Evidence map›Paper›PMID 33381894›Full record

ArticleJournal of cellular and molecular medicine2021

Identification of biomarker panels as predictors of severity in coronary artery disease.

Assia Ben Braiek, Hinda Chahed, Florent Dumont, Fodha Abdelhak, Denguir Hichem, Habib Gamra, Bruno Baudin

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of cellular and molecular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

17 citing papers in PubMed, 25 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

7 authors at 6 institutions in 3 countries.

Assia Ben BraiekService de Biochimie, DMU BioGem, Hôpital Saint-Antoine, Paris, Sorbonne Université, Paris, France.ORCID 0000-0002-2943-4916
Hinda ChahedMolecular Biology Departments, Faculty of Pharmacy, Monastir University, Monastir, Tunisia.
Florent DumontUMS IPSIT - UFR Pharmacie, Université Paris-Saclay, Chatenay-Malabry, France.
Fodha AbdelhakDepartment of Cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Denguir HichemDepartment of Cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Habib GamraDepartment of Cardiology, Fattouma Bourguiba Hospital, Monastir, Tunisia.
Bruno BaudinService de Biochimie, DMU BioGem, Hôpital Saint-Antoine, Paris, Sorbonne Université, Paris, France.
University of Monastir · TNHôpital Farhat Hached · TNHôpital régional · CHHospital Fatuma Bourguiba Monastir · TNInserm · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Matrix metalloproteinases (MMPs) are implicated in atherosclerotic plaque rupture and recondition. Specific tissue inhibitors (TIMPs) control MMP functions. Both MMPs and TIMPs are potential biomarkers of plaque instability. Elevated Apo-CII and CIII and Apo-E levels are recognized as cardiovascular disease risk factors. We aimed to establish the best blood biomarker panel to evaluate the coronary artery disease (CAD) severity. Plasma levels of MMP-3 and MMP-9, TIMP-1 and TIMP-2, Apo-CII, Apo-CIII and Apo-E were measured in 472 patients with CAD evaluated by coronary angiography and electrocardiography, and in 285 healthy controls. MMP-3 and MMP-9 plasma levels in CAD patients were significantly increased (P < 0.001) compared to controls (3.54- and 3.81-fold, respectively). Furthermore, these increments are modulated by CAD severity as well as for Apo-CII and Apo-CIII levels (P < 0.001). TIMPs levels were decreased in CAD versus controls (P < 0.001) and in inverse correlation to MMPs. Standard ROC curve approach showed the importance of panels of biomarkers, including MMP-3, MMP-9, TIMP-1, TIMP-2, Apo-CII and Apo-CIII, for disease aggravation diagnosis. A high area under curve (AUC) value (0.995) was reached for the association of MMP-9, TIMP-2 and Apo-CIII. The unbalance between MMPs and TIMPs in vascular wall and dyslipidaemia creates favourable conditions for plaque disruption. Our study suggests that the combination of MMP-9, TIMP-2 and Apo-CIII values ('CAD aggravation panel') characterizes the severity of CAD, that is electrophysiological state, number of involved vessels, stent disposal and type of stent.

Indexed as

BiomarkersAdultAgedCase-Control StudiesComputational BiologyCoronary AngiographyCoronary Artery DiseaseDisease SusceptibilityElectrocardiographyFemaleHumansMaleMiddle AgedPrognosisRisk FactorsROC CurveBiomarkersapolipoproteinsarterial hypertensioncoronary artery diseasediabetesmatrix metalloproteinasestissue inhibitors of matrix metalloproteinases

Identifiers

PMID33381894
PMCPMC7875935
OpenAlexW3115318244

What OpenQuestion holds

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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.