Evidence map›Paper›PMID 40624227›Full record

ArticleScientific reports2025

17β estradiol activates autophagy and attenuates homocysteine mediated inflammation in endothelial cells through PI3K AKT MTOR signaling.

Tong Yu, Dandan Zhang, Yi Yang, Yu Jiang, Jia Wang, Jing Li, Yannan Zhang, Rong Xie, Xiuqin Hong

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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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.

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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

9 authors.

Tong Yu *People's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Dandan Zhang *People's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Yi Yang *People's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Yu JiangPeople's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Jia WangPeople's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Jing LiPeople's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Yannan ZhangPeople's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Rong XiePeople's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China.
Xiuqin HongPeople's Hospital of Hunan Province, First Affiliated Hospital of Hunan Normal University, Changsha, 410000, China. xiuqinhong0528@hunnu.edu.cn.

Funding

Natural Science Foundation of Hunan Province No.2020JJ4047the National Natural Science Foundation of China 81773530
6 · The paper itself

Abstract

The accumulation of plasma Hcy has been linked to vascular inflammation, which can result in vascular dysfunction. Autophagy has been the subject of extensive research in the context of hypertension-related vascular inflammation injury. As demonstrated in a preceding study, the protective effect of estradiol against vascular injury is attributable to its impact on autophagy. The present study has been designed to elucidate the epidemiological relationships between estrogen, homocysteine (Hcy), high-sensitivity C-reactive protein (hs-CRP), and their synergistic effects on the development of hypertension at the population level. In addition, the study will mechanistically investigate how estrogen-mediated autophagy counteracts Hcy-induced inflammatory injury in human umbilical vein endothelial cells through experimental validation. A case-control study was conducted on 559 female patients at Hunan Provincial People's Hospital, who were divided into hypertensive and normotensive groups. The investigation revealed that the age, Hcy and Hs-CRP concentration of the hypertensive group exceeded those of the normotensive group (P < 0.001). Conversely, the estrogen level exhibited the opposite trend (P < 0.001). The logistic regression analysis indicated that plasma estrogen levels are a beneficial factor in relation to hypertension. Conversely, plasma Hcy and Hs-CRP levels have been shown to be detrimental, and there is an interaction between the two. In the preliminary experiment, the presence of 17β-estradiol (E2) was observed to stimulate the proliferation of Hcy-treated umbilical vein endothelial cells, whilst concomitantly exerting an inhibitory effect on inflammation. The present study demonstrated that Hcy inhibited autophagy in cultured human umbilical vein endothelial cells (HUVECs), while E2β reversed this inhibition. In conclusion, the present study demonstrated that 17β-estradiol attenuates homocysteine-induced inflammatory injury in HUVECs through the activation of autophagy via the PI3K/Akt/mTOR signalling axis.

Indexed as

AutophagyEstradiolHomocysteineInflammationPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktSignal TransductionTOR Serine-Threonine KinasesAdultCase-Control StudiesC-Reactive ProteinEndothelial CellsFemaleHumansHuman Umbilical Vein Endothelial CellsHypertensionC-Reactive ProteinEstradiolHomocysteineMTOR protein, humanPhosphatidylinositol 3-KinasesProto-Oncogene Proteins c-aktTOR Serine-Threonine KinasesAutophagyEstrogenHomocysteineHypertensionInflammation

Identifiers

PMID40624227
PMCPMC12234725

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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.