Evidence map›Paper›PMID 40526020›Full record

Trial reportPhysiological reports2025

Sex differences in endothelial glycocalyx thickness and the response to glycocalyx-targeted therapy among older adults.

Colin J Gimblet, Anthony J Donato, Diana I Jalal, Gary L Pierce

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06071728 (Restoring Glycocalyx Thickness in Older Adults to Improve Vascular Function), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT06071728 nacompletednot on this map

Restoring Glycocalyx Thickness in Older Adults to Improve Vascular Function

TypeinterventionalSponsorUniversity of IowaRan2022 to 2024Enrolled24ConditionsAging, Vascular Stiffness, Endothelial DysfunctionArmsEndocalyx Pro (Microvascular Health Solutions, US Patent Number: 9943572)
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Western diet-induced endothelial glycocalyx remodeling is partially reversed by fasting.American journal of physiology. Heart and circulatory physiology · 2025
    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

4 authors.

Colin J GimbletDepartment of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0002-3024-2284
Anthony J DonatoDepartment of Internal Medicine, University of Utah, Salt Lake City, Utah, USA.
Diana I JalalIowa City VA Medical Center, Iowa City, Iowa, USA.
Gary L PierceDepartment of Health and Human Physiology, University of Iowa, Iowa City, Iowa, USA.

Funding

Diabetes Research Training Program Diversity SupplementT32DK112751 · NIDDK · UNIVERSITY OF IOWA · PI Andrew W Norris · 2017 to 2026
$4.8M
American Heart Association (AHA) 23PRE1012593HHS | National Institutes of Health (NIH) T32DK112751NIDDK NIH HHS T32 DK112751
6 · The paper itself

Abstract

Endothelial glycocalyx thickness declines with age, potentially increasing cardiovascular disease risk. However, sex differences in glycocalyx thickness and responses to glycocalyx-targeted therapies remain unclear. This post hoc analysis examined sex differences in glycocalyx thickness and the effects of Endocalyx Pro supplementation in older adults. We analyzed data from 22 participants in a prior clinical trial (NCT06071728) that assessed 12-week Endocalyx Pro (3712 mg/day) supplementation on vascular function. Glycocalyx thickness was estimated as the perfused boundary region (PBR) using the GlycoCheck, with higher PBR indicating smaller glycocalyx thickness. Postmenopausal females had higher PBR 4-25 than older males (2.11 ± 0.14 vs. 1.97 ± 0.13 μm; p = 0.02), particularly in microvessels 9-17 μm in diameter. Male sex (B [95% CI], -0.14 [-0.26, -0.02]; p = 0.02) and body mass index (BMI) (B [95% CI], -0.02 [-0.04, -0.01]; p = 0.01) were associated with lower PBR 4-25 in univariate analyses; however, when included in a multivariate model, the association with sex was attenuated (p = 0.15), while BMI remained significant (p = 0.04). After 12 weeks of Endocalyx Pro, PBR 4-25 increased in older males (+0.087 ± 0.148 μm) but decreased in postmenopausal females (-0.178 ± 0.148 μm; p = 0.009). In conclusion, we observed that postmenopausal females had smaller glycocalyx thickness, partially explained by BMI, and demonstrated a greater improvement with Endocalyx Pro, suggesting sex-specific therapy effects.

Indexed as

Endothelium, VascularGlycocalyxAgedFemaleHumansMaleMiddle AgedPostmenopauseSex CharacteristicsSex Factorsagingglycocalyxsex differences

Identifiers

PMID40526020
PMCPMC12172339

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Registered trials

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.