Evidence map›Paper›PMID 16823493›Full record

ArticleThe Journal of clinical investigation2006

Suppression of canonical Wnt/beta-catenin signaling by nuclear plakoglobin recapitulates phenotype of arrhythmogenic right ventricular cardiomyopathy.

Eduardo Garcia-Gras, Raffaella Lombardi, Michael J Giocondo, James T Willerson, Michael D Schneider, Dirar S Khoury, Ali J Marian

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 339 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
339citing papers in PubMed, 2 pooled it
16.1field-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

339 citing papers in PubMed, 2 syntheses or guidelines pooled it, 612 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Article
  5. FASN-mediatediScience · 2026
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  19. Tailored therapeutics for cardiomyopathies.Nature reviews. Cardiology · 2025
    Review
  20. Comprehensive analysis of desmosomal protein remodelling identifies desmocollin-2 as potential biomarker for arrhythmogenic cardiomyopathy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Eduardo Garcia-GrasSection of Cardiology and Center for Cardiac Development, Department of Medicine, Baylor College of Medicine, Houston, Texas 77030, USA.
Raffaella Lombardi
Michael J Giocondo
James T Willerson
Michael D Schneider
Dirar S Khoury
Ali J Marian
Baylor College of Medicine · US

Funding

Canonical Wnt Signaling in Pathogenesis and Rescue of ARVC PhenotypeR01HL088498 · NHLBI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MARIAN, ALI J · 2008 to 2017
$3.4M
Modifier Genes of Familial Hypertrophic CardiomyopathyR01HL068884 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI MARIAN, ALI J. · 2001 to 2005
$3.2M
SCOR IN HEART FAILUREP50HL042267 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI ROBERTS, ROBERT · 1990 to 1994
–
NHLBI NIH HHS P50-HL42267NHLBI NIH HHS R01 HL068884NHLBI NIH HHS R01 HL088498NHLBI NIH HHS R01-HL68884
6 · The paper itself

Abstract

Arrhythmogenic right ventricular dysplasia/cardiomyopathy (ARVC) is a genetic disease caused by mutations in desmosomal proteins. The phenotypic hallmark of ARVC is fibroadipocytic replacement of cardiac myocytes, which is a unique phenotype with a yet-to-be-defined molecular mechanism. We established atrial myocyte cell lines expressing siRNA against desmoplakin (DP), responsible for human ARVC. We show suppression of DP expression leads to nuclear localization of the desmosomal protein plakoglobin and a 2-fold reduction in canonical Wnt/beta-catenin signaling through Tcf/Lef1 transcription factors. The ensuing phenotype is increased expression of adipogenic and fibrogenic genes and accumulation of fat droplets. We further show that cardiac-restricted deletion of Dsp, encoding DP, impairs cardiac morphogenesis and leads to high embryonic lethality in the homozygous state. Heterozygous DP-deficient mice exhibited excess adipocytes and fibrosis in the myocardium, increased myocyte apoptosis, cardiac dysfunction, and ventricular arrhythmias, thus recapitulating the phenotype of human ARVC. We believe our results provide for a novel molecular mechanism for the pathogenesis of ARVC and establish cardiac-restricted DP-deficient mice as a model for human ARVC. These findings could provide for the opportunity to identify new diagnostic markers and therapeutic targets in patients with ARVC.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaAdipogenesisAnimalsbeta CateninCell NucleusCells, CulturedDesmoplakinsElectrophysiologyEmbryo, Mammaliangamma CateninHeart AtriaHumansMiceMice, KnockoutMyocytes, CardiacPhenotypebeta CateninDesmoplakinsgamma CateninRNA, Small InterferingTCF Transcription FactorsWnt Proteins

Identifiers

PMID16823493
PMCPMC1483165
OpenAlexW2138839726

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.