Evidence map›Paper›PMID 40240914›Full record

ArticleJournal of the American Heart Association2025

Hypothalamic Gliosis Is Associated With Multiple Cardiovascular Disease Risk Factors in the Framingham Heart Study.

Justin Lo, Susan J Melhorn, Sarah Kee, Kelsey L W Olerich, Alyssa Huang, Dabin Yeum, Alexa Beiser, Sudha Seshadri, Charles DeCarli, Ellen A Schur

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. 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. Review
  2. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Justin LoSchool of Medicine University of Washington Seattle WA USA.ORCID 0000-0003-2145-6528
Susan J MelhornDepartment of Medicine University of Washington Seattle WA USA.
Sarah KeeDepartment of Medicine University of Washington Seattle WA USA.
Kelsey L W OlerichDepartment of Obstetrics & Gynecology, Division of Maternal-Fetal Medicine University of Washington Seattle WA USA.
Alyssa HuangDepartment of Pediatrics University of Washington Seattle WA USA.ORCID 0000-0003-0603-5485
Dabin YeumDepartment of Medicine University of Washington Seattle WA USA.ORCID 0000-0001-9575-4849
Alexa BeiserSchool of Public Health Boston University Boston MA USA.ORCID 0000-0001-8551-7778
Sudha SeshadriDepartment of Neurology University of Texas Health Science Center at San Antonio San Antonio TX USA.ORCID 0000-0001-6135-2622
Charles DeCarliDepartment of Neurology University of California, Davis Davis CA USA.ORCID 0000-0003-1914-2693
Ellen A SchurDepartment of Medicine University of Washington Seattle WA USA.ORCID 0000-0002-1013-0795

Funding

PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · NIDDK · UNIVERSITY OF WASHINGTON · PI GREGORY J MORTON · 1986 to 2026
$30.4M
FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN · 2019 to 2024
$29.8M
A twin study of obesity pathogenesis using fMRIR01DK089036 · NIDDK · UNIVERSITY OF WASHINGTON · PI SCHUR, ELLEN A · 2011 to 2022
$6.2M
Fostering patient-oriented research in cardiometabolic disease pathogenesis and preventionK24HL144917 · NHLBI · UNIVERSITY OF WASHINGTON · PI Ellen A Schur · 2019 to 2026
$965k
NHLBI NIH HHS 75N92019D00031NHLBI NIH HHS K24 HL144917NIDDK NIH HHS P30 DK035816NIDDK NIH HHS R01 DK089036
6 · The paper itself

Abstract

backgroundHypothalamic gliosis is mechanistically linked to obesity and insulin resistance in rodent models. We tested cross-sectional associations between radiologic measures of hypothalamic gliosis in humans and clinically relevant cardiovascular disease risk factors, as well as prevalent coronary heart disease. METHODS AND

resultsUsing brain magnetic resonance imaging from FHS (Framingham Heart Study) participants (N=867; mean age, 55 years; 55% women), T2-signal intensities were extracted bilaterally from the region of interest in the mediobasal hypothalamus (MBH) and reference regions in the amygdala and putamen. T2-signal ratios were created in which greater relative T2-signal intensity suggests gliosis. The primary measure compared MBH with amygdala (MBH/amygdala). Outcomes were body mass index, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, fasting triglycerides, and the presence of hypertension (n=449), diabetes (n=66), metabolic syndrome (n=254), or coronary heart disease (n=25). Statistical testing was performed using linear or logistic regression. Greater MBH/amygdala T2-signal ratios were associated with higher body mass index (

conclusionsUsing a well-established study of cardiovascular disease development, we found evidence linking hypothalamic gliosis to multiple cardiovascular disease risk factors, independent of adiposity. Our results highlight the need to consider central nervous system mechanisms to understand and improve cardiometabolic health.

Indexed as

Cardiovascular DiseasesGliosisHypothalamic DiseasesHypothalamusAdultAgedCross-Sectional StudiesFemaleHeart Disease Risk FactorsHumansMagnetic Resonance ImagingMaleMassachusettsMiddle AgedRisk AssessmentRisk Factorscardiometabolic risk factorscoronary heart diseasehypertensionhypothalamic gliosishypothalamic inflammation

Identifiers

PMID40240914
PMCPMC12184564

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.