Loading…

Serum Heat Shock Protein 27 Levels Represent a Potential Therapeutic Target for Atherosclerosis: Observations From a Human Cohort and Treatment of Female Mice

The aim of this study was to evaluate the potential of serum heat shock protein 27 (HSP27) as a therapeutic target in coronary artery disease. Expression of HSP27 in human coronary arteries diminishes with the progression of atherosclerosis, whereas ubiquitous HSP27 overexpression in apolipoprotein...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American College of Cardiology 2013-10, Vol.62 (16), p.1446-1454
Main Authors: SEIBERT, Tara A, HIBBERT, Benjamin, HAWKEN, Steven, WILSON, Kumanan R, O'BRIEN, Edward R, CHEN, Yong-Xiang, RAYNER, Katey, SIMARD, Trevor, TIEQIANG HU, CUERRIER, Charles M, XIAOLING ZHAO, DE BELLEROCHE, Jacqueline, CHOW, Benjamin J. W
Format: Article
Language:English
Subjects:
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites
container_end_page 1454
container_issue 16
container_start_page 1446
container_title Journal of the American College of Cardiology
container_volume 62
creator SEIBERT, Tara A
HIBBERT, Benjamin
HAWKEN, Steven
WILSON, Kumanan R
O'BRIEN, Edward R
CHEN, Yong-Xiang
RAYNER, Katey
SIMARD, Trevor
TIEQIANG HU
CUERRIER, Charles M
XIAOLING ZHAO
DE BELLEROCHE, Jacqueline
CHOW, Benjamin J. W
description The aim of this study was to evaluate the potential of serum heat shock protein 27 (HSP27) as a therapeutic target in coronary artery disease. Expression of HSP27 in human coronary arteries diminishes with the progression of atherosclerosis, whereas ubiquitous HSP27 overexpression in apolipoprotein E(-/-) (ApoE(-/-)) mice attenuates atherogenesis. However, it remains unclear whether increasing serum HSP27 levels alone is sufficient for atheroprotection. Low- and intermediate-risk patients undergoing coronary or computed tomography angiography had serum HSP27 levels measured. Elevated serum HSP27 levels in female atheroprone ApoE(-/-) mice were achieved by transplantation with HSP27 overexpressing bone marrow or by administering recombinant HSP27. Patients with >50% stenosis in any major epicardial artery had lower HSP27 levels compared with those free of atherosclerosis (median [interquartile range]: 2,176 pg/ml [551-5,475] vs. 6,200 pg/ml [2,575-9,560]; p < 0.001). After a 5-year period of clinical follow-up, low serum HSP27 levels (
doi_str_mv 10.1016/j.jacc.2013.05.041
format article
fullrecord <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1443400365</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1443400365</sourcerecordid><originalsourceid>FETCH-LOGICAL-p241t-551d34b262cc40aeb1fcea2bdb34ea9e507a68900572cce9498e62eddaa11bcf3</originalsourceid><addsrcrecordid>eNpFkE1v00AQhlcIREPLH-CA5oLExWY__cGtighBCmrVpudovB6TDbbX7K4r8Wf6W3FFEJcZad5Hz4yGsXeC54KL4tMpP6G1ueRC5dzkXIsXbCWMqTJl6vIlW_FSmUzwurxgb2I8cc6LStSv2YVUZaErWa3Y0z2FeYAtYYL7o7c_4Tb4RG4EWcKOHqmPcEdToEhjAoTbJRyTwx72Rwo40ZychT2GH5Sg8wGu0zL30fbP1cXPcNNECo-YnB8jbIIfFst2HnCEtT_6sEjHFvZhOWB4XuE72NCAPcF3Z-mKveqwj_T23C_Zw-bLfr3Ndjdfv62vd9kktUiZMaJVupGFtFZzpEZ0llA2baM0YU2Gl1hUNeemXAiqdV1RIaltEYVobKcu2ce_3in4XzPFdBhctNT3OJKf40ForTTnqjAL-v6Mzs1A7WEKbsDw-_Dvpwvw4QxgtNh3AUfr4n-u4kqKolZ_AHVxiTw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1443400365</pqid></control><display><type>article</type><title>Serum Heat Shock Protein 27 Levels Represent a Potential Therapeutic Target for Atherosclerosis: Observations From a Human Cohort and Treatment of Female Mice</title><source>BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS</source><creator>SEIBERT, Tara A ; HIBBERT, Benjamin ; HAWKEN, Steven ; WILSON, Kumanan R ; O'BRIEN, Edward R ; CHEN, Yong-Xiang ; RAYNER, Katey ; SIMARD, Trevor ; TIEQIANG HU ; CUERRIER, Charles M ; XIAOLING ZHAO ; DE BELLEROCHE, Jacqueline ; CHOW, Benjamin J. W</creator><creatorcontrib>SEIBERT, Tara A ; HIBBERT, Benjamin ; HAWKEN, Steven ; WILSON, Kumanan R ; O'BRIEN, Edward R ; CHEN, Yong-Xiang ; RAYNER, Katey ; SIMARD, Trevor ; TIEQIANG HU ; CUERRIER, Charles M ; XIAOLING ZHAO ; DE BELLEROCHE, Jacqueline ; CHOW, Benjamin J. W</creatorcontrib><description>The aim of this study was to evaluate the potential of serum heat shock protein 27 (HSP27) as a therapeutic target in coronary artery disease. Expression of HSP27 in human coronary arteries diminishes with the progression of atherosclerosis, whereas ubiquitous HSP27 overexpression in apolipoprotein E(-/-) (ApoE(-/-)) mice attenuates atherogenesis. However, it remains unclear whether increasing serum HSP27 levels alone is sufficient for atheroprotection. Low- and intermediate-risk patients undergoing coronary or computed tomography angiography had serum HSP27 levels measured. Elevated serum HSP27 levels in female atheroprone ApoE(-/-) mice were achieved by transplantation with HSP27 overexpressing bone marrow or by administering recombinant HSP27. Patients with &gt;50% stenosis in any major epicardial artery had lower HSP27 levels compared with those free of atherosclerosis (median [interquartile range]: 2,176 pg/ml [551-5,475] vs. 6,200 pg/ml [2,575-9,560]; p &lt; 0.001). After a 5-year period of clinical follow-up, low serum HSP27 levels (&lt;50th percentile) were predictive of subsequent major adverse cardiovascular events (hazard ratio: 2.93, 95% confidence interval: 1.06 to 8.12; p = 0.04). In experimental murine models of atherosclerosis, increasing serum HSP27 levels both reduced de novo atherosclerotic lesion formation and enhanced features of plaque stability. In humans, low serum HSP27 levels are associated with the presence of coronary artery disease and prognostic of future adverse clinical events. In mouse models of atherosclerosis, increasing HSP27 levels reduced lesion progression and promoted features of plaque stability. Serum HSP27 levels may represent a potential therapeutic target for atherosclerosis.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2013.05.041</identifier><identifier>PMID: 23764828</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier</publisher><subject>Aged ; Animals ; Atherosclerosis (general aspects, experimental research) ; Atherosclerosis - blood ; Atherosclerosis - diagnosis ; Atherosclerosis - drug therapy ; Atherosclerosis - physiopathology ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Cohort Studies ; Coronary Angiography - methods ; Coronary Vessels - pathology ; Disease Models, Animal ; Female ; Heart ; HSP27 Heat-Shock Proteins - blood ; HSP27 Heat-Shock Proteins - pharmacology ; Humans ; Male ; Medical sciences ; Mice ; Middle Aged ; Multidetector Computed Tomography - methods ; Outcome Assessment (Health Care) ; Plaque, Atherosclerotic - drug therapy ; Plaque, Atherosclerotic - pathology ; Plaque, Atherosclerotic - physiopathology ; Predictive Value of Tests ; Prognosis ; Treatment Outcome</subject><ispartof>Journal of the American College of Cardiology, 2013-10, Vol.62 (16), p.1446-1454</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=28032169$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23764828$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SEIBERT, Tara A</creatorcontrib><creatorcontrib>HIBBERT, Benjamin</creatorcontrib><creatorcontrib>HAWKEN, Steven</creatorcontrib><creatorcontrib>WILSON, Kumanan R</creatorcontrib><creatorcontrib>O'BRIEN, Edward R</creatorcontrib><creatorcontrib>CHEN, Yong-Xiang</creatorcontrib><creatorcontrib>RAYNER, Katey</creatorcontrib><creatorcontrib>SIMARD, Trevor</creatorcontrib><creatorcontrib>TIEQIANG HU</creatorcontrib><creatorcontrib>CUERRIER, Charles M</creatorcontrib><creatorcontrib>XIAOLING ZHAO</creatorcontrib><creatorcontrib>DE BELLEROCHE, Jacqueline</creatorcontrib><creatorcontrib>CHOW, Benjamin J. W</creatorcontrib><title>Serum Heat Shock Protein 27 Levels Represent a Potential Therapeutic Target for Atherosclerosis: Observations From a Human Cohort and Treatment of Female Mice</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>The aim of this study was to evaluate the potential of serum heat shock protein 27 (HSP27) as a therapeutic target in coronary artery disease. Expression of HSP27 in human coronary arteries diminishes with the progression of atherosclerosis, whereas ubiquitous HSP27 overexpression in apolipoprotein E(-/-) (ApoE(-/-)) mice attenuates atherogenesis. However, it remains unclear whether increasing serum HSP27 levels alone is sufficient for atheroprotection. Low- and intermediate-risk patients undergoing coronary or computed tomography angiography had serum HSP27 levels measured. Elevated serum HSP27 levels in female atheroprone ApoE(-/-) mice were achieved by transplantation with HSP27 overexpressing bone marrow or by administering recombinant HSP27. Patients with &gt;50% stenosis in any major epicardial artery had lower HSP27 levels compared with those free of atherosclerosis (median [interquartile range]: 2,176 pg/ml [551-5,475] vs. 6,200 pg/ml [2,575-9,560]; p &lt; 0.001). After a 5-year period of clinical follow-up, low serum HSP27 levels (&lt;50th percentile) were predictive of subsequent major adverse cardiovascular events (hazard ratio: 2.93, 95% confidence interval: 1.06 to 8.12; p = 0.04). In experimental murine models of atherosclerosis, increasing serum HSP27 levels both reduced de novo atherosclerotic lesion formation and enhanced features of plaque stability. In humans, low serum HSP27 levels are associated with the presence of coronary artery disease and prognostic of future adverse clinical events. In mouse models of atherosclerosis, increasing HSP27 levels reduced lesion progression and promoted features of plaque stability. Serum HSP27 levels may represent a potential therapeutic target for atherosclerosis.</description><subject>Aged</subject><subject>Animals</subject><subject>Atherosclerosis (general aspects, experimental research)</subject><subject>Atherosclerosis - blood</subject><subject>Atherosclerosis - diagnosis</subject><subject>Atherosclerosis - drug therapy</subject><subject>Atherosclerosis - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Cohort Studies</subject><subject>Coronary Angiography - methods</subject><subject>Coronary Vessels - pathology</subject><subject>Disease Models, Animal</subject><subject>Female</subject><subject>Heart</subject><subject>HSP27 Heat-Shock Proteins - blood</subject><subject>HSP27 Heat-Shock Proteins - pharmacology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mice</subject><subject>Middle Aged</subject><subject>Multidetector Computed Tomography - methods</subject><subject>Outcome Assessment (Health Care)</subject><subject>Plaque, Atherosclerotic - drug therapy</subject><subject>Plaque, Atherosclerotic - pathology</subject><subject>Plaque, Atherosclerotic - physiopathology</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Treatment Outcome</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNpFkE1v00AQhlcIREPLH-CA5oLExWY__cGtighBCmrVpudovB6TDbbX7K4r8Wf6W3FFEJcZad5Hz4yGsXeC54KL4tMpP6G1ueRC5dzkXIsXbCWMqTJl6vIlW_FSmUzwurxgb2I8cc6LStSv2YVUZaErWa3Y0z2FeYAtYYL7o7c_4Tb4RG4EWcKOHqmPcEdToEhjAoTbJRyTwx72Rwo40ZychT2GH5Sg8wGu0zL30fbP1cXPcNNECo-YnB8jbIIfFst2HnCEtT_6sEjHFvZhOWB4XuE72NCAPcF3Z-mKveqwj_T23C_Zw-bLfr3Ndjdfv62vd9kktUiZMaJVupGFtFZzpEZ0llA2baM0YU2Gl1hUNeemXAiqdV1RIaltEYVobKcu2ce_3in4XzPFdBhctNT3OJKf40ForTTnqjAL-v6Mzs1A7WEKbsDw-_Dvpwvw4QxgtNh3AUfr4n-u4kqKolZ_AHVxiTw</recordid><startdate>20131015</startdate><enddate>20131015</enddate><creator>SEIBERT, Tara A</creator><creator>HIBBERT, Benjamin</creator><creator>HAWKEN, Steven</creator><creator>WILSON, Kumanan R</creator><creator>O'BRIEN, Edward R</creator><creator>CHEN, Yong-Xiang</creator><creator>RAYNER, Katey</creator><creator>SIMARD, Trevor</creator><creator>TIEQIANG HU</creator><creator>CUERRIER, Charles M</creator><creator>XIAOLING ZHAO</creator><creator>DE BELLEROCHE, Jacqueline</creator><creator>CHOW, Benjamin J. W</creator><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20131015</creationdate><title>Serum Heat Shock Protein 27 Levels Represent a Potential Therapeutic Target for Atherosclerosis: Observations From a Human Cohort and Treatment of Female Mice</title><author>SEIBERT, Tara A ; HIBBERT, Benjamin ; HAWKEN, Steven ; WILSON, Kumanan R ; O'BRIEN, Edward R ; CHEN, Yong-Xiang ; RAYNER, Katey ; SIMARD, Trevor ; TIEQIANG HU ; CUERRIER, Charles M ; XIAOLING ZHAO ; DE BELLEROCHE, Jacqueline ; CHOW, Benjamin J. W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p241t-551d34b262cc40aeb1fcea2bdb34ea9e507a68900572cce9498e62eddaa11bcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Animals</topic><topic>Atherosclerosis (general aspects, experimental research)</topic><topic>Atherosclerosis - blood</topic><topic>Atherosclerosis - diagnosis</topic><topic>Atherosclerosis - drug therapy</topic><topic>Atherosclerosis - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Cohort Studies</topic><topic>Coronary Angiography - methods</topic><topic>Coronary Vessels - pathology</topic><topic>Disease Models, Animal</topic><topic>Female</topic><topic>Heart</topic><topic>HSP27 Heat-Shock Proteins - blood</topic><topic>HSP27 Heat-Shock Proteins - pharmacology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mice</topic><topic>Middle Aged</topic><topic>Multidetector Computed Tomography - methods</topic><topic>Outcome Assessment (Health Care)</topic><topic>Plaque, Atherosclerotic - drug therapy</topic><topic>Plaque, Atherosclerotic - pathology</topic><topic>Plaque, Atherosclerotic - physiopathology</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SEIBERT, Tara A</creatorcontrib><creatorcontrib>HIBBERT, Benjamin</creatorcontrib><creatorcontrib>HAWKEN, Steven</creatorcontrib><creatorcontrib>WILSON, Kumanan R</creatorcontrib><creatorcontrib>O'BRIEN, Edward R</creatorcontrib><creatorcontrib>CHEN, Yong-Xiang</creatorcontrib><creatorcontrib>RAYNER, Katey</creatorcontrib><creatorcontrib>SIMARD, Trevor</creatorcontrib><creatorcontrib>TIEQIANG HU</creatorcontrib><creatorcontrib>CUERRIER, Charles M</creatorcontrib><creatorcontrib>XIAOLING ZHAO</creatorcontrib><creatorcontrib>DE BELLEROCHE, Jacqueline</creatorcontrib><creatorcontrib>CHOW, Benjamin J. W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SEIBERT, Tara A</au><au>HIBBERT, Benjamin</au><au>HAWKEN, Steven</au><au>WILSON, Kumanan R</au><au>O'BRIEN, Edward R</au><au>CHEN, Yong-Xiang</au><au>RAYNER, Katey</au><au>SIMARD, Trevor</au><au>TIEQIANG HU</au><au>CUERRIER, Charles M</au><au>XIAOLING ZHAO</au><au>DE BELLEROCHE, Jacqueline</au><au>CHOW, Benjamin J. W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum Heat Shock Protein 27 Levels Represent a Potential Therapeutic Target for Atherosclerosis: Observations From a Human Cohort and Treatment of Female Mice</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2013-10-15</date><risdate>2013</risdate><volume>62</volume><issue>16</issue><spage>1446</spage><epage>1454</epage><pages>1446-1454</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>The aim of this study was to evaluate the potential of serum heat shock protein 27 (HSP27) as a therapeutic target in coronary artery disease. Expression of HSP27 in human coronary arteries diminishes with the progression of atherosclerosis, whereas ubiquitous HSP27 overexpression in apolipoprotein E(-/-) (ApoE(-/-)) mice attenuates atherogenesis. However, it remains unclear whether increasing serum HSP27 levels alone is sufficient for atheroprotection. Low- and intermediate-risk patients undergoing coronary or computed tomography angiography had serum HSP27 levels measured. Elevated serum HSP27 levels in female atheroprone ApoE(-/-) mice were achieved by transplantation with HSP27 overexpressing bone marrow or by administering recombinant HSP27. Patients with &gt;50% stenosis in any major epicardial artery had lower HSP27 levels compared with those free of atherosclerosis (median [interquartile range]: 2,176 pg/ml [551-5,475] vs. 6,200 pg/ml [2,575-9,560]; p &lt; 0.001). After a 5-year period of clinical follow-up, low serum HSP27 levels (&lt;50th percentile) were predictive of subsequent major adverse cardiovascular events (hazard ratio: 2.93, 95% confidence interval: 1.06 to 8.12; p = 0.04). In experimental murine models of atherosclerosis, increasing serum HSP27 levels both reduced de novo atherosclerotic lesion formation and enhanced features of plaque stability. In humans, low serum HSP27 levels are associated with the presence of coronary artery disease and prognostic of future adverse clinical events. In mouse models of atherosclerosis, increasing HSP27 levels reduced lesion progression and promoted features of plaque stability. Serum HSP27 levels may represent a potential therapeutic target for atherosclerosis.</abstract><cop>New York, NY</cop><pub>Elsevier</pub><pmid>23764828</pmid><doi>10.1016/j.jacc.2013.05.041</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0735-1097
ispartof Journal of the American College of Cardiology, 2013-10, Vol.62 (16), p.1446-1454
issn 0735-1097
1558-3597
language eng
recordid cdi_proquest_miscellaneous_1443400365
source BACON - Elsevier - GLOBAL_SCIENCEDIRECT-OPENACCESS
subjects Aged
Animals
Atherosclerosis (general aspects, experimental research)
Atherosclerosis - blood
Atherosclerosis - diagnosis
Atherosclerosis - drug therapy
Atherosclerosis - physiopathology
Biological and medical sciences
Blood and lymphatic vessels
Cardiology. Vascular system
Cohort Studies
Coronary Angiography - methods
Coronary Vessels - pathology
Disease Models, Animal
Female
Heart
HSP27 Heat-Shock Proteins - blood
HSP27 Heat-Shock Proteins - pharmacology
Humans
Male
Medical sciences
Mice
Middle Aged
Multidetector Computed Tomography - methods
Outcome Assessment (Health Care)
Plaque, Atherosclerotic - drug therapy
Plaque, Atherosclerotic - pathology
Plaque, Atherosclerotic - physiopathology
Predictive Value of Tests
Prognosis
Treatment Outcome
title Serum Heat Shock Protein 27 Levels Represent a Potential Therapeutic Target for Atherosclerosis: Observations From a Human Cohort and Treatment of Female Mice
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T09%3A20%3A07IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Serum%20Heat%20Shock%20Protein%2027%20Levels%20Represent%20a%20Potential%20Therapeutic%20Target%20for%20Atherosclerosis:%20Observations%20From%20a%20Human%20Cohort%20and%20Treatment%20of%20Female%20Mice&rft.jtitle=Journal%20of%20the%20American%20College%20of%20Cardiology&rft.au=SEIBERT,%20Tara%20A&rft.date=2013-10-15&rft.volume=62&rft.issue=16&rft.spage=1446&rft.epage=1454&rft.pages=1446-1454&rft.issn=0735-1097&rft.eissn=1558-3597&rft.coden=JACCDI&rft_id=info:doi/10.1016/j.jacc.2013.05.041&rft_dat=%3Cproquest_pubme%3E1443400365%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-p241t-551d34b262cc40aeb1fcea2bdb34ea9e507a68900572cce9498e62eddaa11bcf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1443400365&rft_id=info:pmid/23764828&rfr_iscdi=true