Evidence map›Paper›PMID 31642874›Full record

ReviewJAMA cardiology2019

Apolipoprotein B Particles and Cardiovascular Disease: A Narrative Review.

Allan D Sniderman, George Thanassoulis, Tamara Glavinovic, Ann Marie Navar, Michael Pencina, Alberico Catapano, Brian A Ference

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in JAMA cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06316453 (Prospective Assessment of Atherosclerotic Cardiovascular Disease), which is not on this map. Cited by 295 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
295citing papers in PubMed, 3 pooled it
42.9field-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.

NCT06316453 unknown statusnot on this mapstarted 2024, after this paper: background citation

Prospective Assessment of Atherosclerotic Cardiovascular Disease (ASCVD) Risk in Adults (30 Years and Above) in Pakistan: A Multi-Year Study Investigating Incidence, Validation, and Management Strategies

TypeobservationalSponsorAdvanced Education & Research CenterRan2024 to 2024Enrolled3,513ConditionsAtherosclerotic Cardiovascular Diseases (ASCVD)ArmsEvaluating ASCVD risk over 10 and 30 year and lifetime
3 · Its place in the literature

Who cites it

295 citing papers in PubMed, 3 syntheses or guidelines pooled it, 552 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

235 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

7 authors at 6 institutions in 5 countries.

Allan D SnidermanMike and Valeria Rosenbloom Centre for Cardiovascular Prevention, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
George ThanassoulisMike and Valeria Rosenbloom Centre for Cardiovascular Prevention, Department of Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Tamara GlavinovicMonash Health Centre, Victoria, Australia.
Ann Marie NavarDuke Clinical Research Institute, Durham, North Carolina.
Michael PencinaDuke University School of Medicine, Durham, North Carolina.
Alberico CatapanoDepartment of Pharmacological and Biomolecular Sciences, University of Milan, Multimedica IRCCS, Milano, Italy.
Brian A FerenceCentre for Naturally Randomized Trials, University of Cambridge, Cambridge, United Kingdom.
McGill University Health Centre · CAClinical Research Institute · USDuke University · USMonash Health · AUUniversity of Bristol · GBUniversity of Milan · IT

Funding

Preventing Cardiovascular Disease through Improved Risk Prediction and CommunicationK01HL133416 · NHLBI · DUKE UNIVERSITY · PI NAVAR, ANN MARIE · 2016 to 2020
$707k
NHLBI NIH HHS K01 HL133416
6 · The paper itself

Abstract

Importance: The conventional model of atherosclerosis presumes that the mass of cholesterol within very low-density lipoprotein particles, low-density lipoprotein particles, chylomicron, and lipoprotein (a) particles in plasma is the principal determinant of the mass of cholesterol that will be deposited within the arterial wall and will drive atherogenesis. However, each of these particles contains one molecule of apolipoprotein B (apoB) and there is now substantial evidence that apoB more accurately measures the atherogenic risk owing to the apoB lipoproteins than does low-density lipoprotein cholesterol or non-high-density lipoprotein cholesterol. Observations: Cholesterol can only enter the arterial wall within apoB particles. However, the mass of cholesterol per apoB particle is variable. Therefore, the mass of cholesterol that will be deposited within the arterial wall is determined by the number of apoB particles that are trapped within the arterial wall. The number of apoB particles that enter the arterial wall is determined primarily by the number of apoB particles within the arterial lumen. However, once within the arterial wall, smaller cholesterol-depleted apoB particles have a greater tendency to be trapped than larger cholesterol-enriched apoB particles because they bind more avidly to the glycosaminoglycans within the subintimal space of the arterial wall. Thus, a cholesterol-enriched particle would deposit more cholesterol than a cholesterol-depleted apoB particle whereas more, smaller apoB particles that enter the arterial wall will be trapped than larger apoB particles. The net result is, with the exceptions of the abnormal chylomicron remnants in type III hyperlipoproteinemia and lipoprotein (a), all apoB particles are equally atherogenic. Conclusions and Relevance: Apolipoprotein B unifies, amplifies, and simplifies the information from the conventional lipid markers as to the atherogenic risk attributable to the apoB lipoproteins.

Indexed as

Apolipoproteins BBiomarkersCardiovascular DiseasesCholesterol Ester Transfer ProteinsCholesterol, LDLCholesterol, VLDLCoronary Artery DiseaseHumansMendelian Randomization AnalysisRandomized Controlled Trials as TopicRisk AssessmentApolipoproteins BBiomarkersCholesterol Ester Transfer ProteinsCholesterol, LDLCholesterol, VLDL

Identifiers

PMID31642874
PMCPMC7369156
OpenAlexW2981767898

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.