Evidence map›Paper›PMID 34570211›Full record

ArticleEuropean heart journal2021

Macrophage NFATc3 prevents foam cell formation and atherosclerosis: evidence and mechanisms.

Xiu Liu, Jia-Wei Guo, Xiao-Chun Lin, Yong-Hua Tuo, Wan-Li Peng, Su-Yue He, Zhao-Qiang Li, Yan-Chen Ye, Jie Yu, Fei-Ran Zhang and 11 more

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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 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

54 citing papers in PubMed, 107 citations in OpenAlex.

  1. Impact of established cardiovascular disease on 10-year death after coronary revascularization for complex coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Trial
  2. Review
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  10. Research progress on macrophage regulation of atherosclerosis.Frontiers in cardiovascular medicine · 2026
    Review
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  12. Article
  13. Article
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  15. Article
  16. Article
  17. Review
  18. Macrophage HM13/SPP Enhances Foamy Macrophage Formation and Atherogenesis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  19. Dysregulated cholesterol uptake and efflux of bone marrow-derived α-SMACellular and molecular life sciences : CMLS · 2025
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 6 institutions in 2 countries.

Xiu LiuProgram of Kidney and Cardiovascular Diseases, the Fifth Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.ORCID 0000-0001-7818-8312
Jia-Wei GuoDepartment of Pharmacology, Cardiac and Cerebral Vascular Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Xiao-Chun LinDepartment of Pharmacology, Cardiac and Cerebral Vascular Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.ORCID 0000-0003-0998-8214
Yong-Hua TuoDepartment of Neurosurgery, the Second Affiliated Hospital of Guangzhou Medical University, 250 Changgang East Rd, Guangzhou 510260, China.
Wan-Li PengDepartment of Pharmacology, Cardiac and Cerebral Vascular Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Su-Yue HeDepartment of Physiology, Pain Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Zhao-Qiang LiGuangdong Provincial Key Laboratory of Tumor Immunotherapy, Cancer Research Institute, Southern Medical University, 1023 Shatai South Rd, Guangzhou 510515, China.
Yan-Chen YeDivision of Vascular Surgery, the First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2 Rd, Guangzhou 510080, China.ORCID 0000-0003-2735-4688
Jie YuDepartment of General Surgery, Zhujiang Hospital, Southern Medical University, 253 Industrial Rd, Guangzhou 510282, China.
Fei-Ran ZhangProgram of Kidney and Cardiovascular Diseases, the Fifth Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Ming-Ming MaDepartment of Pharmacology, Cardiac and Cerebral Vascular Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Jin-Yan ShangDepartment of Pharmacology, Cardiac and Cerebral Vascular Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Xiao-Fei LvDepartment of Pharmacology, Cardiac and Cerebral Vascular Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
An-Dong ZhouDepartment of Clinical Medicine, the Second Clinical Medical School, Guangdong Medical University, 1 Xincheng Rd, Dongguan 523808, China.
Ying OuyangDepartment of Pediatrics, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, 107 Yanjiang West Rd, Guangzhou 510120, China.
Cheng WangProgram of Kidney and Cardiovascular Diseases, the Fifth Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Rui-Ping PangDepartment of Physiology, Pain Research Center, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Jian-Xin SunCenter for Translational Medicine, Thomas Jefferson University, 1020 Locust St., Rm. 368G, Philadelphia PA 19107, USA.
Jing-Song OuNational-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, the First Affiliated Hospital, Sun Yat-Sen University, 58 Zhongshan 2 Rd, Guangzhou 510080, China.
Jia-Guo ZhouProgram of Kidney and Cardiovascular Diseases, the Fifth Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.
Si-Jia LiangProgram of Kidney and Cardiovascular Diseases, the Fifth Affiliated Hospital, Zhongshan School of Medicine, Sun Yat-Sen University, 74 Zhongshan 2 Rd, Guangzhou 510080, China.ORCID 0000-0002-4014-6325
Sun Yat-sen University · CNGuangdong Medical College · CNSecond Affiliated Hospital of Guangzhou Medical University · CNSouthern Medical University · CNThomas Jefferson University · USZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsOur previous study demonstrated that Ca2+ influx through the Orai1 store-operated Ca2+ channel in macrophages contributes to foam cell formation and atherosclerosis via the calcineurin-ASK1 pathway, not the classical calcineurin-nuclear factor of activated T-cell (NFAT) pathway. Moreover, up-regulation of NFATc3 in macrophages inhibits foam cell formation, suggesting that macrophage NFATc3 is a negative regulator of atherogenesis. Hence, this study investigated the precise role of macrophage NFATc3 in atherogenesis. METHODS AND

resultsMacrophage-specific NFATc3 knockout mice were generated to determine the effect of NFATc3 on atherosclerosis in a mouse model of adeno-associated virus-mutant PCSK9-induced atherosclerosis. NFATc3 expression was decreased in macrophages within human and mouse atherosclerotic lesions. Moreover, NFATc3 levels in peripheral blood mononuclear cells from atherosclerotic patients were negatively associated with plaque instability. Furthermore, macrophage-specific ablation of NFATc3 in mice led to the atherosclerotic plaque formation, whereas macrophage-specific NFATc3 transgenic mice exhibited the opposite phenotype. NFATc3 deficiency in macrophages promoted foam cell formation by potentiating SR-A- and CD36-meditated lipid uptake. NFATc3 directly targeted and transcriptionally up-regulated miR-204 levels. Mature miR-204-5p suppressed SR-A expression via canonical regulation. Unexpectedly, miR-204-3p localized in the nucleus and inhibited CD36 transcription. Restoration of miR-204 abolished the proatherogenic phenotype observed in the macrophage-specific NFATc3 knockout mice, and blockade of miR-204 function reversed the beneficial effects of NFATc3 in macrophages.

conclusionMacrophage NFATc3 up-regulates miR-204 to reduce SR-A and CD36 levels, thereby preventing foam cell formation and atherosclerosis, indicating that the NFATc3/miR-204 axis may be a potential therapeutic target against atherosclerosis.

Indexed as

AtherosclerosisMicroRNAsAnimalsFoam CellsHumansLeukocytes, MononuclearMiceNFATC Transcription FactorsProprotein Convertase 9MicroRNAsMIRN204 microRNA, humanNFATC3 protein, humanNfatc3 protein, mouseNFATC Transcription FactorsPCSK9 protein, humanProprotein Convertase 9transcription factor NF-AT c3AtherosclerosisMacrophagesMiR-204NFATc3Scavenger receptors

Identifiers

PMID34570211
OpenAlexW3203971674

What OpenQuestion holds

Texttitle and abstract
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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.