Evidence map›Paper›PMID 32428930›Full record

ArticleEuropean heart journal2020

Prevention of aortic dissection and aneurysm via an ALDH2-mediated switch in vascular smooth muscle cell phenotype.

Kehui Yang, Jun Ren, Xin Li, Zheng Wang, Li Xue, Sumei Cui, Wentao Sang, Tonghui Xu, Jian Zhang, Jieqiong Yu and 6 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in European heart journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 1 pooled it
11.8field-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

95 citing papers in PubMed, 1 synthesis or guideline pooled it, 182 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Journal of thoracic disease · 2026
    Article
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  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
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  13. Article
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  15. Article
  16. Journal of the American Heart Association · 2026
    Article
  17. Review
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Kehui YangDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Jun RenDepartment of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai 200032, China.
Xin LiDepartment of Emergency Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Road II, Guangzhou 510080, China.
Zheng WangDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Li XueDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Sumei CuiDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Wentao SangDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Tonghui XuDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Jian ZhangDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Jieqiong YuDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Zhiping LiuCenter of Intelligent Medical Engineering, School of Control Science and Engineering, Shandong University, 17923 Jingshi Road, Jinan 250061, China.
Haixia ShangCenter of Intelligent Medical Engineering, School of Control Science and Engineering, Shandong University, 17923 Jingshi Road, Jinan 250061, China.
Jiaojiao PangDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Xiaoran HuangDepartment of Emergency Medicine, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Road II, Guangzhou 510080, China.
Yuguo ChenDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Feng XuDepartment of Emergency Medicine, Qilu Hospital of Shandong University, 107 Wenhua Xi Road, Jinan 250012, China.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNGuangdong Academy of Medical Sciences · CNShandong University · CNUniversity of Wyoming · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAortic aneurysm/dissection (AAD) is a life-threatening disorder lacking effective pharmacotherapeutic remedies. Aldehyde dehydrogenase 2 (ALDH2) polymorphism is tied with various risk factors for AAD including hypertension, atherosclerosis, and hypercholesterolaemia although direct correlation between the two remains elusive. METHODS AND

resultsTwo independent case-control studies were conducted involving 307 AAD patients and 399 healthy controls in two geographically distinct areas in China. Our data revealed that subjects carrying mutant ALDH2 gene possessed a ∼50% reduced risk of AAD compared with wild-type (WT) alleles. Using 3-aminopropionitrile fumarate (BAPN)- and angiotensin II (Ang II)-induced AAD animal models, inhibition of ALDH2 was found to retard development of AAD. Mechanistically, ALDH2 inhibition ablated pathological vascular smooth muscle cell (VSMC) phenotypical switch through interaction with myocardin, a determinant of VSMC contractile phenotype. Using microarray and bioinformatics analyses, ALDH2 deficiency was found to down-regulate miR-31-5p, which further altered myocardin mRNA level. Gain-of-function and loss-of-function studies verified that miR-31-5p significantly repressed myocardin level and aggravated pathological VSMC phenotypical switch and AAD, an effect that was blunted by ALDH2 inhibition. We next noted that ALDH2 deficiency increased Max expression and decreased miR-31-5p level. Moreover, ALDH2 mutation or inhibition down-regulated levels of miR-31-5p while promoting myocardin downstream contractile genes in the face of Ang II in primary human VSMCs.

conclusionsALDH2 deficiency is associated with a lower risk of AAD in patients and mice, possibly via suppressing VSMC phenotypical switch in a miR-31-5p-myocardin-dependent manner. These findings favour a role for ALDH2 and miR-31-5p as novel targets for AAD therapy.

Indexed as

Aortic DissectionMicroRNAsAldehyde Dehydrogenase, MitochondrialAnimalsCell ProliferationCells, CulturedChinaHumansMiceMuscle, Smooth, VascularMyocytes, Smooth MusclePhenotypeAldehyde Dehydrogenase, MitochondrialALDH2 protein, humanALDH2 protein, mouseMicroRNAsAldehyde dehydrogenase 2Aortic aneurysm/dissectionmiR-31-5pMyocardinPhenotypic switch

Identifiers

PMID32428930
OpenAlexW3026544816

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.