Evidence map›Paper›PMID 37274378›Full record

ReviewWorld journal of cardiology2023

Acute heart failure as an adverse event of tumor necrosis factor inhibitor therapy in inflammatory bowel disease: A review of the literature.

Thais Gagno Grillo, Caroline Ferreira da Silva Mazeto Pupo Silveira, Ana Elisa Valencise Quaglio, Renata de Medeiros Dutra, Julio Pinheiro Baima, Silmeia Garcia Zanati Bazan, Ligia Yukie Sassaki

Open access · diamondAbstract readReview
In one paragraph

Review in World journal of cardiology, 2023. 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
2.6field-weighted citation impact, top 9% 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, 12 citations in OpenAlex.

  1. Review
  2. On the heartbreak of anti-tumor necrosis factor drugs.Proceedings (Baylor University. Medical Center) · 2026
    Article
  3. Review
  4. Review
  5. Gut-heart axis: cardiac remodeling and heart failure in the context of inflammatory bowel disease and dysbiosis.American journal of physiology. Gastrointestinal and liver physiology · 2025
    Review
  6. Article
  7. Review
  8. Review
  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

7 authors at 2 institutions in 1 country.

Thais Gagno GrilloDepartment of Internal Medicine, Medical School, São Paulo State University, Botucatu, Botucatu 18618686, Brazil.
Caroline Ferreira da Silva Mazeto Pupo SilveiraDepartment of Internal Medicine, Medical School, São Paulo State University, Botucatu, Botucatu 18618686, Brazil.
Ana Elisa Valencise QuaglioDepartment of Biophysics and Pharmacology, Institute of Biosciences, São Paulo State University, Botucatu, Botucatu 18618689, Brazil.
Renata de Medeiros DutraDepartment of Internal Medicine, Medical School, São Paulo State University, Botucatu, Botucatu 18618686, Brazil.
Julio Pinheiro BaimaDepartment of Internal Medicine, Medical School, São Paulo State University, Botucatu, Botucatu 18618686, Brazil.
Silmeia Garcia Zanati BazanDepartment of Internal Medicine, Medical School, São Paulo State University, Botucatu, Botucatu 18618686, Brazil.
Ligia Yukie SassakiDepartment of Internal Medicine, Medical School, São Paulo State University, Botucatu, Botucatu 18618686, Brazil. ligia.sassaki@unesp.br.
Medecell (Brazil) · BRUniversidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor necrosis factor inhibitors (anti-TNFs) are widely used therapies for the treatment of inflammatory bowel diseases (IBD); however, their administration is not risk-free. Heart failure (HF), although rare, is a potential adverse event related to administration of these medications. However, the exact mechanism of development of HF remains obscure. TNFα is found in both healthy and damaged hearts. Its effects are concentration- and receptor-dependent, promoting either cardio-protection or cardiomyocyte apoptosis. Experimental rat models with TNFα receptor knockout showed increased survival rates, less reactive oxygen species formation, and improved diastolic left ventricle pressure. However, clinical trials employing anti-TNF therapy to treat HF had disappointing results, suggesting abolishment of the cardioprotective properties of TNFα, making cardiomyocytes susceptible to apoptosis and oxidation. Thus, patients with IBD who have risk factors should be screened for HF before initiating anti-TNF therapy. This review aims to discuss adverse events associated with the administration of anti-TNF therapy, with a focus on HF, and propose some approaches to avoid cardiac adverse events in patients with IBD.

Indexed as

Adverse eventHeart failureInflammatory bowel diseaseTNFα receptorTumor necrosis factor inhibitors

Identifiers

PMID37274378
PMCPMC10237008
OpenAlexW4377037140

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.