Evidence map›Paper›PMID 31875423›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Arterial Wall Inflammation and Increased Hematopoietic Activity in Patients With Primary Aldosteronism.

Charlotte D C C van der Heijden, Esther M M Smeets, Erik H J G Aarntzen, Marlies P Noz, Houshang Monajemi, Simone Kersten, Charlotte Kaffa, Alexander Hoischen, Jaap Deinum, Leo A B Joosten and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. [EJNMMI research · 2026
    Article
  3. Article
  4. Review
  5. Can Nuclear Imaging Detect Trained Immunity in Cardiovascular Disease?Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Salt and Aldosterone - Reciprocal and Combined Effects in Preclinical Models and Humans.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2024
    Review
  13. Article
  14. Review
  15. Endocrine causes of hypertension: literature review and practical approach.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

12 authors at 3 institutions in 3 countries.

Charlotte D C C van der HeijdenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Esther M M SmeetsDepartment of Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Erik H J G AarntzenDepartment of Nuclear Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Marlies P NozDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Houshang MonajemiDepartment of Internal Medicine, Rijnstate Hospital, Arnhem, the Netherlands.
Simone KerstenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Charlotte KaffaCentre for Molecular and Biomolecular Informatics, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, the Netherlands.
Alexander HoischenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Jaap DeinumDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Leo A B JoostenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Mihai G NeteaDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Niels P RiksenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, the Netherlands.
Radboud University Nijmegen · NLRijnstate Hospital · NLUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextPrimary aldosteronism (PA) confers an increased risk of cardiovascular disease (CVD), independent of blood pressure. Animal models have shown that aldosterone accelerates atherosclerosis through proinflammatory changes in innate immune cells; human data are scarce.

objectiveThe objective of this article is to explore whether patients with PA have increased arterial wall inflammation, systemic inflammation, and reprogramming of monocytes.

designA cross-sectional cohort study compared vascular inflammation on 2'-deoxy-2'-(18F)fluoro-D-glucose; (18F-FDG) positron emission tomography-computed tomography, systemic inflammation, and monocyte phenotypes and transcriptome between PA patients and controls.

settingThis study took place at Radboudumc and Rijnstate Hospital, the Netherlands. PATIENTS: Fifteen patients with PA and 15 age-, sex-, and blood pressure-matched controls with essential hypertension (EHT) participated. MAIN OUTCOME MEASURES AND

resultsPA patients displayed a higher arterial 18F-FDG uptake in the descending and abdominal aorta (P < .01, P < .05) and carotid and iliac arteries (both P < .01). In addition, bone marrow uptake was higher in PA patients (P < .05). Although PA patients had a higher monocyte-to-lymphocyte ratio (P < .05), systemic inflammatory markers, cytokine production capacity, and transcriptome of circulating monocytes did not differ. Monocyte-derived macrophages from PA patients expressed more TNFA; monocyte-derived macrophages of healthy donors cultured in PA serum displayed increased interleukin-6 and tumor necrosis factor-α production.

conclusionsBecause increased arterial wall inflammation is associated with accelerated atherogenesis and unstable plaques, this might importantly contribute to the increased CVD risk in PA patients. We did not observe inflammatory reprogramming of circulating monocytes. However, subtle inflammatory changes are present in the peripheral blood cell composition and monocyte transcriptome of PA patients, and in their monocyte-derived macrophages. Most likely, arterial inflammation in PA requires interaction between various cell types.

Indexed as

AdultAgedArteriesArteritisBiomarkersCase-Control StudiesCross-Sectional StudiesFemaleFluorodeoxyglucose F18Gene Expression ProfilingHematopoiesisHumansHyperaldosteronismInflammationMaleMiddle AgedBiomarkersFluorodeoxyglucose F1818F-FDG PET-CTatherosclerosisimmune systeminflammationmineralocorticoidprimary aldosteronism

Identifiers

PMID31875423
PMCPMC7105350
OpenAlexW2997128924

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.