Evidence map›Paper›PMID 31872906›Full record

Trial reportClinical cardiology2020

Intensive statin treatment ameliorate the Th17/Treg functional imbalance in patients with non-ST elevation acute coronary syndrome underwent percutaneous coronary intervention.

Xiaojing Ma, Shilei Liu, Teng Li, Haitao Yuan

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

17 citing papers in PubMed, 24 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Xiaojing MaDepartment of Cardiology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, P.R. China.ORCID https://orcid.org/0000-0003-2639-1938
Shilei LiuDepartment of Cardiology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, P.R. China.
Teng LiDepartment of Cardiology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, P.R. China.
Haitao YuanDepartment of Cardiology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, P.R. China.
Shandong University · CN

Funding

National Natural Science Foundation of China 81770382
6 · The paper itself

Abstract

backgroundInflammation plays important roles in the pathogenesis of acute coronary syndrome (ACS). Statins exert positive effects on the plaque stabilization through anti-inflammation, however, the detailed mechanism is still under investigation. HYPOTHESIS: Studies suggest that the Th17/Treg functional imbalance takes key part in the plaque destabilization and the onset of ACS. We hypothesized that intensive statin therapy could ameliorate the Th17/Treg imbalance in patients with ACS.

methodsSixty-six patients with non-ST elevation acute coronary syndrome (NSTE-ACS) were randomized to conventional group and intensive group. Peripheral blood samples were collected on admission and after atorvastatin treatment. The frequencies of circulating Th17 cells and Treg cells, the levels of cytokines associated with Th17 cells (IL-17, IL-6 and IL-23) and associated with Treg cells (IL-10 and TGF-β1) were measured through flow cytometry and ELISA assay respectively.

resultsOne week after therapy, the frequencies of circulating Th17 cells of both the groups decreased and the frequencies of circulating Treg cells increased significantly, compared with the basal levels. Furthermore, the decreased frequencies of circulating Th17 cells and the increased frequencies of circulating Treg cells in the intensive group were significantly higher than those in the conventional group. In consistence, the decreased accumulation of IL-17, IL-6 and IL-23 (cytokines relevant to Th17 cells) and the increased accumulation of IL-10 and TGF-β1 in peripheral blood were displayed in both groups. The changes are more significant in the intensive group.

conclusionIntensive statins therapy could ameliorate the Th17 and Treg functional imbalance in patients with ACS.

Indexed as

Percutaneous Coronary InterventionAcute Coronary SyndromeAdultAgedAged, 80 and overAnti-Inflammatory AgentsCD4 Lymphocyte CountChinaCytokinesFemaleHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedNon-ST Elevated Myocardial InfarctionTh17 CellsAnti-Inflammatory AgentsCytokinesHydroxymethylglutaryl-CoA Reductase Inhibitorsacute coronary syndromeinflammationstatinTh17/Treg

Identifiers

PMID31872906
PMCPMC7144487
OpenAlexW2996964160

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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.