Evidence map›Paper›PMID 33550461›Full record

ArticleAngiogenesis2021

Atorvastatin pleiotropically decreases intraplaque angiogenesis and intraplaque haemorrhage by inhibiting ANGPT2 release and VE-Cadherin internalization.

Fabiana Baganha, Rob C M de Jong, Erna A Peters, Wietske Voorham, J Wouter Jukema, Mirela Delibegovic, Margreet R de Vries, Paul H A Quax

Open access · hybridAbstract read
In one paragraph

Article in Angiogenesis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

25 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Exploring the potential role of miR-124 in angiogenesis in colorectal cancer.Journal of cancer research and clinical oncology · 2026
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  10. Isolation and Purification of Murine Lung Endothelial Cells.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  11. Promising Adventitia in Atherosclerosis.Current vascular pharmacology · 2025
    Review
  12. Review
  13. Review
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  16. Article
  17. Article
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  20. 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.

Fabiana BaganhaDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Rob C M de JongDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Erna A PetersDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Wietske VoorhamDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
J Wouter JukemaDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Mirela DelibegovicAberdeen Cardiovascular and Diabetes Centre, Institute of Medical Sciences, Aberdeen University, Aberdeen, UK.
Margreet R de VriesDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Paul H A QuaxDepartment of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands. P.H.A.Quax@lumc.nl.
Leiden University Medical Center · NLUniversity of Aberdeen · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveStatins pleiotropically provide additional benefits in reducing atherosclerosis, but their effects on intraplaque angiogenesis (IPA) and hemorrhage (IPH) remain unclear. Therefore, we discriminated statin's lipid-lowering dependent and independent effects on IPA and IPH. APPROACH AND

resultsApoE3*Leiden mice are statin-responsive due to ApoE and LDLR presence, but also allow to titrate plasma cholesterol levels by diet. Therefore, ApoE3*Leiden mice were fed a high-cholesterol-inducing-diet (HCD) with or without atorvastatin (A) or a moderate-cholesterol-inducing-diet (MCD). Mice underwent vein graft surgery to induce lesions with IPA and IPH. Cholesterol levels were significantly reduced in MCD (56%) and HCD + A (39%) compared to HCD with no significant differences between MCD and HCD + A. Both MCD and HCD + A have a similar reduction in vessel remodeling and inflammation comparing to HCD. IPA was significantly decreased by 30% in HCD + A compared to HCD or MCD. Atorvastatin treatment reduced the presence of immature vessels by 34% vs. HCD and by 25% vs. MCD, resulting in a significant reduction of IPH. Atorvastatin's anti-angiogenic capacity was further illustrated by a dose-dependent reduction of ECs proliferation and migration. Cultured mouse aortic-segments lost sprouting capacity upon atorvastatin treatment and became 30% richer in VE-Cadherin expression and pericyte coverage. Moreover, Atorvastatin inhibited ANGPT2 release and decreased VE-Cadherin(Y685)-phosphorylation in ECs.

conclusionsAtorvastatin has beneficial effects on vessel remodeling due to its lipid-lowering capacity. Atorvastatin has strong pleiotropic effects on IPA by decreasing the number of neovessels and on IPH by increasing vessel maturation. Atorvastatin improves vessel maturation by inhibiting ANGPT2 release and phospho(Y658)-mediated VE-Cadherin internalization.

Indexed as

Angiopoietin-2Antigens, CDCadherinsNeovascularization, PathologicPlaque, AtheroscleroticAnimalsApolipoprotein E3AtorvastatinCadherin 5Cholesterol, DietaryMaleMiceMice, Mutant StrainsAngiopoietin-2Angpt2 protein, mouseAntigens, CDApolipoprotein E3AtorvastatinCadherin 5CadherinsCholesterol, DietaryAtherosclerosisPlaque angiogenesisPlaque haemorrhageStatinsVein graft disease

Identifiers

PMID33550461
PMCPMC8292290
OpenAlexW3127823157

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.