Evidence map›Paper›PMID 34533039›Full record

Trial reportJournal of the American Heart Association2021

Glutathione Infusion Before and 3 Days After Primary Angioplasty Blunts Ongoing NOX2-Mediated Inflammatory Response.

Gaetano Tanzilli, Alessio Arrivi, Attilio Placanica, Nicola Viceconte, Vittoria Cammisotto, Cristina Nocella, Francesco Barillà, Concetta Torromeo, Giacomo Pucci, Maria Cristina Acconcia and 6 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
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  4. Treating Cardiovascular Disorders with Personalized Medicine.Cardiovascular & hematological disorders drug targets · 2025
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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 3 institutions in 1 country.

Gaetano TanzilliDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Alessio ArriviDepartment of Cardiology Interventional Cardiology Unit, "Santa Maria" Hospital Terni Italy.
Attilio PlacanicaDepartment of Cardiology "San Giovanni Evangelista" Hospital Tivoli Italy.
Nicola ViceconteDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Vittoria CammisottoDepartment of General Surgery and Surgical Specialty Paride Stefanini Sapienza University of Rome Rome Italy.
Cristina NocellaDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Francesco BarillàDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Concetta TorromeoDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Giacomo PucciInternal Medicine Unit, "Santa Maria" Hospital Terni Italy.ORCID 0000-0003-0180-859X
Maria Cristina AcconciaDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Antonino GranatelliDepartment of Cardiology "San Giovanni Evangelista" Hospital Tivoli Italy.
Stefania BasiliDepartment of Translational and Precision Medicine SapienzaUniversity of Rome Rome Italy.
Marcello DominiciDepartment of Cardiology Interventional Cardiology Unit, "Santa Maria" Hospital Terni Italy.
Carlo GaudioDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Roberto CarnevaleDepartment of Medical-Surgical Sciences and Biotechnologies Sapienza University Latina Italy.ORCID 0000-0002-6216-9595
Enrico MangieriDepartment of Clinical, Internal Medicine, Anesthesiology, and Cardiovascular Sciences Sapienza University of Rome Rome Italy.
Sapienza University of Rome · ITSanta Maria Nuova Hospital · ITClinica Mediterranea · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Glutathione is a water-soluble tripeptide with a potent oxidant scavenging activity. We hypothesized that glutathione administration immediately before and after primary angioplasty (primary percutaneous coronary intervention) could be effective in modulating immune cell activation, thereby preventing infarct expansion. Methods and Results One hundred consecutive patients with ST-segment-elevation myocardial infarction, scheduled to undergo primary percutaneous coronary intervention were randomly assigned before the intervention to receive an infusion of glutathione (2500 mg/25 mL over 10 minutes), followed by drug administration at the same doses at 24, 48, and 72 hours elapsing time or placebo. Total leukocytes, NOX2 (nicotinamide adenine dinucleotide phosphate oxidase 2) activation, NO bioavailability, cTpT (serum cardiac troponin T), hsCRP (high-sensitivity C-reactive protein), and TNF-α (tumor necrosis factor α) levels were measured. Left ventricular size and function were assessed within 120 minutes, 5 days, and 6 months from percutaneous coronary intervention. Following reperfusion, a significant reduction of neutrophil to lymphocyte ratio (

Indexed as

C-Reactive ProteinST Elevation Myocardial InfarctionAngioplastyGlutathioneHumansTumor Necrosis Factor-alphaC-Reactive ProteinGlutathioneTumor Necrosis Factor-alphaimmune cellsinflammationleft ventricular remodelingoxidative stressreperfusion injurySTEMI

Identifiers

PMID34533039
PMCPMC8649545
OpenAlexW3199636324

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.