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Cited by 455

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

Cystatin C deficiency in human atherosclerosis and aortic aneurysms

Open access
Shi, Guo-Ping, Sukhova, Galina K., Grubb, Anders, Ducharme, Anique, Rhode, Luis H., Lee, Richard T., Ridker, Paul M., Libby, Peter, Chapman, Harold A.·1999·Journal of Clinical Investigation

Abstract

The pathogenesis of atherosclerosis and abdominal aortic aneurysm involves breakdown of the elastic laminae. Elastolytic cysteine proteases, including cathepsins S and K, are overexpressed at sites of arterial elastin damage, but whether endogenous local inhibitors counterbalance these proteases is unknown. We show here that, whereas cystatin C is normally expressed in vascular wall smooth muscle cells (SMCs), this cysteine protease inhibitor is severely reduced in both atherosclerotic and aneurysmal aortic lesions. Furthermore, increased abdominal aortic diameter among 122 patients screened by ultrasonography correlated inversely with serum cystatin C levels. In vitro, cytokine-stimulated vascular SMCs secrete cathepsins, whose elastolytic activity could be blocked when cystatin C secretion was induced by treatment with TGF-beta(1). The findings highlight a potentially important role for imbalance between cysteine proteases and cystatin C in arterial wall remodeling and establish that cystatin C deficiency occurs in vascular disease.

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Metadata

Authors
Shi, G.-P., Sukhova, G. K., Grubb, A., Ducharme, A., Rhode, L. H., Lee, R. T., Ridker, P. M., Libby, P., & Chapman, H. A.
Venue
Journal of Clinical Investigation
Published
1999-11-01
Volume
104
Issue
9
Pages
1191-1197
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2134704572
Cited by
455
References
46
FWCI
4.43
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Cystatin C deficiency in human atherosclerosis and aortic aneurysms. https://app.cochat.ai/papers/10.1172/jci7709
The paper
Shi, G.-P., Sukhova, G. K., Grubb, A., Ducharme, A., Rhode, L. H., Lee, R. T., Ridker, P. M., Libby, P., & Chapman, H. A. (1999). Cystatin C deficiency in human atherosclerosis and aortic aneurysms. Journal of Clinical Investigation. https://doi.org/10.1172/jci7709

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.