Evidence map›Paper›PMID 18781470›Full record

ArticleAutoimmunity2008

Consequences of unlocking the cardiac myosin molecule in human myocarditis and cardiomyopathies.

Adita Mascaro-Blanco, Kathy Alvarez, Xichun Yu, JoAnn Lindenfeld, Leann Olansky, Timothy Lyons, David Duvall, Janet S Heuser, Albina Gosmanova, Carl J Rubenstein and 3 more

Abstract read
In one paragraph

Article in Autoimmunity, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

49 citing papers in PubMed, 78 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Adita Mascaro-BlancoDepartment of Microbiology and Immunology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Kathy Alvarez
Xichun Yu
JoAnn Lindenfeld
Leann Olansky
Timothy Lyons
David Duvall
Janet S Heuser
Albina Gosmanova
Carl J Rubenstein
Leslie T Cooper
David C Kem
Madeleine W Cunningham
University of Oklahoma Health Sciences Center · USMayo Clinic in Arizona · USOklahoma Heart Hospital · USUniversity of Colorado Health · US

Funding

AUTOIMMUNE DETERMINANTS OF HUMAN CARDIAC MYOSINR01HL056267 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI COOPER, LESLIE T, CUNNINGHAM, MADELEINE W. · 1997 to 2013
$4.7M
Autoimmune Determinants of Human Cardiac MyosinR56HL056267 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI COOPER, LESLIE T, CUNNINGHAM, MADELEINE W. · 2008 to 2015
$933k
MECHANISMS OF SLOWED MYOCARDIAL RELAXATIONR29HL056257 · NHLBI · NORTHERN CALIFORNIA INSTITUTE RES &EDUC · PI BAKER, ANTHONY J. · 1997 to 2000
$109k
NHLBI NIH HHS HL35282NHLBI NIH HHS HL56257NHLBI NIH HHS R01 HL056267NHLBI NIH HHS R56 HL056267
6 · The paper itself

Abstract

Myocarditis, often initiated by viral infection, may progress to autoimmune inflammatory heart disease, dilated cardiomyopathy and heart failure. Although cardiac myosin is a dominant autoantigen in animal models of myocarditis and is released from the heart during viral myocarditis, the characterization, role and significance of anti-cardiac myosin autoantibodies is poorly defined. In our study, we define the human cardiac myosin epitopes in human myocarditis and cardiomyopathies and establish a mechanism to explain how anti-cardiac myosin autoantibodies may contribute to heart disease. We show that autoantibodies to cardiac myosin in sera from myocarditis and dilated cardiomyopathies in humans targeted primarily epitopes in the S2 hinge region of cardiac myosin. In addition, anti-cardiac myosin antibodies in sera or purified IgG from myocarditis and cardiomyopathy targeted the beta-adrenergic receptor and induced antibody-mediated cAMP-dependent protein kinase A (PKA) cell signaling activity in heart cells. Antibody-mediated PKA activity in sera was abrogated by absorption with anti-human IgG. Antibody-mediated cell signaling of PKA was blocked by antigen-specific inhibition by human cardiac myosin or the beta-adrenergic receptor but not the alpha adrenergic receptor or bovine serum albumin. Propranolol, a beta blocker and inhibitor of the beta-adrenergic receptor pathway also blocked the antibody-mediated signaling of the beta-adrenergic receptor and PKA. The data suggest that IgG antibody against human cardiac myosin reacts with the beta-adrenergic receptor and triggers PKA signaling in heart cells. In summary, we have identified a new class of crossreactive autoantibodies against human cardiac myosin and the beta-adrenergic receptor in the heart. In addition, we have defined disease specific peptide epitopes in the human cardiac myosin rod S2 region in human myocarditis and cardiomyopathy as well as a mechanistic role of autoantibody in the pathogenesis of disease.

Indexed as

Adrenergic beta-2 Receptor AntagonistsAmino Acid SequenceAutoantibodiesCardiac MyosinsCardiomyopathiesCardiomyopathy, DilatedCross ReactionsCyclic AMP-Dependent Protein KinasesEpitopesHumansImmunoglobulin GMolecular Sequence DataMyocarditisPropranololReceptors, Adrenergic, beta-2Adrenergic beta-2 Receptor AntagonistsAutoantibodiesCardiac MyosinsCyclic AMP-Dependent Protein KinasesEpitopesImmunoglobulin GPropranololReceptors, Adrenergic, beta-2

Identifiers

PMID18781470
PMCPMC3108569
OpenAlexW1984345370

What OpenQuestion holds

Textmetadata
LicenceTDM
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.