Evidence map›Paper›PMID 38773340›Full record

ArticleNature medicine2024

Multiomic analyses uncover immunological signatures in acute and chronic coronary syndromes.

Kami Pekayvaz, Corinna Losert, Viktoria Knottenberg, Christoph Gold, Irene V van Blokland, Roy Oelen, Hilde E Groot, Jan Walter Benjamins, Sophia Brambs, Rainer Kaiser and 27 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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

29 citing papers in PubMed.

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  13. Transient miR-92a Induction in Intermediate Monocytes (CD14International journal of molecular sciences · 2026
    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

37 authors.

Kami Pekayvaz *Medizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany. kami.pekayvaz@med.uni-muenchen.de.ORCID 0000-0003-4040-650X
Corinna Losert *Institute of Computational Biology, German Research Center for Environmental Health, Helmholtz Zentrum München, Neuherberg, Germany.ORCID 0000-0002-5997-4702
Viktoria Knottenberg *Medizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Christoph GoldMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Irene V van BloklandDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Roy OelenDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-5026-6531
Hilde E GrootDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jan Walter BenjaminsDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-5701-0539
Sophia BrambsMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Rainer KaiserMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.ORCID 0000-0003-1750-3395
Adrian GottschlichDepartment of Medicine III, LMU University Hospital, Munich, Germany.ORCID 0000-0002-2898-4182
Gordon Victor HoffmannDivision of Clinical Pharmacology, LMU University Hospital, Member of the German Center for Lung Research (DZL), Munich, Germany.
Luke EiversMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Alejandro Martinez-NavarroMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.ORCID 0000-0003-3893-1719
Nils BrunsMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Susanne StillerMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Sezer AkgölMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.ORCID 0000-0002-3154-3214
Keyang YueMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Vivien PolewkaMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Raphael EscaigMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.
Markus JoppichDepartment of Informatics, Ludwig-Maximilian University, Munich, Germany.ORCID 0000-0002-6665-8951
Aleksandar JanjicAnthropology and Human Genomics, Faculty of Biology, Ludwig-Maximilian University, Munich, Germany.
Oliver PoppMax Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.
Sebastian KoboldDivision of Clinical Pharmacology, LMU University Hospital, Member of the German Center for Lung Research (DZL), Munich, Germany.ORCID 0000-0002-5612-4673
Tobias PetzoldMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.ORCID 0000-0001-7805-5632
Ralf ZimmerDepartment of Informatics, Ludwig-Maximilian University, Munich, Germany.
Wolfgang EnardAnthropology and Human Genomics, Faculty of Biology, Ludwig-Maximilian University, Munich, Germany.
Kathrin SaarMax Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.ORCID 0000-0002-4483-1557
Philipp MertinsMax Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.ORCID 0000-0002-2245-528X
Norbert HuebnerMax Delbrück Center for Molecular Medicine in the Helmholtz Association (MDC), Berlin, Germany.ORCID 0000-0002-1218-6223
Pim van der HarstDepartment of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands.
Lude H FrankeDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Monique G P van der WijstDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-1520-3970
Steffen MassbergMedizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany.ORCID 0000-0001-7387-3986
Matthias Heinig *DZHK (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany. matthias.heinig@helmholtz-muenchen.de.ORCID 0000-0002-5612-1720
Leo Nicolai *Medizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany. leo.nicolai@med.uni-muenchen.de.ORCID 0000-0003-0776-5885
Konstantin Stark *Medizinische Klinik und Poliklinik I, LMU University Hospital, Munich, Germany. konstantin.stark@med.uni-muenchen.de.ORCID 0000-0002-5369-8399

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute and chronic coronary syndromes (ACS and CCS) are leading causes of mortality. Inflammation is considered a key pathogenic driver of these diseases, but the underlying immune states and their clinical implications remain poorly understood. Multiomic factor analysis (MOFA) allows unsupervised data exploration across multiple data types, identifying major axes of variation and associating these with underlying molecular processes. We hypothesized that applying MOFA to multiomic data obtained from blood might uncover hidden sources of variance and provide pathophysiological insights linked to clinical needs. Here we compile a longitudinal multiomic dataset of the systemic immune landscape in both ACS and CCS (n = 62 patients in total, n = 15 women and n = 47 men) and validate this in an external cohort (n = 55 patients in total, n = 11 women and n = 44 men). MOFA reveals multicellular immune signatures characterized by distinct monocyte, natural killer and T cell substates and immune-communication pathways that explain a large proportion of inter-patient variance. We also identify specific factors that reflect disease state or associate with treatment outcome in ACS as measured using left ventricular ejection fraction. Hence, this study provides proof-of-concept evidence for the ability of MOFA to uncover multicellular immune programs in cardiovascular disease, opening new directions for mechanistic, biomarker and therapeutic studies.

Indexed as

Acute Coronary SyndromeAgedChronic DiseaseFemaleHumansInflammationKiller Cells, NaturalMaleMiddle AgedMonocytesT-Lymphocytes

Identifiers

PMID38773340
PMCPMC11186793

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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.