Evidence map›Paper›PMID 34622671›Full record

ArticleJournal of the American Heart Association2021

Bilirubin Nanoparticles Protect Against Cardiac Ischemia/Reperfusion Injury in Mice.

Wen Ai, Soochan Bae, Qingen Ke, Shi Su, Ruijian Li, Yanwei Chen, Dohyun Yoo, Eesac Lee, Sangyong Jon, Peter M Kang

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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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  12. Bilirubin metabolism and its application in disease prevention: mechanisms and research advances.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 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

10 authors at 2 institutions in 3 countries.

Wen AiCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.
Soochan BaeCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.
Qingen KeCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.
Shi SuCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.
Ruijian LiCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.
Yanwei ChenCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.
Dohyun YooDepartment of Biological Sciences Korea Advanced Institute of Science and Technology (KAIST) Daejeon South Korea.
Eesac LeeCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.ORCID 0000-0002-4259-2476
Sangyong JonDepartment of Biological Sciences Korea Advanced Institute of Science and Technology (KAIST) Daejeon South Korea.
Peter M KangCardiovascular InstituteBeth Israel Deaconess Medical Center and Harvard Medical School Boston MA.ORCID 0000-0002-7200-4567
Beth Israel Deaconess Medical Center · USKorea Advanced Institute of Science and Technology · KR

Funding

Therapy of transplantation-induced oxidative injury using polymeric antioxidantsR44DK103389 · NIDDK · CELDARA MEDICAL, LLC · PI FANGER, MICHAEL W · 2014 to 2016
$1.7M
NIDDK NIH HHS R44 DK103389
6 · The paper itself

Abstract

Background Ischemia/reperfusion (I/R) injury causes overproduction of reactive oxygen species, which are the major culprits of oxidative stress that leads to inflammation, apoptosis, myocardial damage, and dysfunction. Bilirubin acts as a potent endogenous antioxidant that is capable of scavenging various reactive oxygen species. We have previously generated bilirubin nanoparticles (BRNPs) consisting of polyethylene glycol-conjugated bilirubin. In this study, we examined the therapeutic effects of BRNPs on myocardial I/R injury in mice. Methods and Results In vivo imaging using fluorophore encapsulated BRNPs showed BRNPs preferentially targeted to the site of I/R injury in the heart. Cardiac I/R surgery was performed by first ligating the left anterior descending coronary artery. After 45 minutes, reperfusion was achieved by releasing the ligation. BRNPs were administered intraperitoneally at 5 minutes before and 24 hours after reperfusion. Mice that received BRNPs showed significant improvements in their cardiac output, assessed by echocardiogram and pressure volume loop measurements, compared with the ones that received vehicle treatment. BRNPs treatment also significantly reduced the myocardial infarct size in mice that underwent cardiac I/R, compared with the vehicle-treatment group. In addition, BRNPs effectively suppressed reactive oxygen species and proinflammatory factor levels, as well as the amount of cardiac apoptosis. Conclusions Taken together, BRNPs could exert their therapeutic effects on cardiac I/R injury through attenuation of oxidative stress, apoptosis, and inflammation, providing a novel therapeutic modality for myocardial I/R injury.

Indexed as

Myocardial InfarctionMyocardial Reperfusion InjuryNanoparticlesAnimalsApoptosisBilirubinInflammationMiceOxidative StressReactive Oxygen SpeciesBilirubinReactive Oxygen Speciesapoptosisbilirubin nanoparticlesinflammationischemia reperfusion injuryreactive oxygen species

Identifiers

PMID34622671
PMCPMC8751875
OpenAlexW3203715330

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.