Evidence map›Paper›PMID 38666386›Full record

ArticleCirculation research2024

NETosis Drives Blood Pressure Elevation and Vascular Dysfunction in Hypertension.

Jaya Krishnan, Elizabeth M Hennen, Mingfang Ao, Annet Kirabo, Taseer Ahmad, Néstor de la Visitación, David M Patrick

Open access · hybridAbstract read
In one paragraph

Article in Circulation research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
9.9field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Neutrophil Extracellular Traps in Viral Infections.Pathogens (Basel, Switzerland) · 2025
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Pathophysiology and Clinical Relevance of Microvascular Remodeling in Arterial Hypertension.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Vascular mechanical forces and vascular diseases.Journal of advanced research · 2026
    Review
  12. Article
  13. Article
  14. Review
  15. Article
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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

7 authors at 5 institutions in 4 countries.

Jaya KrishnanDivision of Clinical Pharmacology, Department of Medicine (J.K., A.K., T.A., N.d.l.V., D.M.P.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-9752-4219
Elizabeth M HennenDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN (E.M.H.).ORCID 0000-0002-1823-5751
Mingfang AoDepartment of Anesthesiology (M.A.), Vanderbilt University Medical Center, Nashville, TN.
Annet KiraboDivision of Clinical Pharmacology, Department of Medicine (J.K., A.K., T.A., N.d.l.V., D.M.P.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-8580-9359
Taseer AhmadDivision of Clinical Pharmacology, Department of Medicine (J.K., A.K., T.A., N.d.l.V., D.M.P.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-4545-9598
Néstor de la VisitaciónDivision of Clinical Pharmacology, Department of Medicine (J.K., A.K., T.A., N.d.l.V., D.M.P.), Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-7229-9601
David M PatrickDivision of Clinical Pharmacology, Department of Medicine (J.K., A.K., T.A., N.d.l.V., D.M.P.), Vanderbilt University Medical Center, Nashville, TN.
Vanderbilt University Medical Center · USBiology of Infection · FRDepartment of Veterans Affairs · AUUniversity of Sargodha · PKVanderbilt University · US

Funding

Immune Mechanisms of Salt-Sensitive hypertensionR01HL144941 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KIRABO, ANNET · 2021 to 2025
$3.0M
Salt taste sensitivity, genetics and salt sensitivity of blood pressure in HIVR21TW012635 · FIC · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KIRABO, ANNET, MASENGA, SEPISO KENIAS · 2023 to 2024
$385k
A Role of Isolevuglandins in Essential Hypertension and Systemic Lupus ErythematosusIK2BX005376 · VA · VETERANS HEALTH ADMINISTRATION · PI David Patrick · 2022 to 2026
–
BLRD VA IK2 BX005376FIC NIH HHS R21 TW012635NHLBI NIH HHS R01 HL144941
6 · The paper itself

Abstract

backgroundNeutrophil extracellular traps (NETs) are composed of DNA, enzymes, and citrullinated histones that are expelled by neutrophils in the process of NETosis. NETs accumulate in the aorta and kidneys in hypertension. PAD4 (protein-arginine deiminase-4) is a calcium-dependent enzyme that is essential for NETosis. TRPV4 (transient receptor potential cation channel subfamily V member 4) is a mechanosensitive calcium channel expressed in neutrophils. Thus, we hypothesize that NETosis contributes to hypertension via NET-mediated endothelial cell (EC) dysfunction.

methodsNETosis-deficient

results

conclusionsThese observations identify a role of NETosis in the pathogenesis of hypertension. Moreover, they define an important role of EC stretch and TRPV4 as initiators of NETosis. Finally, they define a role of citrullinated histones as drivers of EC dysfunction in hypertension.

Indexed as

Extracellular TrapsHypertensionMice, KnockoutProtein-Arginine Deiminase Type 4TRPV Cation ChannelsAngiotensin IIAnimalsBlood PressureCells, CulturedEndothelial CellsHistonesHumansMaleMiceMice, Inbred C57BLNeutrophilsAngiotensin IIHistonespeptidylarginine deiminase 4, mouseProtein-Arginine Deiminase Type 4Trpv4 protein, mouseTRPV Cation Channelsextracellular trapshistoneshypertensionneutrophilsprotein-arginine deiminase type 4

Identifiers

PMID38666386
PMCPMC11116040
OpenAlexW4395671868

What OpenQuestion holds

Textmetadata
LicenceTDM
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.