Evidence map›Paper›PMID 34796208›Full record

ArticleFrontiers in cardiovascular medicine2021

Vascular Endothelial Glycocalyx Plays a Role in the Obesity Paradox According to Intravital Observation.

Shingo Mitsuda, Kohji Uzawa, Marie Sawa, Tadao Ando, Takahiro Yoshikawa, Hideki Miyao, Tomoko Yorozu, Akira Ushiyama

Open access · goldAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Western diet-induced endothelial glycocalyx remodeling is partially reversed by fasting.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  2. Article
  3. Article
  4. Review
  5. The Glycocalyx: The Importance of Sugar Coating the Blood-Brain Barrier.International journal of molecular sciences · 2024
    Review
  6. Review
  7. Article
  8. Article
  9. Review
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

8 authors at 5 institutions in 1 country.

Shingo MitsudaDepartment of Anesthesiology, National Disaster Medical Center, Tokyo, Japan.
Kohji UzawaDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
Marie SawaMeiji Pharmaceutical University Graduate School of Pharmaceutical Sciences, Tokyo, Japan.
Tadao AndoDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
Takahiro YoshikawaDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
Hideki MiyaoDepartment of Anesthesiology, Saitama Medical Center, Saitama Medical University, Saitama-Ken, Japan.
Tomoko YorozuDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
Akira UshiyamaDepartment of Environmental Health, National Institute of Public Health, Saitama, Japan.
Kyorin University · JPMeiji Pharmaceutical University · JPNational Disaster Medical Center · JPNational Institute of Public Health · JPSaitama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

According to the "obesity paradox," for severe conditions, individuals with obesity may be associated with a higher survival rate than those who are lean. However, the physiological basis underlying the mechanism of the obesity paradox remains unknown. We hypothesize that the glycocalyx in obese mice is thicker and more resistant to inflammatory stress than that in non-obese mice. In this study, we employed intravital microscopy to elucidate the differences in the vascular endothelial glycocalyx among three groups of mice fed diets with different fat concentrations. Male C57BL/6N mice were divided into three diet groups: low-fat (fat: 10% kcal), medium-fat (fat: 45% kcal), and high-fat (fat: 60% kcal) diet groups. Mice were fed the respective diet from 3 weeks of age, and a chronic cranial window was installed at 8 weeks of age. At 9 weeks of age, fluorescein isothiocyanate-labeled wheat germ agglutinin was injected to identify the glycocalyx layer, and brain pial microcirculation was observed within the cranial windows. We randomly selected arterioles of diameter 15-45 μm and captured images. The mean index of the endothelial glycocalyx was calculated using image analysis and defined as the glycocalyx index. The glycocalyx indexes of the high-fat and medium-fat diet groups were significantly higher than those of the low-fat diet group (

Indexed as

cranial windowglycocalyx layermicrovascular circulationobesity paradoxsepsis

Identifiers

PMID34796208
PMCPMC8593246
OpenAlexW3211285946

What OpenQuestion holds

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Registered trials

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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.