Evidence map›Paper›PMID 12750399›Full record

ArticleThe Journal of clinical investigation2003

A mechanistic role for cardiac myocyte apoptosis in heart failure.

Detlef Wencker, Madhulika Chandra, Khanh Nguyen, Wenfeng Miao, Stavros Garantziotis, Stephen M Factor, Jamshid Shirani, Robert C Armstrong, Richard N Kitsis

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 303 papers.

0numbers the graph read from it
0cells of the map it votes in
303citing papers in PubMed
29.4field-weighted citation impact, top 1% 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.

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

303 citing papers in PubMed, 739 citations in OpenAlex.

  1. Article
  2. Review
  3. Multicellular senescence programs in the aged heart.Journal of molecular and cellular cardiology plus · 2026
    Review
  4. Regulated cell death programs shaping cancer therapy.Cellular oncology (Dordrecht, Netherlands) · 2026
    Review
  5. Article
  6. Review
  7. METTL14-dependent mbioRxiv : the preprint server for biology · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. One Syndrome, Many Faces: A Unified Perspective on Heart Failure Phenotypes.International journal of molecular sciences · 2025
    Review
  12. Review
  13. Apoptosis in Cardiac Conditions Including Cirrhotic Cardiomyopathy.International journal of molecular sciences · 2025
    Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Mitochondrial Dysfunction in Congenital Heart Disease.Journal of cardiovascular development and disease · 2025
    Review
  19. Regulatory mechanisms of mAmerican journal of translational research · 2025
    Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Detlef WenckerDepartment of Medicine (Molecular Cardiology), Albert Einstein College of Medicine, Bronx, New York 10461, USA.
Madhulika Chandra
Khanh Nguyen
Wenfeng Miao
Stavros Garantziotis
Stephen M Factor
Jamshid Shirani
Robert C Armstrong
Richard N Kitsis
Yeshiva University · USAlbert Einstein College of Medicine · USPfizer (United States) · US

Funding

CARDIAC MYOCYTE APOPTOSIS--MECHANISM AND SIGNIFICANCER01HL060665 · NHLBI · YESHIVA UNIVERSITY · PI KITSIS, RICHARD N · 1998 to 2013
$5.3M
CASPASES AND MYOCYTE APOPTOSIS IN HEART FAILURER01HL061550 · NHLBI · YESHIVA UNIVERSITY · PI KITSIS, RICHARD N · 1998 to 2007
$2.5M
NHLBI NIH HHS R01 HL060665NHLBI NIH HHS R01 HL061550NHLBI NIH HHS R01 HL60665NHLBI NIH HHS R01 HL61550
6 · The paper itself

Abstract

Heart failure is a common, lethal condition whose pathogenesis is poorly understood. Recent studies have identified low levels of myocyte apoptosis (80-250 myocytes per 10(5) nuclei) in failing human hearts. It remains unclear, however, whether this cell death is a coincidental finding, a protective process, or a causal component in pathogenesis. Using transgenic mice that express a conditionally active caspase exclusively in the myocardium, we demonstrate that very low levels of myocyte apoptosis (23 myocytes per 10(5) nuclei, compared with 1.5 myocytes per 10(5) nuclei in controls) are sufficient to cause a lethal, dilated cardiomyopathy. Interestingly, these levels are four- to tenfold lower than those observed in failing human hearts. Conversely, inhibition of cardiac myocyte death in this murine model largely prevents the development of cardiac dilation and contractile dysfunction, the hallmarks of heart failure. To our knowledge, these data provide the first direct evidence that myocyte apoptosis may be a causal mechanism of heart failure, and they suggest that inhibition of this cell death process may constitute the basis for novel therapies.

Indexed as

ApoptosisDisease Models, AnimalAnimalsCaspase 8Caspase 9CaspasesDimerizationDisease ProgressionEnzyme ActivationEnzyme ActivatorsHeart FailureHumansMiceMice, Inbred C57BLMice, TransgenicMyocardiumCASP8 protein, humanCasp8 protein, mouseCASP9 protein, humanCasp9 protein, mouseCaspase 8Caspase 9CaspasesEnzyme ActivatorsFK 1012Recombinant Fusion ProteinsTacrolimusTacrolimus Binding Proteins

Identifiers

PMID12750399
PMCPMC155051
OpenAlexW2002958873

What OpenQuestion holds

Textmetadata
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.