Evidence map›Paper›PMID 32485823›Full record

ArticleInternational journal of molecular sciences2020

Sex Differences in Proatherogenic Cytokine Levels.

Stella Bernardi, Barbara Toffoli, Federica Tonon, Morena Francica, Elena Campagnolo, Tommaso Ferretti, Sarah Comar, Fabiola Giudici, Elisabetta Stenner, Bruno Fabris

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 76 citations in OpenAlex.

  1. Pooled it
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  10. Inflammaging and the sex-frailty paradox.Aging clinical and experimental research · 2025
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  14. Hallmarks of Cancer Cachexia: Sexual Dimorphism in Related Pathways.International journal of molecular sciences · 2025
    Review
  15. Article
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  17. Sex, senescence, senolytics, and cognition.Frontiers in aging neuroscience · 2025
    Review
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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

10 authors at 4 institutions in 1 country.

Stella BernardiDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.ORCID 0000-0002-7429-3075
Barbara ToffoliInstitute for Maternal and Child Health, IRCCS Burlo Garofolo, 34100 Trieste, Italy.ORCID 0000-0002-6854-5782
Federica TononDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
Morena FrancicaDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
Elena CampagnoloDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
Tommaso FerrettiDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
Sarah ComarDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
Fabiola GiudiciDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
Elisabetta StennerDepartment of Diagnostics, Azienda USL Toscana Nordovest, 57100 Livorno, Italy.
Bruno FabrisDepartment of Medical, Surgical, and Health Sciences, University of Trieste, Cattinara Teaching Hospital UCO Medicina Clinica, 34100 Trieste, Italy.
University of Trieste · ITAzienda Usl Toscana Centro · ITIRCCS Materno Infantile Burlo Garofolo · ITUniversity of Padua · IT

Funding

Ministero della Salute GR-2013-02357830Università degli Studi di Trieste N/A
6 · The paper itself

Abstract

backgroundIt has been shown that sex affects immunity, including cytokine production. Given that atherosclerosis is an inflammatory disease promoted by specific cytokines, such as interleukin (IL)-1β, IL-6, and tumor necrosis factor (TNF)-α, we aimed at evaluating whether sex could affect the levels of these proatherogenic cytokines in a group of healthy adults. In this analysis, we also included other cytokines and peptides that have been implicated in atherosclerosis development and progression.

methodsA total of 104 healthy adults were recruited; we measured circulating levels of IL-1β, IL-6, TNF-α, angiotensins and angiotensin-converting enzyme-2 (ACE2), as well as osteoprotegerin and receptor activator of nuclear factor κB ligand (RANKL).

resultsIL-1β, IL-6, and TNF-α were significantly higher in men as compared to women. They were all associated with testosterone and the testosterone/estradiol ratio. They remained significantly associated with sex (but not with hormones) after being tested for potential confounders.

conclusionsSex seems to influence the levels of proatherogenic cytokines. This is consistent not only with sex differences in vulnerability to infections but also with the higher cardiovascular risk exhibited by the male gender as compared to the female gender. Nevertheless, this association is only partly explained by hormone levels.

Indexed as

AdultAngiotensin-Converting Enzyme 2AtherosclerosisBiomarkersFemaleHumansInterleukinsMaleMiddle AgedRANK LigandSex FactorsTumor Necrosis Factor-alphaACE2 protein, humanAngiotensin-Converting Enzyme 2BiomarkersInterleukinsRANK LigandTNFSF11 protein, humanTumor Necrosis Factor-alphaACE2atherosclerosiscytokinesgenderhealthy adultsIL-1βIL-6inflammationOPGsexTNF-α

Identifiers

PMID32485823
PMCPMC7311959
OpenAlexW3032581865

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.