Evidence map›Paper›PMID 39404396›Full record

ArticleCells2024

Novel Fluorescence-Based Methods to Determine Infarct and Scar Size in Murine Models of Reperfused Myocardial Infarction.

Ashley Duplessis, Christin Elster, Stefanie Becher, Christina Engel, Alexander Lang, Madlen Kaldirim, Christian Jung, Maria Grandoch, Malte Kelm, Susanne Pfeiler and 1 more

Abstract read
In one paragraph

Article in Cells, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. A cost-effective proof-of-conceptFrontiers in cardiovascular medicine · 2026
    Article
  2. 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

11 authors.

Ashley DuplessisDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.
Christin ElsterDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0002-5334-3029
Stefanie BecherDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.
Christina EngelDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0009-0004-6649-9729
Alexander LangDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0001-6006-7109
Madlen KaldirimDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0003-4075-2453
Christian JungDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0001-8325-250X
Maria GrandochCardiovascular Research Institute Düsseldorf (CARID), Medical Faculty, Heinrich Heine University, 40225 Düsseldorf, Germany.
Malte KelmDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0003-0060-1052
Susanne PfeilerDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0002-8591-6186
Norbert GerdesDivision of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty and University Hospital, Heinrich Heine University, 40225 Düsseldorf, Germany.ORCID 0000-0002-4546-7208

Funding

German research foundation 236177352 and 397484323
6 · The paper itself

Abstract

Determination of infarct and scar size following myocardial infarction (MI) is commonly used to evaluate the efficacy of potential cardioprotective treatments in animal models. However, histological methods to determine morphological features in the infarcted heart have barely improved since implementation while still consuming large parts of the tissue and offering little options for parallel analyses. We aim to develop a new fluorescence technology for determining infarct area and area at risk that is comparable to 2,3,5-triphenyltetrazolium chloride (TTC) staining but allows for multiple analyses on the same heart tissue. For early and late time points following MI, we compared classical histochemical approaches with fluorescence staining methods. Reperfused MI was induced in male mice, the hearts were extracted 24 h, 7-, 21-, or 28-days later and fluorescently stained by combining Hoechst and phalloidin. This approach allowed for clear visualization of the infarct area, the area at ischemic risk and the remote area not affected by MI. The combined fluorescence staining correlated with the classic TTC/Evans Blue staining 24 h after MI (r = 0.8334). In later phases (>7 d) post-MI, wheat germ agglutinin (WGA) is equally accurate as classical Sirius Red (r = 0.9752), Masson's (r = 0.9920) and Gomori's Trichrome (r = 0.8082) staining for determination of scar size. Additionally, feasibility to co-localize fluorescence-stained immune cells in specific regions of the infarcted myocardium was demonstrated with this protocol. In conclusion, this new procedure for determination of post-MI infarct size is not inferior to classical TTC staining, yet provides substantial benefits, including the option for unbiased software-assisted analysis while sparing ample residual tissue for additional analyses. Overall, this enhances the data quality and reduces the required animal numbers consistent with the 3R concept of animal experimentation.

Indexed as

CicatrixDisease Models, AnimalMyocardial InfarctionAnimalsFluorescenceMaleMiceMice, Inbred C57BLMyocardial ReperfusionMyocardiumStaining and Labeling3Rhistologyinfarct sizemyocardial infarctionscar size

Identifiers

PMID39404396
PMCPMC11475149

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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.