Evidence map›Paper›PMID 38978031›Full record

ArticleCardiovascular diabetology2024

Genome-scale metabolic network of human carotid plaque reveals the pivotal role of glutamine/glutamate metabolism in macrophage modulating plaque inflammation and vulnerability.

Han Jin, Cheng Zhang, Jan Nagenborg, Peter Juhasz, Adele V Ruder, Cornelis J J M Sikkink, Barend M E Mees, Olivia Waring, Judith C Sluimer, Dietbert Neumann and 4 more

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 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.

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  13. The Interplay Between Immunity, Inflammation and Endothelial Dysfunction.International journal of molecular sciences · 2025
    Review
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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

14 authors.

Han JinCentral Laboratory, Tianjin Medical University General Hospital, Tianjin, China.
Cheng Zhang *Science for Life Laboratory (SciLifeLab), KTH-Royal Institute of Technology, Solna, Sweden.
Jan Nagenborg *Department of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Peter JuhaszPJConsulting, Natick, MA, USA.
Adele V RuderDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Cornelis J J M SikkinkZuyderland Medical Centre, Sittard-Geleen, The Netherlands.
Barend M E MeesDepartment of Surgery, Maastricht UMC+, Maastricht, the Netherlands.
Olivia WaringDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Judith C SluimerDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Dietbert NeumannDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Pieter GoossensDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Marjo M P C DonnersDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands.
Adil MardinogluScience for Life Laboratory (SciLifeLab), KTH-Royal Institute of Technology, Solna, Sweden. adilm@scilifelab.se.
Erik A L BiessenDepartment of Pathology, Cardiovascular Research Institute Maastricht (CARIM), Maastricht UMC+, Maastricht, the Netherlands. erik.biessen@mumc.nl.

Funding

China Scholarship Council 201609120004European Research Area Network on Cardiovascular Diseases 02-001-0217-T100Hartstichting 2019T33Marie Skłodowska-Curie Innovative Training Networks 675111Nederlandse Organisatie voor Wetenschappelijk Onderzoek 190429Nederlandse Organisatie voor Wetenschappelijk Onderzoek 40-45700-98-2010Tianjin Municipal Education Commission 2023KJ107
6 · The paper itself

Abstract

backgroundMetabolism is increasingly recognized as a key regulator of the function and phenotype of the primary cellular constituents of the atherosclerotic vascular wall, including endothelial cells, smooth muscle cells, and inflammatory cells. However, a comprehensive analysis of metabolic changes associated with the transition of plaque from a stable to a hemorrhaged phenotype is lacking.

methodsIn this study, we integrated two large mRNA expression and protein abundance datasets (BIKE, n = 126; MaasHPS, n = 43) from human atherosclerotic carotid artery plaque to reconstruct a genome-scale metabolic network (GEM). Next, the GEM findings were linked to metabolomics data from MaasHPS, providing a comprehensive overview of metabolic changes in human plaque.

resultsOur study identified significant changes in lipid, cholesterol, and inositol metabolism, along with altered lysosomal lytic activity and increased inflammatory activity, in unstable plaques with intraplaque hemorrhage (IPH+) compared to non-hemorrhaged (IPH-) plaques. Moreover, topological analysis of this network model revealed that the conversion of glutamine to glutamate and their flux between the cytoplasm and mitochondria were notably compromised in hemorrhaged plaques, with a significant reduction in overall glutamate levels in IPH+ plaques. Additionally, reduced glutamate availability was associated with an increased presence of macrophages and a pro-inflammatory phenotype in IPH+ plaques, suggesting an inflammation-prone microenvironment.

conclusionsThis study is the first to establish a robust and comprehensive GEM for atherosclerotic plaque, providing a valuable resource for understanding plaque metabolism. The utility of this GEM was illustrated by its ability to reliably predict dysregulation in the cholesterol hydroxylation, inositol metabolism, and the glutamine/glutamate pathway in rupture-prone hemorrhaged plaques, a finding that may pave the way to new diagnostic or therapeutic measures.

Indexed as

Carotid Artery DiseasesGlutamic AcidGlutamineMacrophagesMetabolic Networks and PathwaysPhenotypePlaque, AtheroscleroticCarotid ArteriesDatabases, GeneticDatasets as TopicEnergy MetabolismHumansInflammationMaleMetabolomicsRupture, SpontaneousGlutamic AcidGlutamineAtherosclerosisGenome-scale metabolic networkMacrophageMetabolomicsPlaque rupture

Identifiers

PMID38978031
PMCPMC11232311

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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.