Evidence map›Paper›PMID 34636186›Full record

ArticleJournal of Zhejiang University. Science. B2021

Low-intensity pulsed ultrasound ameliorates angiotensin II-induced cardiac fibrosis by alleviating inflammation via a caveolin-1-dependent pathway.

Kun Zhao, Jing Zhang, Tianhua Xu, Chuanxi Yang, Liqing Weng, Tingting Wu, Xiaoguang Wu, Jiaming Miao, Xiasheng Guo, Juan Tu and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of Zhejiang University. Science. B, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06640400 (A Clinical Study of the Efficacy of Cardiovascular Ultrasound Therapy on the Rehabilitation of Patients After PCI for Coronary Artery Disease), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-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.

NCT06640400 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Clinical Study of the Efficacy of Cardiovascular Ultrasound Therapy on the Rehabilitation of Patients After PCI for Coronary Artery Disease

TypeinterventionalSponsorQilu Hospital of Shandong UniversityRan2024 to 2025Enrolled200ConditionsCoronary Heart DiseaseArmsCardiovascular ultrasound
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Low-intensity pulsed ultrasound attenuates atrial remodelling and atrial fibrillation after myocardial infarction: an experimental pre-clinical study.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 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

14 authors at 3 institutions in 2 countries.

Kun ZhaoDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Jing ZhangDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Tianhua XuDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Chuanxi YangDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Liqing WengDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Tingting WuDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Xiaoguang WuDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Jiaming MiaoKey Laboratory of Modern Acoustics, Department of Physics, Collaborative Innovation Center of Advanced Microstructure, Nanjing University, Nanjing 210093, China.
Xiasheng GuoKey Laboratory of Modern Acoustics, Department of Physics, Collaborative Innovation Center of Advanced Microstructure, Nanjing University, Nanjing 210093, China.
Juan TuKey Laboratory of Modern Acoustics, Department of Physics, Collaborative Innovation Center of Advanced Microstructure, Nanjing University, Nanjing 210093, China.
Dong ZhangKey Laboratory of Modern Acoustics, Department of Physics, Collaborative Innovation Center of Advanced Microstructure, Nanjing University, Nanjing 210093, China.
Bin ZhouDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. bin.zhou@einstein.yu.edu.
Wei SunDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China. weisun7919@njmu.edu.cn.
Xiangqing KongDepartment of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.
Jiangsu Province Hospital · CNCollaborative Innovation Center of Advanced Microstructures · CNAlbert Einstein College of Medicine · US

Funding

the National Key R&D Program of China 2019YFA0210100the National Natural Science Foundation of China 81627802the Priority Academic Program Development of Jiangsu Higher Education Institutions PAPD2014-2016
6 · The paper itself

Abstract

objectivesCardiac hypertrophy and fibrosis are major pathological manifestations observed in left ventricular remodeling induced by angiotensin II (AngII). Low-intensity pulsed ultrasound (LIPUS) has been reported to ameliorate cardiac dysfunction and myocardial fibrosis in myocardial infarction (MI) through mechano-transduction and its downstream pathways. In this study, we aimed to investigate whether LIPUS could exert a protective effect by ameliorating AngII-induced cardiac hypertrophy and fibrosis and if so, to further elucidate the underlying molecular mechanisms.

methodsWe used AngII to mimic animal and cell culture models of cardiac hypertrophy and fibrosis. LIPUS irradiation was applied in vivo for 20 min every 2 d from one week before mini-pump implantation to four weeks after mini-pump implantation, and in vitro for 20 min on each of two occasions 6 h apart. Cardiac hypertrophy and fibrosis levels were then evaluated by echocardiographic, histopathological, and molecular biological methods.

resultsOur results showed that LIPUS could ameliorate left ventricular remodeling in vivo and cardiac fibrosis in vitro by reducing AngII-induced release of inflammatory cytokines, but the protective effects on cardiac hypertrophy were limited in vitro. Given that LIPUS increased the expression of caveolin-1 in response to mechanical stimulation, we inhibited caveolin-1 activity with pyrazolopyrimidine 2 (pp2) in vivo and in vitro. LIPUS-induced downregulation of inflammation was reversed and the anti-fibrotic effects of LIPUS were absent.

conclusionsThese results indicated that LIPUS could ameliorate AngII-induced cardiac fibrosis by alleviating inflammation via a caveolin-1-dependent pathway, providing new insights for the development of novel therapeutic apparatus in clinical practice.

Indexed as

Ultrasonic WavesAngiotensin IIAnimalsCardiomegalyCaveolin 1Cells, CulturedFibrosisInflammationMaleMiceMice, Inbred C57BLMyocardiumRatsRats, Sprague-DawleySignal TransductionAngiotensin IICaveolin 1Angiotensin II (AngII)Cardiac fibrosisCaveolin-1InflammationLow-intensity pulsed ultrasound (LIPUS)

Identifiers

PMID34636186
PMCPMC8505463
OpenAlexW3179556977

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.