Evidence map›Paper›PMID 32515246›Full record

ArticleJournal of the American Heart Association2020

Novel Insights Into the Effects of Interleukin 6 Antagonism in Non-ST-Segment-Elevation Myocardial Infarction Employing the SOMAscan Proteomics Platform.

Marc J George, Ola Kleveland, Jorge Garcia-Hernandez, Jutta Palmen, Ruth Lovering, Rune Wiseth, Pål Aukrust, Jorgen Engmann, Jan Kristian Damås, Aroon D Hingorani and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  5. Hepcidin and Tissue-Specific Iron Regulatory Networks.Advances in experimental medicine and biology · 2025
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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

13 authors at 4 institutions in 2 countries.

Marc J GeorgeDepartment of Clinical Pharmacology University College London London United Kingdom.
Ola KlevelandClinic of Cardiology St Olavs Hospital Trondheim Norway.
Jorge Garcia-HernandezCentre for Cardiovascular Genetics Institute of Cardiovascular Science University College London London United Kingdom.
Jutta PalmenCentre for Cardiovascular Genetics Institute of Cardiovascular Science University College London London United Kingdom.
Ruth LoveringFunctional Gene Annotation, Preclinical and Fundamental Science Institute of Cardiovascular Science University College London London United Kingdom.
Rune WisethClinic of Cardiology St Olavs Hospital Trondheim Norway.
Pål AukrustK.G. Jebsen Thrombosis Research and Expertise Center University of Tromsø Tromsø Norway.
Jorgen EngmannCentre for Cardiovascular Genetics Institute of Cardiovascular Science University College London London United Kingdom.
Jan Kristian DamåsCentre of Molecular Inflammation Research Department of Clinical and Molecular Medicine NTNU Trondheim Norway.
Aroon D HingoraniCentre for Cardiovascular Genetics Institute of Cardiovascular Science University College London London United Kingdom.
Lars GullestadInstitute of Clinical Medicine University of Oslo Norway.
Juan P CasasInstitute of Health Informatics University College London London United Kingdom.
Thor UelandK.G. Jebsen Thrombosis Research and Expertise Center University of Tromsø Tromsø Norway.
University College London · GBOslo University Hospital · NONorwegian University of Science and Technology · NOSt Olav's University Hospital · NO

Funding

Department of HealthWellcome Trust
6 · The paper itself

Abstract

Background Interleukin 6 concentration is associated with myocardial injury, heart failure, and mortality after myocardial infarction. In the Norwegian tocilizumab non-ST-segment-elevation myocardial infarction trial, the first randomized trial of interleukin 6 blockade in myocardial infarction, concentration of both C-reactive protein and troponin T were reduced in the active treatment arm. In this follow-up study, an aptamer-based proteomic approach was employed to discover additional plasma proteins modulated by tocilizumab treatment to gain novel insights into the effects of this therapeutic approach. Methods and Results Plasma from percutaneous coronary intervention-treated patients, 24 in the active intervention and 24 in the placebo-control arm, drawn 48 hours postrandomization were randomly selected for analysis with the SOMAscan assay. Employing slow off-rate aptamers, the relative abundance of 1074 circulating proteins was measured. Proteins identified as being significantly different between groups were subsequently measured by enzyme immunoassay in the whole trial cohort (117 patients) at all time points (days 1-3 [7 time points] and 3 and 6 months). Five proteins identified by the SOMAscan assay, and subsequently confirmed by enzyme immunoassay, were significantly altered by tocilizumab administration. The acute-phase proteins lipopolysaccharide-binding protein, hepcidin, and insulin-like growth factor-binding protein 4 were all reduced during the hospitalization phase, as was the monocyte chemoattractant C-C motif chemokine ligand 23. Proteinase 3, released primarily from neutrophils, was significantly elevated. Conclusions Employing the SOMAscan aptamer-based proteomics platform, 5 proteins were newly identified that are modulated by interleukin 6 antagonism and may mediate the therapeutic effects of tocilizumab in non-ST-segment-elevation myocardial infarction.

Indexed as

ProteomeProteomicsAcute-Phase ProteinsAgedAntibodies, Monoclonal, HumanizedAptamers, NucleotideBlood ProteinsCarrier ProteinsChemokines, CCFemaleFollow-Up StudiesHepcidinsHigh-Throughput Screening AssaysHumansInsulin-Like Growth Factor Binding Protein 4Lipopolysaccharide-Binding ProteinAcute-Phase ProteinsAntibodies, Monoclonal, HumanizedAptamers, NucleotideBlood ProteinsCarrier ProteinsCCL23 protein, humanChemokines, CCHAMP protein, humanHepcidinsIGFBP4 protein, humanIL6R protein, humanInsulin-Like Growth Factor Binding Protein 4Lipopolysaccharide-Binding ProteinMembrane GlycoproteinsMyeloblastinProteomeReceptors, Interleukin-6tocilizumabinflammationinterleukinmyocardial infarctionproteomics

Identifiers

PMID32515246
PMCPMC7429051
OpenAlexW3033396758

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.