Evidence map›Paper›PMID 34279021›Full record

ArticleEuropean heart journal2021

Acute mental stress drives vascular inflammation and promotes plaque destabilization in mouse atherosclerosis.

Julia Hinterdobler, Simin Schott, Hong Jin, Almut Meesmann, Anna-Lena Steinsiek, Anna-Sophia Zimmermann, Jana Wobst, Philipp Müller, Carina Mauersberger, Baiba Vilne and 21 more

Open access · bronzeAbstract read
In one paragraph

Article in European heart journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 1% 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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

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  15. Stress-Induced Activation of Prolactin-NR4A1-Midkine Axis Exacerbates Skin Inflammation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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11 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 14 institutions in 6 countries.

Julia HinterdoblerDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0003-4708-4814
Simin SchottDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.
Hong JinDepartment of Medicine, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0002-8878-6436
Almut MeesmannDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.
Anna-Lena SteinsiekDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.
Anna-Sophia ZimmermannDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0003-0134-3040
Jana WobstDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0002-4049-1217
Philipp MüllerDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.
Carina MauersbergerDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0003-4241-8854
Baiba VilneDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0002-1084-7067
Alexandra BaecklundDepartment of Medicine, Karolinska Institute, Stockholm, Sweden.ORCID 0000-0003-4567-1169
Chien-Sin ChenWalter Brendel Centre of Experimental Medicine, Ludwig Maximilians University Munich, BioMedical Centre, Planegg-Martinsried, Germany.
Aldo MoggioDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0001-6513-5406
Quinte BrasterInstitute for Cardiovascular Prevention (IPEK), Ludwig Maximilians University Munich, Munich, Germany.
Michael MolitorCenter for Thrombosis and Hemostasis and Department of Cardiology, University Medical Center, Mainz, Germany.ORCID 0000-0001-6075-4996
Markus KraneDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Wolfgang E KempfDepartment of Vascular and Endovascular Surgery, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Karl-Heinz LadwigDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Michael HristovDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Maarten HulsmansCenter for Systems Biology and Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-1009-658X
Ingo HilgendorfDepartment of Cardiology and Angiology I, University Heart Center Freiburg-Bad Krozingen, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0002-0024-1643
Christian WeberDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.ORCID 0000-0003-4610-8714
Philip WenzelCenter for Thrombosis and Hemostasis and Department of Cardiology, University Medical Center, Mainz, Germany.ORCID 0000-0002-5397-2781
Christoph ScheiermannDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Lars MaegdefesselDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.ORCID 0000-0001-5228-2634
Oliver SoehnleinDZHK (German Centre for Cardiovascular Research), partner site Munich Heart Alliance, Munich, Germany.
Peter LibbyDivision of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-1502-502X
Matthias NahrendorfCenter for Systems Biology and Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-4021-1887
Heribert SchunkertDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.
Thorsten KesslerDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0003-3326-1621
Hendrik B SagerDepartment of Cardiology, German Heart Centre Munich, Technical University Munich, Munich, Germany.ORCID 0000-0002-0197-6553
German Centre for Cardiovascular Research · DEDeutsches Herzzentrum München · DEHarvard University · USJohannes Gutenberg University Mainz · DEKarolinska Institutet · SELudwig-Maximilians-Universität München · DETUM Klinikum · DEBrigham and Women's Hospital · USHelmholtz Zentrum München · DEMaastricht University · NLRiga Stradiņš University · LVUniversity of Freiburg · DEUniversity of Geneva · CHUniversity of Münster · DE

Funding

Molecular Determinants of Arterial Remodeling in AtherogenesisR01HL080472 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIBBY, PETER · 2005 to 2018
$5.0M
Novel mechanisms of the thrombotic complications of atherosclerosisR01HL134892 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI LIBBY, PETER · 2019 to 2022
$1.7M
British Heart FoundationEuropean Research Council 635872NHLBI NIH HHS R01 HL080472NHLBI NIH HHS R01 HL134892
6 · The paper itself

Abstract

aimsMental stress substantially contributes to the initiation and progression of human disease, including cardiovascular conditions. We aim to investigate the underlying mechanisms of these contributions since they remain largely unclear. METHODS AND

resultsHere, we show in humans and mice that leucocytes deplete rapidly from the blood after a single episode of acute mental stress. Using cell-tracking experiments in animal models of acute mental stress, we found that stress exposure leads to prompt uptake of inflammatory leucocytes from the blood to distinct tissues including heart, lung, skin, and, if present, atherosclerotic plaques. Mechanistically, we found that acute stress enhances leucocyte influx into mouse atherosclerotic plaques by modulating endothelial cells. Specifically, acute stress increases adhesion molecule expression and chemokine release through locally derived norepinephrine. Either chemical or surgical disruption of norepinephrine signalling diminished stress-induced leucocyte migration into mouse atherosclerotic plaques.

conclusionOur data show that acute mental stress rapidly amplifies inflammatory leucocyte expansion inside mouse atherosclerotic lesions and promotes plaque vulnerability.

Indexed as

AtherosclerosisPlaque, AtheroscleroticAnimalsDisease Models, AnimalEndothelial CellsInflammationMiceMice, Inbred C57BLMice, KnockoutAcute mental stressAtherosclerosisLeucocyte recruitmentNeuroimmune interactionSympathetic nervous systemVascular inflammation

Identifiers

PMID34279021
PMCPMC8516477
OpenAlexW3186877003

What OpenQuestion holds

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LicenceCC BY-NC
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.