Evidence map›Paper›PMID 32865101›Full record

ArticleJournal of the American Heart Association2020

Anti-Inflammatory and Antiarrhythmic Effects of Beta Blocker in a Rat Model of Rheumatoid Arthritis.

Ting-Tse Lin, Yen-Ling Sung, Jhen-Yang Syu, Kia-Yuan Lin, Hung-Jui Hsu, Min-Tsun Liao, Yen-Bin Liu, Shien-Fong Lin

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Ting-Tse LinDepartment of Internal Medicine National Taiwan University Hospital Hsinchu and Biomedical Park Branch Hsinchu Taiwan.
Yen-Ling SungInstitute of Biomedical Engineering College of Electrical and Computer Engineering National Chiao Tung University Hsinchu Taiwan.
Jhen-Yang SyuInstitute of Biomedical Engineering College of Electrical and Computer Engineering National Chiao Tung University Hsinchu Taiwan.
Kia-Yuan LinInstitute of Biomedical Engineering College of Electrical and Computer Engineering National Chiao Tung University Hsinchu Taiwan.
Hung-Jui HsuInstitute of Biomedical Engineering College of Electrical and Computer Engineering National Chiao Tung University Hsinchu Taiwan.
Min-Tsun LiaoDepartment of Internal Medicine National Taiwan University Hospital Hsinchu and Biomedical Park Branch Hsinchu Taiwan.
Yen-Bin LiuDivision of Cardiology Department of Internal Medicine National Taiwan University Hospital Taipei Taiwan.
Shien-Fong LinInstitute of Biomedical Engineering College of Electrical and Computer Engineering National Chiao Tung University Hsinchu Taiwan.
National Yang Ming Chiao Tung University · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Patients with rheumatoid arthritis are at twice the risk of ventricular arrhythmia and sudden cardiac death as the general population. We hypothesize that β-blocker treatment of rheumatoid arthritis is antiarrhythmic by producing synergistic anticatecholaminergic and anti-inflammatory effects. Methods and Results Collagen-induced arthritis (CIA) was induced in Lewis rats by immunization with type II collagen in Freund's incomplete adjuvant. The treatment with propranolol (4 mg/kg) started on the first day of immunization. We evaluated the ventricular vulnerability to ventricular arrhythmia using in vivo programmed stimulation and performed ex vivo optical mapping to measure the electrical remodeling of the heart. The ventricular tissue was further processed for immunohistochemical staining and protein array analysis. The assessment of ventricular vulnerability showed that the number and duration of the induced ventricular arrhythmia episodes were increased in CIA rats, which were improved with propranolol treatment. The sympathovagal index and the plasma level of catecholamines significantly increased in CIA rats, whereas the use of propranolol attenuated sympathetic hyperactivity. In the optical mapping study, electrical remodeling, characterized by prolonged action potential duration, slow conduction velocity, and steepened action-potential duration restitution, were noted in CIA rats and reversed in the propranolol-treatment group. The propranolol treatment was associated with decreases in paw thickness, fewer inflammatory cell infiltrations in the heart, reduced levels of cardiac inflammatory cytokines, and less cardiac fibrosis as compared with the CIA group. Conclusions CIA increased ventricular arrhythmia vulnerability through sympathetic hyperinnervation and proarrhythmic ventricular electrophysiological remodeling. Treatment with propranolol in CIA rats was both anti-inflammatory and antiarrhythmic.

Indexed as

Adrenergic beta-AntagonistsAnimalsAnti-Arrhythmia AgentsAnti-Inflammatory AgentsArrhythmias, CardiacArthritis, RheumatoidDisease Models, AnimalFemaleHeart RateRatsRats, Inbred LewAdrenergic beta-AntagonistsAnti-Arrhythmia AgentsAnti-Inflammatory Agentspropranololrheumatoid arthritissympathetic hyperinnervationsympathovagal indexventricular arrhythmia

Identifiers

PMID32865101
PMCPMC7726976
OpenAlexW3081949132

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.