Evidence map›Paper›PMID 35156391›Full record

ArticleJournal of the American Heart Association2022

HMGB1-Promoted Neutrophil Extracellular Traps Contribute to Cardiac Diastolic Dysfunction in Mice.

Xin-Lin Zhang, Ting-Yu Wang, Zheng Chen, Hong-Wei Wang, Yong Yin, Lian Wang, Yong Wang, Biao Xu, Wei Xu

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Immunology of heart failure with preserved ejection fraction.Expert review of clinical immunology · 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

9 authors at 2 institutions in 1 country.

Xin-Lin ZhangDepartment of Cardiology Affiliated Drum Tower Hospital Nanjing University School of Medicine Nanjing China.
Ting-Yu WangCentral for Translational Medicine Nanjing University School of Medicine Nanjing China.
Zheng ChenDepartment of Cardiology Affiliated Drum Tower Hospital Nanjing University School of Medicine Nanjing China.
Hong-Wei WangCentral for Translational Medicine Nanjing University School of Medicine Nanjing China.
Yong YinDepartment of Cardiology Affiliated Drum Tower Hospital Nanjing University School of Medicine Nanjing China.
Lian WangDepartment of Cardiology Affiliated Drum Tower Hospital Nanjing University School of Medicine Nanjing China.
Yong WangCentral for Translational Medicine Nanjing University School of Medicine Nanjing China.
Biao XuDepartment of Cardiology Affiliated Drum Tower Hospital Nanjing University School of Medicine Nanjing China.ORCID 0000-0001-5351-2630
Wei XuDepartment of Cardiology Affiliated Drum Tower Hospital Nanjing University School of Medicine Nanjing China.ORCID 0000-0003-3657-1246
Nanjing Drum Tower Hospital · CNState Key Laboratory of Analytical Chemistry for Life Science

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Heart failure with preserved ejection fraction (HFpEF) remains an increasing public health problem with substantial morbidity and mortality but with few effective treatments. A novel inflammatory mechanism has been proposed, but the inflammatory signals promoting the development of HFpEF remain greatly unknown. Methods and Results Serum of patients with HFpEF was collected for measurement of circulating neutrophils and markers of neutrophil extracellular traps (NETs). To induce HFpEF phenotype, male C57BL/6 mice underwent uninephrectomy, received a continuous infusion of d-aldosterone for 4 weeks, and maintained on 1.0% sodium chloride drinking water. Heart tissues were harvested, immune cell types determined by flow cytometry, NETs formation by immunofluorescence, and western blotting. Differentiated neutrophils were cultured to investigate the effect of HMGB1 (high mobility group protein B1) and SGLT2 (sodium-glucose cotransporter-2) inhibitor on NETs formation in vitro. Circulating neutrophils and NETs markers are elevated in patients with HFpEF, as are cardiac neutrophils and NETs formation in HFpEF mice. NETs inhibition with deoxyribonuclease 1 in experimental HFpEF mice reduces heart macrophages infiltration and inflammation and ameliorates cardiac fibrosis and diastolic function. Damage-associated molecular pattern HMGB1 expression is elevated in cardiac tissue of HFpEF mice, and HMGB1 inhibition reduces heart neutrophil infiltration and NETs formation and ameliorates diastolic function. Lastly, SGLT2 inhibitor empagliflozin down-regulates heart HMGB1 expression, attenuates NETs formation and cardiac fibrosis, and improves diastolic function in HFpEF mice. Conclusions NETs contribute to the pathogenesis of HFpEF, which can be ameliorated by HMGB1 inhibition and SGLT2 inhibitors. Thus, HMGB1 and NETs may represent novel therapeutic targets for the treatment of HFpEF.

Indexed as

Extracellular TrapsHeart FailureHMGB1 ProteinNeutrophilsSodium-Glucose Transporter 2 InhibitorsAnimalsBiomarkersFibrosisHumansMaleMiceMice, Inbred C57BLStroke VolumeBiomarkersHMGB1 ProteinHMGB1 protein, humanHMGB1 protein, mouseSodium-Glucose Transporter 2 Inhibitorsempagliflozinheart failure with preserved ejection fractionHMGB1neutrophil extracellular traps

Identifiers

PMID35156391
PMCPMC9245819
OpenAlexW4210979668

What OpenQuestion holds

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LicenceCC BY-NC
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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.