Evidence map›Paper›PMID 38639380›Full record

ArticleJournal of the American Heart Association2024

Patients With Coronary Microvascular Dysfunction Have Less Circulating α-Klotho.

Nadia Akhiyat, Ilke Ozcan, Rajiv Gulati, Abhiram Prasad, Tamara Tchkonia, James L Kirkland, Bradley Lewis, Lilach O Lerman, Amir Lerman

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. 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
6.1field-weighted citation impact, top 3% 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, 18 citations in OpenAlex.

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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 3 institutions in 1 country.

Nadia AkhiyatDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0002-2434-2510
Ilke OzcanDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0003-2006-3431
Rajiv GulatiDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0002-2713-0433
Abhiram PrasadDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0001-9252-5602
Tamara TchkoniaDepartment of Physiology and Biomedical Engineering Mayo Clinic Rochester MN USA.
James L KirklandDepartment of Physiology and Biomedical Engineering Mayo Clinic Rochester MN USA.ORCID 0000-0003-1676-4905
Bradley LewisDivision of Clinical Trials and Biostatistics Mayo Clinic Rochester MN USA.ORCID 0000-0002-7934-8741
Lilach O LermanDivision of Nephrology and Hypertension, Department of Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0002-3271-3887
Amir LermanDepartment of Cardiovascular Medicine Mayo Clinic Rochester MN USA.ORCID 0000-0002-9446-5313
Mayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · US

Funding

Targeting Cellular Senescence to Extend HealthspanP01AG062413 · NIA · MAYO CLINIC ROCHESTER · PI Sundeep Khosla · 2019 to 2026
$28.7M
The role of sub-lethal mitochondrial apoptotic stress in cellular senescenceR01AG068048 · NIA · MAYO CLINIC ROCHESTER · PI PASSOS, JOAO · 2020 to 2024
$2.2M
NIA NIH HHS P01 AG062413NIA NIH HHS R01 AG068048
6 · The paper itself

Abstract

backgroundCoronary microvascular dysfunction (CMD) represents an early functional characteristic of coronary vascular aging. Klotho (α-klotho) is a circulating protein inversely linked to physiological aging. We examined low klotho as a potential marker for vascular aging in patients with CMD and no coronary artery disease. METHODS AND

resultsPatients undergoing nonurgent angiogram for chest pain who had no coronary artery disease underwent invasive coronary microvascular and endothelial function testing. CMD was defined by ≤50% increase in coronary blood flow (percentage change in coronary blood flow) in response to intracoronary acetylcholine or coronary flow reserve ≤2. Fresh arterial whole blood was used to analyze circulating endothelial progenitor cells with flow cytometry. Stored arterial plasma was used for klotho analysis by ELISA. Participants with CMD (n=62) were compared with those without CMD (n=36). Those with CMD were age 55±10 years (versus 51±11 years;

conclusionsKlotho may be a biomarker for CMD and may be a therapeutic target for groups of patients without significant traditional cardiovascular risk.

Indexed as

BiomarkersCoronary CirculationGlucuronidaseKlotho ProteinsAdultAgedCoronary AngiographyCoronary Artery DiseaseCoronary VesselsEndothelial Progenitor CellsEnzyme-Linked Immunosorbent AssayFemaleFlow CytometryHumansMaleMicrocirculationBiomarkersGlucuronidaseKlotho ProteinsKL protein, humancoronary microvascular diseasenonobstructive coronary artery diseasevascular aging

Identifiers

PMID38639380
PMCPMC11179916
OpenAlexW4394954524

What OpenQuestion holds

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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.