Evidence map›Paper›PMID 37941454›Full record

ArticleEuropean heart journal2023

Autoantibodies against the chemokine receptor 3 predict cardiovascular risk.

Felix S Müller, Zouhair Aherrahrou, Hanna Grasshoff, Marc W Heidorn, Jens Y Humrich, Laurence Johanson, Redouane Aherrahrou, Tobias Reinberger, Andreas Schulz, Vincent Ten Cate and 20 more

Open access · hybridAbstract read
In one paragraph

Article in European heart journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 21 citations in OpenAlex.

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  7. RNA-Seq Revealed the Effects of Cold Stress on Different Brain Regions ofAnimals : an open access journal from MDPI · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 7 institutions in 2 countries.

Felix S MüllerPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-7328-1056
Zouhair AherrahrouInstitute for Cardiogenetics, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-1241-8733
Hanna GrasshoffDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.ORCID 0000-0003-1395-3268
Marc W HeidornPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0003-0134-2726
Jens Y HumrichDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.ORCID 0000-0003-3111-2788
Laurence JohansonDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.
Redouane AherrahrouInstitute for Cardiogenetics, University of Lübeck, Lübeck, Germany.ORCID 0000-0001-8148-9554
Tobias ReinbergerInstitute for Cardiogenetics, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-6237-0803
Andreas SchulzPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.
Vincent Ten CatePreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0003-3285-8442
Alejandro Pallares RoblesPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0003-0352-4179
Thomas KoeckPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0002-0379-5836
Steffen RappPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0003-0463-5380
Tanja LangeDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.ORCID 0000-0001-8309-2112
Lukas BrachaczekDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.
Finn LuebberDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.ORCID 0000-0003-0893-2120
Jeanette ErdmannInstitute for Cardiogenetics, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-4486-6231
Harald HeideckeCellTrend Gesellschaft mit beschränkter Haftung (GmbH), Luckenwalde, Germany.
Kai Schulze-ForsterCellTrend Gesellschaft mit beschränkter Haftung (GmbH), Luckenwalde, Germany.
Ralf DechendCellTrend Gesellschaft mit beschränkter Haftung (GmbH), Luckenwalde, Germany.ORCID 0000-0001-6636-3080
Karl J LacknerDZHK (German Centre for Cardiovascular Research), partner site RhineMain, Langenbeckstr. 1, 55131 Mainz, Germany.
Norbert PfeifferDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0002-5766-2617
Jasmin Ghaemi KerahrodiDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Oliver TüscherDepartment of Psychiatry and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.ORCID 0000-0002-4023-5301
Andreas SchwartingDepartment of Internal Medicine I, University Medical Center Mainz, Mainz, Germany.ORCID 0000-0002-0566-598X
Konstantin StrauchInstitute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID 0000-0002-1814-5860
Thomas MünzelDZHK (German Centre for Cardiovascular Research), partner site RhineMain, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0001-5503-4150
Jürgen H ProchaskaPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0001-5078-9992
Gabriela RiemekastenDepartment of Rheumatology and Clinical Immunology, University Medical Center Schleswig-Holstein Campus Lübeck, Lübeck, Germany.ORCID 0000-0002-5406-2464
Philipp S WildPreventive Cardiology and Preventive Medicine, Department of Cardiology, University Medical Center of the Johannes Gutenberg-University Mainz, Langenbeckstr. 1, 55131 Mainz, Germany.ORCID 0000-0003-4413-9752
Johannes Gutenberg University Mainz · DEGerman Centre for Cardiovascular Research · DEGesellschaft für Klinische Forschung · DEUniversity of Lübeck · DEMax Delbrück Center · DESocial Neuroscience Lab · DEUniversity of Eastern Finland · FI

Funding

BMBF 01EC1901ADZHKFederal Ministry of Education and Research 01EO1003Fondation Leducq 18CVD02German Center for Cardiovascular Research FKZ81Z0700108, FKZ81X2700133German Federal Ministry of Education and ResearchGerman Research Foundation DFG, EXC 2167Initiative Health Economy Rhineland-PalatinateJohannes Gutenberg-University of MainzMinistry of Health and the Ministry of EconomicsPartner Site Rhine-Main 161L0217APrecision Medicine in Chronic InflammationSchwerpunkt Vaskuläre PräventionStiftung Rheinland Pfalz für Innovation AZ 961-386261/733Universities Kiel and LuebeckWissen schafft Zukunft
6 · The paper itself

Abstract

BACKGROUND AND

aimsChronic inflammation and autoimmunity contribute to cardiovascular (CV) disease. Recently, autoantibodies (aAbs) against the CXC-motif-chemokine receptor 3 (CXCR3), a G protein-coupled receptor with a key role in atherosclerosis, have been identified. The role of anti-CXCR3 aAbs for CV risk and disease is unclear.

methodsAnti-CXCR3 aAbs were quantified by a commercially available enzyme-linked immunosorbent assay in 5000 participants (availability: 97.1%) of the population-based Gutenberg Health Study with extensive clinical phenotyping. Regression analyses were carried out to identify determinants of anti-CXCR3 aAbs and relevance for clinical outcome (i.e. all-cause mortality, cardiac death, heart failure, and major adverse cardiac events comprising incident coronary artery disease, myocardial infarction, and cardiac death). Last, immunization with CXCR3 and passive transfer of aAbs were performed in ApoE(-/-) mice for preclinical validation.

resultsThe analysis sample included 4195 individuals (48% female, mean age 55.5 ± 11 years) after exclusion of individuals with autoimmune disease, immunomodulatory medication, acute infection, and history of cancer. Independent of age, sex, renal function, and traditional CV risk factors, increasing concentrations of anti-CXCR3 aAbs translated into higher intima-media thickness, left ventricular mass, and N-terminal pro-B-type natriuretic peptide. Adjusted for age and sex, anti-CXCR3 aAbs above the 75th percentile predicted all-cause death [hazard ratio (HR) (95% confidence interval) 1.25 (1.02, 1.52), P = .029], driven by excess cardiac mortality [HR 2.51 (1.21, 5.22), P = .014]. A trend towards a higher risk for major adverse cardiac events [HR 1.42 (1.0, 2.0), P = .05] along with increased risk of incident heart failure [HR per standard deviation increase of anti-CXCR3 aAbs: 1.26 (1.02, 1.56), P = .03] may contribute to this observation. Targeted proteomics revealed a molecular signature of anti-CXCR3 aAbs reflecting immune cell activation and cytokine-cytokine receptor interactions associated with an ongoing T helper cell 1 response. Finally, ApoE(-/-) mice immunized against CXCR3 displayed increased anti-CXCR3 aAbs and exhibited a higher burden of atherosclerosis compared to non-immunized controls, correlating with concentrations of anti-CXCR3 aAbs in the passive transfer model.

conclusionsIn individuals free of autoimmune disease, anti-CXCR3 aAbs were abundant, related to CV end-organ damage, and predicted all-cause death as well as cardiac morbidity and mortality in conjunction with the acceleration of experimental atherosclerosis.

Indexed as

AutoantibodiesCardiovascular DiseasesReceptors, CXCR3AdultAgedAnimalsApolipoproteins EAtherosclerosisAutoimmune DiseasesCarotid Intima-Media ThicknessFemaleHeart Disease Risk FactorsHeart FailureHumansMaleMiceApolipoproteins EAutoantibodiesCXCR3 protein, humanReceptors, ChemokineReceptors, CXCR3AutoantibodiesAutoimmunityCardiovascular diseaseChemokine receptorG protein-coupled receptor

Identifiers

PMID37941454
PMCPMC10719496
OpenAlexW4388515845

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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.