Evidence map›Paper›PMID 34420357›Full record

ArticleJournal of the American Heart Association2021

Parallel Murine and Human Aortic Wall Genomics Reveals Metabolic Reprogramming as Key Driver of Abdominal Aortic Aneurysm Progression.

Gabor Gäbel, Bernd H Northoff, Amanda Balboa, Mediha Becirovic-Agic, Marcelo Petri, Albert Busch, Lars Maegdefessel, Adrian Mahlmann, Stefan Ludwig, Daniel Teupser and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Article
  3. The role of neutrophils in the pathogenesis of abdominal aortic aneurysms.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
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  5. Article
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  7. Article
  8. Review
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  10. Journal of inflammation research · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Myeloid Cells in Abdominal Aortic Aneurysm.Current atherosclerosis reports · 2025
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
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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

16 authors at 8 institutions in 4 countries.

Gabor GäbelDepartment of Vascular Surgery HELIOS Klinikum Krefeld Krefeld Germany.
Bernd H NorthoffInstitute of Laboratory Medicine Ludwig-Maximilians-University Munich Munich Germany.ORCID 0000-0002-7333-3231
Amanda BalboaDepartment of Medical Cell Biology Uppsala University Uppsala Sweden.
Mediha Becirovic-AgicDepartment of Medical Cell Biology Uppsala University Uppsala Sweden.
Marcelo PetriDepartment of Medical Cell Biology Uppsala University Uppsala Sweden.
Albert BuschDepartment of Vascular and Endovascular Surgery Technical University Munich Munich Germany.
Lars MaegdefesselDepartment of Vascular and Endovascular Surgery Technical University Munich Munich Germany.ORCID 0000-0001-5228-2634
Adrian MahlmannUniversity Centre for Vascular Medicine University Hospital Carl Gustav CarusTechnical University Dresden Dresden Germany.
Stefan LudwigUniversity Centre for Vascular Medicine University Hospital Carl Gustav CarusTechnical University Dresden Dresden Germany.
Daniel TeupserInstitute of Laboratory Medicine Ludwig-Maximilians-University Munich Munich Germany.
Vivian de WaardDepartment Medical Biochemistry Amsterdam University Medical CentersAmsterdam Cardiovascular SciencesUniversity of Amsterdam Amsterdam The Netherlands.
Jonathan GolledgeQueensland Research Centre for Peripheral Vascular Disease College of Medicine and Dentistry James Cook University Townsville Qld. Australia.ORCID 0000-0002-5779-8848
Anders WanhainenDepartment of Surgical Sciences Section of Vascular Surgery Uppsala University Uppsala Sweden.
Dick WågsäterDepartment of Medical Cell Biology Uppsala University Uppsala Sweden.
Lesca M HoldtInstitute of Laboratory Medicine Ludwig-Maximilians-University Munich Munich Germany.
Jan H N LindemanDepartment of Vascular Surgery Leiden University Medical Center (LUMC) Leiden The Netherlands.ORCID 0000-0002-5656-4345
Uppsala University · SELudwig-Maximilians-Universität München · DETechnical University of Munich · DEUniversity Hospital Carl Gustav Carus · DEAmsterdam University Medical Centers · NLHelios Klinikum Krefeld · DEJames Cook University · AULeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background While numerous interventions effectively interfered with abdominal aortic aneurysm (AAA) formation/progression in preclinical models, none of the successes translated into clinical success. Hence, a systematic exploration of parallel and divergent processes in clinical AAA disease and its 2 primary models (the porcine pancreatic elastase and angiotensin-II infusion [AngII] murine model) was performed to identify mechanisms relevant for aneurysm disease. Methods and Results This study combines Movat staining and pathway analysis for histological and genomic comparisons between clinical disease and its models. The impact of a notable genomic signal for metabolic reprogramming was tested in a rescue trial (AngII model) evaluating the impact of 1-(4-pyridinyl)-3-(2-quinolinyl)-2-propen-1-one (PFK15)-mediated interference with main glycolytic switch PFKFB3. Histological evaluation characterized the AngII model as a dissection model that is accompanied by adventitial fibrosis. The porcine pancreatic elastase model showed a transient inflammatory response and aortic dilatation, followed by stabilization and fibrosis. Normalization of the genomic responses at day 14 confirmed the self-limiting nature of the porcine pancreatic elastase model. Clear parallel genomic responses with activated adaptive immune responses, and particularly strong signals for metabolic switching were observed in human AAA and the AngII model. Rescue intervention with the glycolysis inhibitor PFK15 in the AngII model showed that interference with the glycolytic switching quenches aneurysm formation. Conclusions Despite clear morphological contrasts, remarkable genomic parallels exist for clinical AAA disease and the AngII model. The metabolic response appears causatively involved in AAA progression and provides a novel therapeutic target. The clear transient genomic response classifies the porcine pancreatic elastase model as a disease initiation model.

Indexed as

Aortic Aneurysm, AbdominalAngiotensin IIAnimalsAorta, AbdominalDisease Models, AnimalFibrosisGenomicsHumansMiceMice, Inbred C57BLPancreatic ElastaseSwineAngiotensin IIPancreatic Elastaseabdominal aortic aneurysmangiotensin II modelelastase modelgene expressionglycolysishumanmetabolic reprogramming

Identifiers

PMID34420357
PMCPMC8649280
OpenAlexW3196135615

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.