Evidence map›Paper›PMID 40259242›Full record

Observational studyMolecular medicine (Cambridge, Mass.)2025

Calpain inhibition as a novel therapeutic strategy for aortic dissection with acute lower extremity ischemia.

Qiwen Tan, Xiaokang Wang, Wanchuang Xu, Kun Song, Yifan Xiong, Zhentong Jiang, Jingjing Li, Yunsheng Yu, Wenxue Ye, Zhenya Shen and 1 more

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in Molecular medicine (Cambridge, Mass.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Qiwen Tan *Department of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Xiaokang Wang *Department of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Wanchuang Xu *Department of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Kun Song *Department of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Yifan XiongDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Zhentong JiangDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Jingjing LiDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Yunsheng YuDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China. yys700827@sina.com.
Wenxue YeDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China. yewenxue2002@aliyun.com.
Zhenya ShenDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China.
Xiaomei TengDepartment of Cardiovascular Surgery, First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, 215006, China. txm_2020@126.com.

Funding

Jiangsu Cardiovascular Medicine Innovation Center CXZX202210National Natural Science Foundation of China 82241201National Natural Science Foundation of China 82370478The Natural Science Foundation of the Jiangsu Higher Education Institutions of China 24KJB180019the project of Science and technology plan in Suzhou SKJY2021074the social development project from the key research and development plan of Jiangsu Province BE2022731
6 · The paper itself

Abstract

backgroundAortic dissection (AD) patients with malperfusion present significant challenges and are associated with high postoperative mortality rates. Limited data exist regarding the management of patients with AD and acute lower extremity ischemia. Early diagnosis of the extent of malperfusion and timely intervention are critical for improving patient prognosis.

methodsA total of 104 patients diagnosed with AD were enrolled in this observational retrospective study, of which 11 (10.6%) presented with lower limb ischemia (LLI). A comparative analysis was conducted on the clinical data of the AD group and the AD + LLI group. Plasma concentrations of SBDP145, a specific indicator of Calpain activity, were quantified in Control, AD, and AD + LLI groups using ELISA. To explore the role of Calpain in LLI and AD, pharmacological inhibition with Calpeptin and transgenic mice overexpressing calpastatin (Tg-CAST) were utilized in mouse models. RNA sequencing and functional assays were employed to identify the downstream effectors of Calpain.

resultsPatients in the AD + LLI group exhibited significantly elevated leukocyte counts, percentages of neutrophils and lymphocytes, as well as increased serum levels of AST, creatinine, total cholesterol, low-density lipoprotein, uric acid, and creatine kinase compared to those in the AD group. Furthermore, the mean calcium ion concentration and Ca

conclusionsInhibition of Calpain has been demonstrated to decrease the incidence of AD and enhance the restoration of blood flow perfusion in ischemic lower extremities. This effect may be mediated by the upregulation of Fabp3. These findings highlight the potential for targeted interventions against Calpain as a novel therapeutic strategy in the treatment of cardiovascular disease.

Indexed as

Aortic DissectionCalpainDipeptidesIschemiaLower ExtremityAgedAnimalsCalcium-Binding ProteinsDisease Models, AnimalFemaleHumansMaleMiceMice, TransgenicMiddle AgedRetrospective StudiesCalcium-Binding ProteinsCalpaincalpastatincalpeptinDipeptidesAortic dissectionCalpainFabp3Lower limb ischemia

Identifiers

PMID40259242
PMCPMC12013106

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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.