrating integration of the BMP and Hox systems in vascular pathophysiology.

Indexed as

Plaque, AtheroscleroticAnimalsAorta, ThoracicAortic DiseasesAtherosclerosisBone Morphogenetic Protein 4Cells, CulturedDisease Models, AnimalHomeodomain ProteinsHumansHuman Umbilical Vein Endothelial CellsInflammationMice, Inbred C57BLMice, Knockout, ApoERegional Blood FlowSignal TransductionBMP4 protein, humanBmp4 protein, mouseBone Morphogenetic Protein 4Homeodomain ProteinsHOXB9 protein, humanHoxb9 protein, mouseTNF protein, humanTumor Necrosis Factor-alphaBMP4EndothelialHoxNF-κBShear stress

Identifiers

PMID31504243
PMCPMC7243277
OpenAlexW2971040340

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.