Evidence map›Paper›PMID 37023139›Full record

ArticlePloS one2023

Translation of immunomodulatory therapy to treat chronic heart failure: Preclinical studies to first in human.

H David Humes, Keith D Aaronson, Deborah A Buffington, Hani N Sabbah, Angela J Westover, Lenar T Yessayan, Balazs Szamosfalvi, Francis D Pagani

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
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.

H David HumesDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.ORCID 0000-0002-4309-1614
Keith D AaronsonDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Deborah A BuffingtonDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Hani N SabbahDepartment of Medicine, Henry Ford Hospital, Detroit, Michigan, United States of America.
Angela J WestoverDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.ORCID 0000-0002-7556-9838
Lenar T YessayanDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Balazs SzamosfalviDepartment of Internal Medicine, University of Michigan, Ann Arbor, Michigan, United States of America.
Francis D PaganiDepartment of Cardiovascular Surgery, University of Michigan, Ann Arbor, Michigan, United States of America.

Funding

Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
Biomimetic Membrane Device for Therapeutic Application in Chronic Heart FailureR43HL118792 · NHLBI · INNOVATIVE BIOTHERAPIES, INC. · PI BUFFINGTON, DEBORAH ANN · 2015 to 2015
$655k
NCATS NIH HHS UL1 TR002240NHLBI NIH HHS R43 HL118792
6 · The paper itself

Abstract

backgroundInflammation has been associated with progression and complications of chronic heart failure (HF) but no effective therapy has yet been identified to treat this dysregulated immunologic state. The selective cytopheretic device (SCD) provides extracorporeal autologous cell processing to lessen the burden of inflammatory activity of circulating leukocytes of the innate immunologic system.

aimThe objective of this study was to evaluate the effects of the SCD as an extracorporeal immunomodulatory device on the immune dysregulated state of HF. HF. METHODS AND

resultsSCD treatment in a canine model of systolic HF or HF with reduced ejection fraction (HFrEF) diminished leukocyte inflammatory activity and enhanced cardiac performance as measured by left ventricular (LV) ejection fraction and stroke volume (SV) up to 4 weeks after treatment initiation. Translation of these observations in first in human, proof of concept clinical study was evaluated in a patient with severe HFrEFHFrEF ineligible for cardiac transplantation or LV LV assist device (LVAD) due to renal insufficiency and right ventricular dysfunction. Six hour SCD treatments over 6 consecutive days resulted in selective removal of inflammatory neutrophils and monocytes and reduction in key plasma cytokines, including tumor necrosis factor-alpha (TNF-α),), interleukin (IL)-6, IL-8, and monocyte chemoattractant protein (MCP)-1. These immunologic changes were associated with significant improvements in cardiac power output, right ventricular stroke work index, cardiac index and LVSV index…. Stabilization of renal function with progressive volume removal permitted successful LVAD implantation.

conclusionThis translational research study demonstrates a promising immunomodulatory approach to improve cardiac performance in HFrEFHFrEF and supports the important role of inflammation in the progression of HFHF.

Indexed as

Heart FailureAnimalsCytokinesDogsHumansInflammationInterleukin-6Stroke VolumeVentricular Function, LeftCytokinesInterleukin-6

Identifiers

PMID37023139
PMCPMC10079025

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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.