Evidence map›Paper›PMID 39763069›Full record

ArticleClinical and translational medicine2025

Disturbed shear stress promotes atherosclerosis through TRIM21-regulated MAPK6 degradation and consequent endothelial inflammation.

Feng Wang, Shu-Yu Wang, Yue Gu, Shuai Luo, Ai-Qun Chen, Chao-Hua Kong, Wen-Ying Zhou, Li-Guo Wang, Zhi-Mei Wang, Guang-Feng Zuo and 3 more

Abstract read
In one paragraph

Article in Clinical and translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Article
  4. Review
  5. Article
  6. 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

13 authors.

Feng WangDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Shu-Yu WangDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Yue GuDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Shuai LuoDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Ai-Qun ChenDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Chao-Hua KongDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Wen-Ying ZhouDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Li-Guo WangKey Laboratory of Cardiovascular Intervention and Regenerative Medicine of Zhejiang Province, Department of Cardiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Zhi-Mei WangDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Guang-Feng ZuoDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Xiao-Fei GaoDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Jun-Jie ZhangDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Shao-Liang ChenDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.ORCID 0000-0001-5445-8840

Funding

Nanjing Medical Excellent Youth project JQX22007National Natural Science Foundation of China NSFC-82100357National Natural Science Foundation of China NSFC-82200385National Natural Science Foundation of China NSFC-82270344Natural Science Foundation of Jiangsu Basic Research Program BK20221173
6 · The paper itself

Abstract

rationaleCoronary artery plaques often develop in regions subjected to disturbed shear stress (DSS), yet the mechanisms underlying this phenomenon remain poorly understood. Our study aimed to elucidate the unknown role of MAPK6 in shear stress and plaque formation.

methodsIn vitro and in vivo experiments, RNA-seq, CO-IP and proteomic analysis, combined with single-cell RNA-seq datasets were used to reveal the upstream and downstream mechanisms involved. AAV-MAPK6, ApoE

resultsOur study revealed a substantial decrease in MAPK6 protein levels in endothelial cells in response to DSS, both in vivo and in vitro, which was contingent on the binding of the ubiquitin ligase TRIM21 to MAPK6. Endothelium-specific MAPK6 overexpression exerts antiatherosclerotic effects in ApoE

conclusionsOur study illuminates the advantages of MAPK6 in decelerating plaque progression, highlighting the potential of safeguarding MAPK6 as a novel therapeutic strategy against atherosclerosis. KEY POINTS: Disturbed flow activates the ubiquitin‒proteasome degradation pathway of MAPK6 in endothelial cells, which is contingent on the binding of the ubiquitin ligase TRIM21 to MAPK6. Endothelial MAPK6 has an advantageous impact on decelerating plaque progression. MAPK6 regulates endothelial inflammation via the EGR1/CXCL12 axis.

Indexed as

AtherosclerosisInflammationAnimalsDisease Models, AnimalEarly Growth Response Protein 1Endothelial CellsHumansMiceMitogen-Activated Protein Kinase 6RibonucleoproteinsStress, MechanicalTripartite Motif ProteinsEarly Growth Response Protein 1Egr1 protein, mouseMitogen-Activated Protein Kinase 6RibonucleoproteinsTripartite Motif Proteinsatherosclerosisendothelial inflammationMAPK6shear stressTRIM21

Identifiers

PMID39763069
PMCPMC11705438

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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.