Evidence map›Paper›PMID 32548243›Full record

ArticleTransplantation direct2020

Low MicroRNA-126 Levels in Right Ventricular Endomyocardial Biopsies Coincide With Cardiac Allograft Vasculopathy in Heart Transplant Patients.

Ward A Heggermont, Leen Delrue, Karen Dierickx, Riet Dierckx, Sofie Verstreken, Marc Goethals, Jozef Bartunek, Marc Vanderheyden

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The Transplant Bellwether: Endothelial Cells in Antibody-Mediated Rejection.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
  4. Article
  5. Review
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

8 authors at 2 institutions in 2 countries.

Ward A HeggermontCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Leen DelrueCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Karen DierickxCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Riet DierckxCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Sofie VerstrekenCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Marc GoethalsCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Jozef BartunekCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Marc VanderheydenCardiovascular Research Center, Onze-Lieve-Vrouw Hospital Aalst, Moorselbaan, Aalst, Belgium.
Onze Lieve Vrouwziekenhuis Hospital · BEFund for Scientific Research · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endothelium-enriched microRNAs (miRs) are involved in the development of cardiac allograft vasculopathy (CAV). Recently, serum-derived miR-126-3p and -5p, known endothelial microRNAs with a crucial function in angiogenesis and re-endothelialization, provided additional predictive power for cardiac allograft vasculopathy in addition to clinical predictors. However, their myocardial expression in and relationship with CAV are still unknown. Our study aim was to investigate the expression of endomyocardial microRNA-126-3p and microRNA-126-5p levels in heart transplant recipients and their relationship with allograft vasculopathy.

methodsWe studied 39 heart transplant recipients, 21 with proven allograft vasculopathy (CAV+) and 18 without allograft vasculopathy (CAV-) with serial coronary angiograms. Additionally, 8 patients with end-stage native coronary artery disease (CAD) were added to the study to investigate disease specificity of the microRNA signature. The mRNA levels of miR-126-3p and miR-126-5p were determined by qRT-PCR in the right ventricular endomyocardial biopsies obtained at baseline and during routine follow-up.

resultsMiR-126-3p levels were significantly lower in the CAV+ group compared to the CAV- group at follow-up, while miR-126-5p levels were unaltered. This was in stark contrast to native CAD patients in whom miR-126-3p and -5p levels were significantly higher. qPCR levels of miR-126 targets are differentially regulated in CAV versus ischemic cardiomyopathy and are influenced by the administration of immunosuppressive agents in endothelial cells.

conclusionsOur data provide evidence for a distinct microRNA signature in heart transplantation patients with allograft vasculopathy. In contrast to CAD patients, lower miR-126-3p levels coincide with the development of cardiac allograft vasculopathy. Further studies in a larger patient population are warranted to determine if the serial measurement of myocardial microRNA-126 products could help in risk assessment and early detection of CAV.

Identifiers

PMID32548243
PMCPMC7213604
OpenAlexW3016864871

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.