Evidence map›Paper›PMID 7508683›Full record

ArticleThe American journal of pathology1994

Exuberant endothelial cell growth and elements of inflammation are present in plexiform lesions of pulmonary hypertension.

R M Tuder, B Groves, D B Badesch, N F Voelkel

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in The American journal of pathology, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04499196 (Prospective Study of Glucocorticoids as a Mechanism to Treat Pulmonary Hypertension), which is not on this map. Cited by 328 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
328citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% of its field
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.

NCT04499196 unknown statusnot on this mapstarted 2020, after this paper: background citation

Prospective Study of Glucocorticoids as a Mechanism to Treat Pulmonary Hypertension

TypeobservationalSponsorWashington University School of MedicineRan2020 to 2022Enrolled40ConditionsPulmonary Hypertension Due to Lung Diseases and Hypoxia, Pulmonary Hypertension, Bronchopulmonary DysplasiaArmsGlucoCorticoid
3 · Its place in the literature

Who cites it

328 citing papers in PubMed, 1 synthesis or guideline pooled it, 802 citations in OpenAlex.

  1. Meta-analysis of blood genome-wide expression profiling studies in pulmonary arterial hypertension.American journal of physiology. Lung cellular and molecular physiology · 2020
    Pooled it
  2. Trial
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  5. Endothelial c-IAP2 loss amplifies P2X7 receptor-driven inflammation and worsens schistosomiasis-associated pulmonary hypertension.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  7. Review
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  9. Article
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  12. Article
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  14. Cellular senescence in adult pulmonary hypertension: current state and future challenges.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

268 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

R M TuderDepartment of Pathology, University of Colorado Health Sciences Center, Denver 80262.
B Groves
D B Badesch
N F Voelkel
University of Colorado Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The plexiform lesion in primary pulmonary hypertension is a glomeruloid structure forming channels in branches of the pulmonary artery. These lesions have been considered an abnormal growth of modified smooth muscle cells. We present immunohistochemical evidence in 10 cases of plexogenic pulmonary hypertension that the plexiform channels and the concentric obliterative arteriopathy associated with these channels represent abnormal growth of factor VIII-related antigen-positive endothelial cells. In addition, these cells strongly expressed vimentin, a growth- and differentiation-related intermediate filament. Morphologically and immunohistochemically, the lesions resembled the neovascularization associated with the brain tumor glioblastoma multiform. Furthermore, we noted an exclusively perivascular inflammatory cell infiltrate (but no vasculitis) in seven of the 10 cases with plexogenic arteriopathy composed of T cells, B cells, and macrophages. Our findings indicate that the plexiform lesion may result from a deregulated growth of endothelial cells. The presence of perivascular inflammatory cells suggested that cytokines and growth factors may further influence the development of the plexiform lesion.

Indexed as

AdultCell DivisionEndothelium, VascularFactor VIIIFemaleHumansHypertension, PulmonaryImmunoenzyme TechniquesLungMaleMiddle AgedMuscle, Smooth, VascularNeovascularization, PathologicPulmonary ArteryVasculitisVimentinFactor VIIIVimentin

Identifiers

PMID7508683
PMCPMC1887146
OpenAlexW1794373707

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.