Evidence map›Paper›PMID 32402066›Full record

ArticleCardiovascular research2021

Loss of SIRT1 in diabetes accelerates DNA damage-induced vascular calcification.

Francesca Bartoli-Leonard, Fiona L Wilkinson, Andrew Schiro, Ferdinand Serracino Inglott, M Yvonne Alexander, Ria Weston

Open access · bronzeAbstract read
In one paragraph

Article in Cardiovascular research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.9field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 100 citations in OpenAlex.

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  5. The epigenetic and epitranscriptomic regulation of Brd4-Mettl3 axis on STING mediated vascular calcification.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
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  8. Investigating the Origins of Biochemical Dysregulation in Trisomy 21 Pregnancy.The Journal of clinical endocrinology and metabolism · 2025
    Article
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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

6 authors at 2 institutions in 1 country.

Francesca Bartoli-LeonardDepartment of Life Science, Translational Cardiovascular Science, Centre for Bioscience, Manchester Metropolitan University, John Dalton Building, Chester Street, Manchester M1 5GD, UK.
Fiona L WilkinsonDepartment of Life Science, Translational Cardiovascular Science, Centre for Bioscience, Manchester Metropolitan University, John Dalton Building, Chester Street, Manchester M1 5GD, UK.
Andrew SchiroVascular Unit, Manchester NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester M13 9WL, UK.
Ferdinand Serracino InglottVascular Unit, Manchester NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester M13 9WL, UK.
M Yvonne AlexanderDepartment of Life Science, Translational Cardiovascular Science, Centre for Bioscience, Manchester Metropolitan University, John Dalton Building, Chester Street, Manchester M1 5GD, UK.
Ria WestonDepartment of Life Science, Translational Cardiovascular Science, Centre for Bioscience, Manchester Metropolitan University, John Dalton Building, Chester Street, Manchester M1 5GD, UK.
Manchester Metropolitan University · GBManchester Academic Health Science Centre · GB

Funding

British Heart Foundation PG/14//30/307
6 · The paper itself

Abstract

aimsVascular calcification is a recognized predictor of cardiovascular risk in the diabetic patient, with DNA damage and accelerated senescence linked to oxidative stress-associated pathological calcification. Having previously shown that systemic SIRT1 is reduced in diabetes, the aim was to establish whether SIRT1 is protective against a DNA damage-induced senescent and calcified phenotype in diabetic vascular smooth muscle cells (vSMCs). METHODS AND

resultsImmunohistochemistry revealed decreased SIRT1 and increased DNA damage marker expression in diabetic calcified arteries compared to non-diabetic and non-calcified controls, strengthened by findings that vSMCs isolated from diabetic patients show elevated DNA damage and senescence, assessed by the Comet assay and telomere length. Hyperglycaemic conditions were used and induced DNA damage and enhanced senescence in vSMCs in vitro. Using H2O2 as a model of oxidative stress-induced DNA damage, pharmacological activation of SIRT1 reduced H2O2 DNA damage-induced calcification, prevented not only DNA damage, as shown by reduced comet tail length, but also decreased yH2AX foci formation, and attenuated calcification. While Ataxia Telanglectasia Mutated (ATM) expression was reduced following DNA damage, in contrast, SIRT1 activation significantly increased ATM expression, phosphorylating both MRE11 and NBS1, thus allowing formation of the MRN complex and increasing activation of the DNA repair pathway.

conclusionDNA damage-induced calcification is accelerated within a diabetic environment and can be attenuated in vitro by SIRT1 activation. This occurs through enhancement of the MRN repair complex within vSMCs and has therapeutic potential within the diabetic patient.

Indexed as

DNA DamageAcid Anhydride HydrolasesAtaxia Telangiectasia Mutated ProteinsCalcium ChlorideCase-Control StudiesCell Cycle ProteinsCells, CulturedCellular SenescenceDiabetes MellitusDisease ProgressionDNA-Binding ProteinsDNA RepairGlucoseHistonesHumansHydrogen PeroxideAcid Anhydride HydrolasesAtaxia Telangiectasia Mutated ProteinsATM protein, humanCalcium ChlorideCell Cycle ProteinsDNA-Binding ProteinsGlucoseH2AX protein, humanHistonesHydrogen PeroxideMRE11 Homologue ProteinMRE11 protein, humanNBN protein, humanNuclear ProteinsRAD50 protein, humanSIRT1 protein, humanSirtuin 1DiabetesDNA damageSenescenceSIRT1Vascular calcification

Identifiers

PMID32402066
PMCPMC7898956
OpenAlexW3025858593

What OpenQuestion holds

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LicenceCC BY-NC
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.