Evidence map›Paper›PMID 41054423›Full record

ArticleAtherosclerosis plus2025

Monocytes from people with Familial Hypercholesterolaemia are inflammatory, despite statin-treatment.

Helen Williams, Habib Francis, Jasmin Huang, Rekha Marimuthu, Rana Baraz, Heather Medbury, Stephen Li

Abstract read
In one paragraph

Article in Atherosclerosis plus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Helen WilliamsVascular Biology Research Centre, Department of Surgery, WSLHD Research and Education Network Building, Westmead Hospital, Hawkesbury Road, Westmead, NSW, Australia.
Habib FrancisVascular Biology Research Centre, Department of Surgery, WSLHD Research and Education Network Building, Westmead Hospital, Hawkesbury Road, Westmead, NSW, Australia.
Jasmin HuangVascular Biology Research Centre, Department of Surgery, WSLHD Research and Education Network Building, Westmead Hospital, Hawkesbury Road, Westmead, NSW, Australia.
Rekha MarimuthuVascular Biology Research Centre, Department of Surgery, WSLHD Research and Education Network Building, Westmead Hospital, Hawkesbury Road, Westmead, NSW, Australia.
Rana BarazVascular Biology Research Centre, Department of Surgery, WSLHD Research and Education Network Building, Westmead Hospital, Hawkesbury Road, Westmead, NSW, Australia.
Heather MedburyVascular Biology Research Centre, Department of Surgery, WSLHD Research and Education Network Building, Westmead Hospital, Hawkesbury Road, Westmead, NSW, Australia.
Stephen LiChemical Pathology, NSW Health Pathology, Westmead Hospital and Institute of Clinical Pathology and Medical Research, Hawkesbury Road, Westmead, NSW, 2145, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and aims: Familial Hypercholesterolaemia (FH) is characterised by high cholesterol and premature cardiovascular disease. While hypercholesterolaemia and inflammation are both key drivers in the formation of atherosclerotic plaques, inflammation remains understudied in FH. Inflammatory (M1) macrophages contribute to plaque destabilisation and macrophage precursors, monocytes, can be skewed towards an inflammatory state. Aims: Determine; whether monocytes of FH individuals are inflammatory, if they readily form inflammatory macrophages, and whether this remains so in statin-treated individuals. Methods: Blood samples were collected from people with FH (statin-treated and untreated) and healthy controls. Lipid profile was obtained and monocyte inflammatory marker expression was determined by whole blood flow cytometry. Monocytes were cultured with autologous serum and resultant macrophage profile determined by flow cytometry. Results: Total cholesterol and low-density lipoprotein cholesterol (LDL-C) were higher in the Untreated-FH group compared to the Treated-FH group and controls. In both Treated-FH and Untreated-FH groups, monocytes were inflammatory with high CD86 (M1). The ratio of inflammatory/anti-inflammatory markers (CD86/CD163) significantly correlated with LDL-C and ApoB/ApoA1 ratio across the cohort, indicating the high LDL-C of FH may promote an inflammatory monocyte profile. Monocyte-derived-macrophages from (Treated) FH individuals also had a more inflammatory profile (CD86 and CD86/CD163). Conclusions: Overall, monocytes show inflammatory skewing in FH individuals, even those with moderately-reduced cholesterol levels. These monocytes readily become inflammatory macrophages. This, along with subsequent inflammatory macrophage formation, could contribute to plaque destabilisation and downstream clinical events. This supports inflammatory monocyte targeting as a potential approach to reduce residual risk in FH individuals.

Indexed as

AtherosclerosisCholesterolInflammationMacrophagesMonocytesStatins

Identifiers

PMID41054423
PMCPMC12496229

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.