Evidence map›Paper›PMID 37200403›Full record

ArticleCardiovascular research2023

Transforming growth factor-β2 is associated with atherosclerotic plaque stability and lower risk for cardiovascular events.

Andreas Edsfeldt, Pratibha Singh, Frank Matthes, Christoffer Tengryd, Michele Cavalera, Eva Bengtsson, Pontus Dunér, Petr Volkov, Glykeria Karadimou, Anton Gisterå and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 30 citations in OpenAlex.

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  13. The Putative Antidiabetic Effect ofInternational journal of molecular sciences · 2025
    Review
  14. Article
  15. Article
  16. Vascular Extracellular Matrix in Atherosclerosis.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Review
  19. Article
  20. Lipotoxicity as a therapeutic target in obesity and diabetic cardiomyopathy.Journal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2024
    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

14 authors at 4 institutions in 1 country.

Andreas EdsfeldtDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0002-2691-9192
Pratibha SinghDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
Frank MatthesDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0002-5115-8831
Christoffer TengrydDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
Michele CavaleraDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
Eva BengtssonDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
Pontus DunérDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
Petr VolkovDepartment of Clinical Sciences, LUDC Bioinformatics Unit, Malmö, Lund University, Lund, Sweden.
Glykeria KaradimouDepartment of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden.
Anton GisteråDepartment of Medicine, Center for Molecular Medicine, Solna, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-4614-8030
Marju Orho-MelanderDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0002-3578-2503
Jan NilssonDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0002-9752-7479
Jiangming SunDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
Isabel GonçalvesDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.ORCID 0000-0002-2935-0181
Lund University · SEKarolinska Institutet · SEKarolinska University Hospital · SEMalmö University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTransforming growth factor-beta (TGF-β) exists in three isoforms TGF-β1, -β2, and -β3. TGF-β1 has been suggested to be important for maintaining plaque stability, yet the role of TGF-β2 and -β3 in atherosclerosis remains to be investigated.This study explores the association of the three isoforms of TGF-β with plaque stability in the human atherosclerotic disease. METHODS AND

resultsTGF-β1, -β2, and -β3 proteins were quantified in 223 human carotid plaques by immunoassays. Indications for the endarterectomy were: symptomatic carotid plaque with stenosis >70% or without symptoms and >80% stenosis. Plaque mRNA levels were assessed by RNA sequencing. Plaque components and extracellular matrix were measured histologically and biochemically. Matrix metalloproteinases and monocyte chemoattractant protein-1 (MCP-1) was measured with immunoassays. The effect of TGF-β2 on inflammation and protease activity was investigated in vitro using THP-1 and RAW264.7 macrophages. Patients were followed longitudinally for cardiovascular (CV) events.TGF-β2 was the most abundant isoform and was increased at both protein and mRNA levels in asymptomatic plaques. TGF-β2 was the main determinant separating asymptomatic plaques in an Orthogonal Projections to Latent Structures Discriminant Analysis. TGF-β2 correlated positively to features of plaque stability and inversely to markers of plaque vulnerability. TGF-β2 was the only isoform inversely correlated to the matrix-degrading matrix metalloproteinase-9 and inflammation in the plaque tissue. In vitro, TGF-β2 pre-treatment reduced MCP-1 gene and protein levels as well as matrix metalloproteinase-9 gene levels and activity. Patients with plaques with high TGF-β2 levels had a lower risk to suffer from future CV events.

conclusionsTGF-β2 is the most abundant TGF-β isoform in human plaques and may maintain plaque stability by decreasing inflammation and matrix degradation.

Indexed as

Cardiovascular DiseasesPlaque, AtheroscleroticConstriction, PathologicHumansInflammationMatrix Metalloproteinase 9Protein IsoformsRNA, MessengerTransforming Growth Factor betaTransforming Growth Factor beta1Transforming Growth Factor beta2Transforming Growth FactorsMatrix Metalloproteinase 9Protein IsoformsRNA, MessengerTransforming Growth Factor betaTransforming Growth Factor beta1Transforming Growth Factor beta2Transforming Growth FactorsAtherosclerosisExtracellular matrixInflammationPlaque stabilityTGF-β

Identifiers

PMID37200403
PMCPMC10478752
OpenAlexW4377013757

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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.