Evidence map›Paper›PMID 33858475›Full record

ArticleClinical epigenetics2021

Methylation of SERPINA1 gene promoter may predict chronic obstructive pulmonary disease in patients affected by acute coronary syndrome.

John Charles Rotondo, Giorgio Aquila, Lucia Oton-Gonzalez, Rita Selvatici, Paola Rizzo, Monica De Mattei, Rita Pavasini, Mauro Tognon, Gianluca Calogero Campo, Fernanda Martini

Open access · goldAbstract read
In one paragraph

Article in Clinical epigenetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Beyond genes: a clinician's guide to epigenetics.Breathe (Sheffield, England) · 2025
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  7. Pyogenic spondylitis caused byWorld journal of clinical cases · 2023
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  8. Journal of clinical medicine · 2023
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  9. Loss ofInternational journal of molecular sciences · 2022
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  10. Review
  11. Review
  12. Genetics and Epigenetics of Bone Remodeling and Metabolic Bone Diseases.International journal of molecular sciences · 2022
    Review
  13. Review
  14. Review
  15. Epigenetics of Male Infertility: The Role of DNA Methylation.Frontiers in cell and developmental biology · 2021
    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

10 authors at 3 institutions in 2 countries.

John Charles RotondoDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-5179-1525
Giorgio AquilaDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Lucia Oton-GonzalezDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Rita SelvaticiDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Paola RizzoDepartment of Translational Medicine and for Romagna, University of Ferrara, Ferrara, Italy.
Monica De MatteiDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.
Rita PavasiniCardiology Unit, Azienda Ospedaliera Universitaria Di Ferrara, Ferrara, Italy.
Mauro TognonDepartment of Medical Sciences, University of Ferrara, Ferrara, Italy.ORCID 0000-0001-8269-7937
Gianluca Calogero Campo *Cardiology Unit, Azienda Ospedaliera Universitaria Di Ferrara, Ferrara, Italy. cmpglc@unife.it.
Fernanda Martini *Department of Medical Sciences, University of Ferrara, Ferrara, Italy. mrf@unife.it.
University of Ferrara · ITArcispedale Sant'Anna · ITAzienda Unità Sanitaria Locale di Ferrara · IT

Funding

MIUR PRIN 2017Università degli Studi di Ferrara FIR projects
6 · The paper itself

Abstract

backgroundDiagnostic biomarkers for detecting chronic obstructive pulmonary disease (COPD) in acute coronary syndrome (ACS) patients are not available. SERPINA1, coding for the most potent circulating anti-inflammatory protein in the lung, has been found to be differentially methylated in blood cells from COPD patients. This study aimed to investigate the methylation profile of SERPINA1 in blood cells from ACS patients, with (COPD+) or without COPD (COPD-).

methodsBlood samples were from 115 ACS patients, including 30 COPD+ and 85 COPD- according to lung function phenotype, obtained with spirometry. DNA treated with sodium bisulfite was PCR-amplified at SERPINA1 promoter region. Methylation analysis was carried out by sequencing the PCR products. Lymphocytes count in ACS patients was recorded at hospital admission and discharge.

resultsSERPINA1 was hypermethylated in 24/30 (80%) COPD+ and 48/85 (56.5%) COPD- (p < 0.05). Interestingly, at hospital discharge, lymphocytes count was higher in COPD- patients carrying SERPINA1 hypermethylated (1.98 × 10

conclusionsSERPINA1 is hypermethylated in blood cells from COPD+ patients. COPD- carrying SERPINA1 hypermethylated and high lymphocytes count may be at risk of COPD development. Therefore, SERPINA1 hypermethylation may represent a potential biomarker for predicting COPD development in ACS patients.

Indexed as

Acute Coronary SyndromeAgedalpha 1-AntitrypsinBiomarkersDNA MethylationFemaleHumansMaleMiddle AgedPredictive Value of TestsPromoter Regions, GeneticPulmonary Disease, Chronic Obstructivealpha 1-AntitrypsinBiomarkersSERPINA1 protein, humanACSAcute coronary syndromeAlpha 1-antitrypsinChronic obstructive pulmonary diseaseCOPDSERPINA1

Identifiers

PMID33858475
PMCPMC8048251
OpenAlexW3153142587

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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.