Evidence map›Paper›PMID 38899471›Full record

ReviewArteriosclerosis, thrombosis, and vascular biology2024

Ying and Yang of Ceramide in the Vascular Endothelium.

Gopika SenthilKumar, Zachary Zirgibel, Katie E Cohen, Boran Katunaric, Alyssa M Jobe, Carolyn G Shult, Rachel H Limpert, Julie K Freed

Abstract readReview
In one paragraph

Review in Arteriosclerosis, thrombosis, and vascular biology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. The Role of Ceramides in Metabolic and Cardiovascular Diseases.Journal of cardiovascular development and disease · 2026
    Review
  9. Article
  10. Ceramide as a Biomarker for HFpEF in Women: Menopause, Aging, and Pregnancy.International journal of molecular sciences · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
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

8 authors.

Gopika SenthilKumarDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.ORCID 0000-0001-5781-1056
Zachary ZirgibelDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.ORCID 0009-0004-3375-6389
Katie E CohenCardiovascular Center (G.S., Z.Z., K.E.C., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.
Boran KatunaricDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.
Alyssa M JobeDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.
Carolyn G ShultDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.
Rachel H LimpertDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.ORCID 0009-0000-4899-9720
Julie K FreedDepartment of Anesthesiology (G.S., Z.Z., B.K., A.M.J., C.G.S., R.H.L., J.K.F.), Medical College of Wisconsin, Milwaukee.ORCID 0000-0002-9367-2281

Funding

Dual Functionality of Ceramide in Human Microvascular Endothelial FunctionR01HL160752 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Julie K Freed · 2022 to 2026
$3.1M
NHLBI NIH HHS R01 HL160752
6 · The paper itself

Abstract

Ceramides, a group of biologically active sphingolipids, have been described as the new cholesterol given strong evidence linking high plasma ceramide with endothelial damage, risk for early adverse cardiovascular events, and development of cardiometabolic disease. This relationship has sparked great interest in investigating therapeutic targets with the goal of suppressing ceramide formation. However, the growing data challenge this paradigm of ceramide as solely eliciting detrimental effects to the cardiovascular system. Studies show that ceramides are necessary for maintaining proper endothelial redox states, mechanosensation, and membrane integrity. Recent work in preclinical models and isolated human microvessels highlights that the loss of ceramide formation can in fact propagate vascular endothelial dysfunction. Here, we delve into these conflicting findings to evaluate how ceramide may be capable of exerting both beneficial and damaging effects within the vascular endothelium. We propose a unifying theory that while basal levels of ceramide in response to physiological stimuli are required for the production of vasoprotective metabolites such as S1P (sphingosine-1-phosphate), the chronic accumulation of ceramide can promote activation of pro-oxidative stress pathways in endothelial cells. Clinically, the evidence discussed here highlights the potential challenges associated with therapeutic suppression of ceramide formation as a means of reducing cardiovascular disease risk.

Indexed as

Cardiovascular DiseasesCeramidesEndothelium, VascularOxidative StressSphingosineAnimalsEndothelial CellsHumansLysophospholipidsSignal TransductionCeramidesLysophospholipidsSphingosinesphingosine 1-phosphateceramidescholesterolmicrovesselsoxidation-reductionoxidative stress

Identifiers

PMID38899471
PMCPMC11269027

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.