Evidence map›Paper›PMID 34561430›Full record

SynthesisNature communications2021

Cholesteryl ester transfer protein (CETP) as a drug target for cardiovascular disease.

Amand F Schmidt, Nicholas B Hunt, Maria Gordillo-Marañón, Pimphen Charoen, Fotios Drenos, Mika Kivimaki, Deborah A Lawlor, Claudia Giambartolomei, Olia Papacosta, Nishi Chaturvedi and 13 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 4 pooled it
22.0field-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

75 citing papers in PubMed, 4 syntheses or guidelines pooled it, 131 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The effect of CETP inhibitors on new-onset diabetes: a systematic review and meta-analysis.European heart journal. Cardiovascular pharmacotherapy · 2022
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Review
  10. Article
  11. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  12. Article
  13. Leveraging Mendelian randomization to inform drug discovery and development for ischemic stroke.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. CETP Renaissance with Obicetrapib.Current atherosclerosis reports · 2026
    Review
  19. Article
  20. Review

15 more citing papers are in PubMed but not listed here.

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

23 authors at 13 institutions in 5 countries.

Amand F SchmidtInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK. amand.schmidt@ucl.ac.uk.ORCID http://orcid.org/0000-0003-1327-0424
Nicholas B HuntDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0003-1677-6025
Maria Gordillo-MarañónInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0003-2993-6577
Pimphen CharoenInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-8851-0520
Fotios DrenosInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.
Mika KivimakiDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-4699-5627
Deborah A LawlorMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0002-6793-2262
Claudia GiambartolomeiIstituto Italiano di Tecnologia, Central RNA Lab, Genova, Italy.ORCID http://orcid.org/0000-0003-2786-1225
Olia PapacostaPrimary Care and Population Health, University College London, London, UK.
Nishi ChaturvediInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-6211-2775
Joshua C BisCardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-3409-1110
Christopher J O'DonnellDepartment of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-2667-8624
Goya WannametheePrimary Care and Population Health, University College London, London, UK.
Andrew WongMRC Unit for Lifelong Health and Ageing at UCL, London, UK.ORCID http://orcid.org/0000-0003-2079-4779
Jackie F PriceUsher Institute, University of Edinburgh, Edinburgh, UK.
Alun D HughesInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-5432-5271
Tom R GauntMRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK.ORCID http://orcid.org/0000-0003-0924-3247
Nora FranceschiniDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.
Dennis O Mook-KanamoriDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Magdalena ZwierzynaInstitute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-7445-6030
Reecha SofatInstitute of Health Informatics, University College London, London, UK.
Aroon D Hingorani *Institute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0001-8365-0081
Chris Finan *Institute of Cardiovascular Science, Faculty of Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-3319-1937
British Heart Foundation · GBUniversity College London · GBMRC Unit for Lifelong Health and Ageing · GBNational Health Service · GBBrigham and Women's Hospital · USItalian Institute of Technology · ITLeiden University Medical Center · NLMahidol University · THUniversity Medical Center Utrecht · NLUniversity of Edinburgh · GBUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USUtrecht University · NL

Funding

CHARGE Consortium: Omics Discovery for CVD and Aging PhenotypesR01HL105756 · NHLBI · UNIVERSITY OF WASHINGTON · PI Bruce M Psaty, NICHOLAS L SMITH · 2011 to 2026
$9.5M
Bioinformatics Strategies for Genome-Wide Association StudiesR01LM010098 · NLM · UNIVERSITY OF PENNSYLVANIA · PI MOORE, JASON H., WILLIAMS, SCOTT MATTHEW · 2009 to 2023
$5.1M
Leveraging ancestry to map kidney lociR01MD012765 · NIMHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRANCESCHINI, NORA · 2017 to 2021
$3.6M
Genetics of kidney disease in diverse populationsR01DK117445 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRANCESCHINI, NORA · 2018 to 2022
$2.7M
Role of mid- and late-life risk factors in social inequalities in Alzheimer's Disease and Related DementiasRF1AG062553 · NIA · INSERM PARIS 5 · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2019 to 2019
$1.5M
Health Conditions among Elderly in Latin AmericaR01AG025533 · NIA · UNIV OF MARYLAND, COLLEGE PARK · PI WONG, REBECA · 2005 to 2008
$600k
Phenome-wide association of protein function-altering variants in a family studyR21HL140385 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI FRANCESCHINI, NORA · 2017 to 2018
$229k
British Heart Foundation CH/F/20/90003British Heart Foundation CS/13/1/30327British Heart Foundation FS/17/70/33482British Heart Foundation PG/18/50/33837British Heart Foundation RG/10/12/28456British Heart Foundation SP/13/6/30554Cancer Research UK 29019Medical Research Council MC_UU_00011/4Medical Research Council MC_UU_00011/6Medical Research Council MC_UU_12019/1Medical Research Council MR/R024227/1Medical Research Council MR/S011676/1Medical Research Council MR/V033867/1NHLBI NIH HHS R01 HL105756NHLBI NIH HHS R21 HL140385NIA NIH HHS R01 AG025533NIA NIH HHS RF1 AG062553NIDDK NIH HHS R01 DK117445NIMHD NIH HHS R01 MD012765NLM NIH HHS R01 LM010098Wellcome TrustWellcome Trust 221854/Z/20/Z
6 · The paper itself

Abstract

Development of cholesteryl ester transfer protein (CETP) inhibitors for coronary heart disease (CHD) has yet to deliver licensed medicines. To distinguish compound from drug target failure, we compared evidence from clinical trials and drug target Mendelian randomization of CETP protein concentration, comparing this to Mendelian randomization of proprotein convertase subtilisin/kexin type 9 (PCSK9). We show that previous failures of CETP inhibitors are likely compound related, as illustrated by significant degrees of between-compound heterogeneity in effects on lipids, blood pressure, and clinical outcomes observed in trials. On-target CETP inhibition, assessed through Mendelian randomization, is expected to reduce the risk of CHD, heart failure, diabetes, and chronic kidney disease, while increasing the risk of age-related macular degeneration. In contrast, lower PCSK9 concentration is anticipated to decrease the risk of CHD, heart failure, atrial fibrillation, chronic kidney disease, multiple sclerosis, and stroke, while potentially increasing the risk of Alzheimer's disease and asthma. Due to distinct effects on lipoprotein metabolite profiles, joint inhibition of CETP and PCSK9 may provide added benefit. In conclusion, we provide genetic evidence that CETP is an effective target for CHD prevention but with a potential on-target adverse effect on age-related macular degeneration.

Indexed as

AmidesAnticholesteremic AgentsBenzodiazepinesCardiovascular DiseasesCholesterol Ester Transfer ProteinsCoronary DiseaseEstersHumansMendelian Randomization AnalysisOxazolidinonesQuinolinesSulfhydryl CompoundsAmidesanacetrapibAnticholesteremic AgentsBenzodiazepinesCETP protein, humanCholesterol Ester Transfer ProteinsdalcetrapibEstersevacetrapibOxazolidinonesQuinolinesSulfhydryl Compoundstorcetrapib

Identifiers

PMID34561430
PMCPMC8463530
OpenAlexW3087544811

What OpenQuestion holds

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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.