Evidence map›Paper›PMID 34943105›Full record

ArticleAntioxidants (Basel, Switzerland)2021

Association of Circulating Heme Oxygenase-1, Lipid Profile and Coronary Disease Phenotype in Patients with Chronic Coronary Syndrome.

Chiara Caselli, Raffaele De Caterina, Rosetta Ragusa, Riccardo Liga, Alessia Gimelli, Arthur J H A Scholte, Aldo Clerico, Juhani Knuuti, Danilo Neglia

Abstract read
In one paragraph

Article in Antioxidants (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Glycyrrhizic Acid Alleviates Atherosclerosis inInternational journal of molecular sciences · 2026
    Article
  2. 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

9 authors.

Chiara CaselliInstitute of Clinical Physiology, National Research Council (IFC-CNR), Via Moruzzi, 1, 56124 Pisa, Italy.ORCID 0000-0001-6705-2460
Raffaele De CaterinaInstitute of Cardiology, University of Pisa, 56124 Pisa, Italy.ORCID 0000-0003-1637-574X
Rosetta RagusaInstitute of Clinical Physiology, National Research Council (IFC-CNR), Via Moruzzi, 1, 56124 Pisa, Italy.ORCID 0000-0002-6914-6089
Riccardo LigaInstitute of Cardiology, University of Pisa, 56124 Pisa, Italy.ORCID 0000-0002-9964-5604
Alessia GimelliFondazione Toscana G. Monasterio, 56124 Pisa, Italy.ORCID 0000-0003-3378-1723
Arthur J H A ScholteDepartment of Cardiology, Leiden University Medical Center, 2333 Leiden, The Netherlands.ORCID 0000-0002-1762-2100
Aldo ClericoFondazione Toscana G. Monasterio, 56124 Pisa, Italy.ORCID 0000-0003-1912-3994
Juhani KnuutiTurku University Hospital, University of Turku, 20520 Turku, Finland.ORCID 0000-0003-3156-9593
Danilo NegliaFondazione Toscana G. Monasterio, 56124 Pisa, Italy.

Funding

Amgen 20167781European Union FP7-CP-FP506 2007
6 · The paper itself

Abstract

backgroundThe NF-E2-related factor 2 (Nrf2)/Heme Oxygenase-1 (HO-1) pathway has an emerging role in atherosclerosis. Activated by oxidative stress, it is deemed to exert athero-protective effects. We aimed at evaluating the relationships between plasma HO-1, clinical/molecular profiles and coronary disease patterns in patients with chronic coronary syndromes (CCS).

methodsHO-1 was measured in 526 patients (60 ± 9 years, 318 males) with CCS. Coronary computed tomography angiography (CTA) and stress imaging were used to assess the disease phenotype (coronary atherosclerosis and myocardial ischemia) in a subgroup of 347 patients.

resultsIn the overall population, HO-1 median value (25-75 percentile) was 5.195 (1.75-8.25) ng/mL. Patients with higher HO-1 were more frequently male, had a higher BMI and lower LVEF%, but otherwise similar risk factors than the other patients. Their bio-humoral profile was characterized by higher markers of endothelial/myocardial dysfunction, but lower levels of cholesterol lipoproteins. Coronary artery disease was characterized by more diffuse atherosclerosis, with mainly non-obstructive and calcified plaques, and a higher prevalence of functional ischemia.

conclusionIn patients with CCS, higher plasma HO-1 levels are associated with lower cholesterol and a more diffuse but mainly non-obstructive coronary atherosclerosis, confirming a potential role for the Nrf2/HO-1 pathway as a protective feedback.

Indexed as

coronary artery diseaseHeme Oxygenase-1 (HO-1)oxidative stress

Identifiers

PMID34943105
PMCPMC8698632

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