Evidence map›Paper›PMID 32148083›Full record

Trial reportCirculation2020

White Blood Cells and Blood Pressure: A Mendelian Randomization Study.

Mateusz Siedlinski, Ewelina Jozefczuk, Xiaoguang Xu, Alexander Teumer, Evangelos Evangelou, Renate B Schnabel, Paul Welsh, Pasquale Maffia, Jeanette Erdmann, Maciej Tomaszewski and 4 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Circulation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 2 pooled it
18.9field-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.

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

119 citing papers in PubMed, 2 syntheses or guidelines pooled it, 201 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Unveiling the Immune Mechanisms of Hypertension With Single-Cell Transcriptome-Wide Mendelian Randomization.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Pathophysiology and Clinical Relevance of Microvascular Remodeling in Arterial Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
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  20. Recent advances on immunity and hypertension: the new cells on the kidney block.American journal of physiology. Renal physiology · 2025
    Review

59 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 9 countries.

Mateusz SiedlinskiDepartment of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland (M.S., E.J., T.J.G.).
Ewelina JozefczukDepartment of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland (M.S., E.J., T.J.G.).
Xiaoguang XuDivision of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, United Kingdom (X.X., M.T.).
Alexander TeumerDepartment SHIP/Clinical-Epidemiological Research, Institute for Community Medicine, University Medicine Greifswald, Germany (A.T.).
Evangelos EvangelouDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom (E.E.).
Renate B SchnabelUniversity Heart Center Hamburg Eppendorf, German Center for Cardiovascular Research partner site Hamburg/Kiel/Lübeck, Germany (R.B.S.).
Paul WelshInstitute of Cardiovascular and Medical Sciences (M.S., P.W., N.S., T.J.G.), University of Glasgow, United Kingdom.
Pasquale MaffiaInstitute of Infection, Immunity, and Inflammation (P.M.), University of Glasgow, United Kingdom.
Jeanette ErdmannInstitute for Cardiogenetics, University of Lübeck, Germany (J.E.).
Maciej TomaszewskiDivision of Cardiovascular Sciences, School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, United Kingdom (X.X., M.T.).
Mark J CaulfieldWilliam Harvey Research Institute, National Institute for Health Research Biomedical Research Centre at Barts, Queen Mary University of London, United Kingdom (M.J.C.).
Naveed SattarInstitute of Cardiovascular and Medical Sciences (M.S., P.W., N.S., T.J.G.), University of Glasgow, United Kingdom.
Michael V HolmesMedical Research Council Population Health Research Unit, Clinical Trial Service Unit and Epidemiological Studies Unit, Nuffield Department of Population Health, University of Oxford, United Kingdom (M.V.H.).
Tomasz J GuzikDepartment of Internal and Agricultural Medicine, Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland (M.S., E.J., T.J.G.).
Jagiellonian University · PLImperial College London · GBInstitute of Infection and Immunity · CAPopulation Council · INQueen Mary University of London · GBThe Welding Institute · GBUniversität Hamburg · DEUniversitätsmedizin Greifswald · DEUniversity of Glasgow · GBUniversity of Lübeck · DEUniversity of Macau · MOXuzhou Medical College · CN

Funding

British Heart Foundation FS/14/49/30838British Heart Foundation FS/18/23/33512British Heart Foundation PG/17/35/33001British Heart Foundation PG/19/16/34270British Heart Foundation PG/19/84/34771British Heart Foundation RE/13/5/30177Medical Research Council G9521010
6 · The paper itself

Abstract

backgroundHigh blood pressure (BP) is a risk factor for cardiovascular morbidity and mortality. While BP is regulated by the function of kidney, vasculature, and sympathetic nervous system, recent experimental data suggest that immune cells may play a role in hypertension.

methodsWe studied the relationship between major white blood cell types and blood pressure in the UK Biobank population and used Mendelian randomization (MR) analyses using the ≈750 000 UK-Biobank/International Consortium of Blood Pressure-Genome-Wide Association Studies to examine which leukocyte populations may be causally linked to BP.

resultsA positive association between quintiles of lymphocyte, monocyte, and neutrophil counts, and increased systolic BP, diastolic BP, and pulse pressure was observed (eg, adjusted systolic BP mean±SE for 1st versus 5th quintile respectively: 140.13±0.08 versus 141.62±0.07 mm Hg for lymphocyte, 139.51±0.08 versus 141.84±0.07 mm Hg for monocyte, and 137.96±0.08 versus 142.71±0.07 mm Hg for neutrophil counts; all

conclusionsObservational and genetic analyses demonstrate a concordant, positive and potentially causal relationship of lymphocyte count with systolic BP and diastolic BP.

Indexed as

Genetic LociHypertensionMendelian Randomization AnalysisPolymorphism, Single NucleotideAdaptor Proteins, Signal TransducingAdultAgedBlood PressureFemaleGenome-Wide Association StudyHumansLeukocyte CountMaleMiddle AgedUnited KingdomAdaptor Proteins, Signal TransducingSH2B3 protein, humanblood pressurehypertensionMendelian randomization analysiswhite blood cells

Identifiers

PMID32148083
PMCPMC7176352
OpenAlexW3009383606

What OpenQuestion holds

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LicenceCC BY
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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.