Evidence map›Paper›PMID 39715784›Full record

ArticleNature cardiovascular research2025

Encompassing view of spatial and single-cell RNA sequencing renews the role of the microvasculature in human atherosclerosis.

Tore Bleckwehl, Anne Babler, Merel Tebens, Sidrah Maryam, Michael Nyberg, Markus Bosteen, Maurice Halder, Isaac Shaw, Susanne Fleig, Charles Pyke and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing 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

45 citing papers in PubMed.

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  16. CD8Nature reviews. Cardiology · 2026
    Review
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  18. 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

18 authors.

Tore BleckwehlDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany.ORCID http://orcid.org/0000-0003-1116-0512
Anne BablerDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany.
Merel TebensDepartment of Medical Biochemistry, Vascular Cell Biology Lab at Amsterdam UMC, location AMC, Sanquin Research and Landsteiner Laboratory and Leeuwenhoek Centre for Advanced Microscopy at Swammerdam Institute for Life Sciences at the University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-9044-9068
Sidrah MaryamDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany.
Michael NybergCardiorenal Research, Novo Nordisk A/S, Måløv, Denmark.ORCID http://orcid.org/0000-0002-3937-4697
Markus BosteenCardiorenal Research, Novo Nordisk A/S, Måløv, Denmark.
Maurice HalderDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany.
Isaac ShawDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany.
Susanne FleigDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany.
Charles PykePathology & Imaging, Global Drug Development, Novo Nordisk A/S, Måløv, Denmark.
Henning HvidPathology & Imaging, Global Drug Development, Novo Nordisk A/S, Måløv, Denmark.
Louise Marie VoetmannPathology & Imaging, Global Drug Development, Novo Nordisk A/S, Måløv, Denmark.
Jaap D van BuulDepartment of Medical Biochemistry, Vascular Cell Biology Lab at Amsterdam UMC, location AMC, Sanquin Research and Landsteiner Laboratory and Leeuwenhoek Centre for Advanced Microscopy at Swammerdam Institute for Life Sciences at the University of Amsterdam, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-0054-7949
Judith C SluimerDepartment of Pathology, ARIM School for Cardiovascular Sciences, Maastricht University Medical Center (MUMC), Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-0269-4582
Vivek DasDigital Science and Innovation, Computational Biology - AI & Digital Research, Novo Nordisk A/S, Måløv, Denmark.ORCID http://orcid.org/0000-0003-0614-0373
Simon BaumgartDigital Science and Innovation, Computational Biology - AI & Digital Research, Novo Nordisk A/S, Måløv, Denmark.
Rafael KramannDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany. rkramann@ukaachen.de.ORCID http://orcid.org/0000-0003-4048-6351
Sikander HayatDepartment of Medicine 2, RWTH Aachen University, Medical Faculty, Aachen, Germany. shayat@ukaachen.de.ORCID http://orcid.org/0000-0001-5919-8371

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atherosclerosis is a pervasive contributor to ischemic heart disease and stroke. Despite the advance of lipid-lowering therapies and anti-hypertensive agents, the residual risk of an atherosclerotic event remains high, and developing therapeutic strategies has proven challenging. This is due to the complexity of atherosclerosis with a spatial interplay of multiple cell types within the vascular wall. In this study, we generated an integrative high-resolution map of human atherosclerotic plaques combining single-cell RNA sequencing from multiple studies and spatial transcriptomics data from 12 human specimens with different stages of atherosclerosis. Here we show cell-type-specific and atherosclerosis-specific expression changes and spatially constrained alterations in cell-cell communication. We highlight the possible recruitment of lymphocytes via ACKR1 endothelial cells of the vasa vasorum, the migration of vascular smooth muscle cells toward the lumen by transforming into fibromyocytes and cell-cell communication in the plaque region, indicating an intricate cellular interplay within the adventitia and the subendothelial space in human atherosclerosis.

Indexed as

AtherosclerosisEndothelial CellsMicrovesselsPlaque, AtheroscleroticRNA-SeqSingle-Cell AnalysisTranscriptomeCell CommunicationCell MovementFemaleGene Expression ProfilingHumansLymphocytesMaleMuscle, Smooth, VascularMyocytes, Smooth Muscle

Identifiers

What OpenQuestion holds

Textmetadata
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.