Evidence map›Paper›PMID 34350368›Full record

ArticleCardiology plus2020

Bile Acid and Cholesterol Metabolism in Atherosclerotic Cardiovascular Disease and Therapy.

John Y L Chiang, Jessica M Ferrell, Yue Wu, Shannon Boehme

Open access · diamondAbstract read
In one paragraph

Article in Cardiology plus, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  15. Understanding the probiotic health benefits ofFrontiers in microbiology · 2025
    Review
  16. Review
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  20. Observational
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

4 authors at 2 institutions in 2 countries.

John Y L ChiangDepartment of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH, USA.
Jessica M FerrellDepartment of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH, USA.
Yue WuDepartment of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Shannon BoehmeDepartment of Integrative Medical Sciences, Northeast Ohio Medical University, Rootstown, OH, USA.
Northeast Ohio Medical University · USFirst Affiliated Hospital of Xi'an Jiaotong University · CN

Funding

MOLECULAR BIOLOGY OF BILE ACID SYNTHESISR01DK044442 · NIDDK · NORTHEAST OHIO MEDICAL UNIVERSITY · PI FERRELL, JESSICA MARIE · 1994 to 2022
$5.9M
Regulation of Bile Acid Synthesis by Nuclear ReceptorsR37DK058379 · NIDDK · NORTHEAST OHIO MEDICAL UNIVERSITY · PI CHIANG, JOHN Y. L. · 2011 to 2020
$3.6M
Regulation of Bile Acid Synthesis by Nuclear ReceptorsR01DK058379 · NIDDK · NORTHEAST OHIO MEDICAL UNIVERSITY · PI CHIANG, JOHN Y. L. · 2002 to 2010
$2.6M
Molecular Biology of Bile Acid SynthesisR56DK044442 · NIDDK · NORTHEAST OHIO MEDICAL UNIVERSITY · PI CHIANG, JOHN Y. L. · 2009 to 2009
$379k
NIDDK NIH HHS R01 DK044442NIDDK NIH HHS R01 DK058379NIDDK NIH HHS R37 DK058379NIDDK NIH HHS R56 DK044442
6 · The paper itself

Abstract

Dysregulation of lipid metabolism is a major factor contributing to atherosclerotic cardiovascular disease (ACVD), which is the number one cause of death in western countries. The liver plays a central role in maintaining whole body cholesterol homeostasis via catabolism of cholesterol to bile acids, as well as biliary cholesterol excretion. The liver synthesizes lipoproteins that transport dietary cholesterol and fats to muscle and adipose tissue, directs reverse cholesterol transport of excess cholesterol from extrahepatic tissues and macrophages to the liver to convert to bile acids, and thus, protects against metabolism-related nonalcoholic fatty liver disease (NAFLD) and ACVD. Liver fibrosis/nonalcoholic steatohepatitis increases the risk and prevalence of cardiovascular disease morbidity and mortality. Bile acids are signaling molecules and metabolic regulators that activate farnesoid X receptor and G protein-coupled bile acid receptor-1 to regulate lipid, glucose, and energy metabolism. The bidirectional regulation of bile acids and the gut microbiota determine the rate of bile acid synthesis, the bile acid pool size, and the composition of the circulating bile acid pool. The liver-intestine-heart axis regulates lipid metabolism, inflammation, and the pathogenesis of metabolic diseases such as ACVD, NAFLD, diabetes, and obesity. This review focuses on the roles of liver-to-intestine, liver-to-heart and intestine-to-heart axes in cholesterol, lipoprotein, and bile acid metabolism; signaling in heart health and ACVD; and drug therapies for atherosclerosis.

Indexed as

AtherosclerosisBile acid receptorsBile acid synthesisCholesterolLipoprotein

Identifiers

PMID34350368
PMCPMC8330388
OpenAlexW3114263477

What OpenQuestion holds

Textmetadata
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.