Evidence map›Paper›PMID 19237664›Full record

ArticleCirculation2009

Long-term cardiac-targeted RNA interference for the treatment of heart failure restores cardiac function and reduces pathological hypertrophy.

Lennart Suckau, Henry Fechner, Elie Chemaly, Stefanie Krohn, Lahouaria Hadri, Jens Kockskämper, Dirk Westermann, Egbert Bisping, Hung Ly, Xiaomin Wang and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
10.9field-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

105 citing papers in PubMed, 216 citations in OpenAlex.

  1. RNA-Based Therapies for Treating Monogenic Cardiomyopathies.The Canadian journal of cardiology · 2026
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  16. Delivery of transcription factors as modulators of cell differentiation.Drug delivery and translational research · 2021
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45 more citing papers are in PubMed but not listed here.

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

24 authors at 1 institution in 1 country.

Lennart SuckauDepartment of Cardiology and Pneumology, Charité-University Medicine Berlin, Germany.
Henry Fechner
Elie Chemaly
Stefanie Krohn
Lahouaria Hadri
Jens Kockskämper
Dirk Westermann
Egbert Bisping
Hung Ly
Xiaomin Wang
Yoshiaki Kawase
Jiqiu Chen
Lifan Liang
Isaac Sipo
Roland Vetter
Stefan Weger
Jens Kurreck
Volker Erdmann
Carsten Tschope
Burkert Pieske
Djamel Lebeche
Heinz-Peter Schultheiss
Roger J Hajjar
Wolfgang C Poller
Franklin University · US

Funding

TRAINING PROGRAM IN MOLECULAR AND CELLULAR CARDIOLOGYT32HL007824 · NHLBI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI GELB, BRUCE D · 1995 to 2022
$8.6M
Optical &MRI Imaging of Stem Cells in Diseased HeartsR01HL078691 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HAJJAR, ROGER J. · 2004 to 2007
$2.6M
PICOT and Cardiac HypertrophyR01HL080498 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HAJJAR, ROGER J. · 2006 to 2010
$2.2M
Targeting Calcium Cycling in Pre-Clinical Model CardiacR01HL083156 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HAJJAR, ROGER J. · 2006 to 2010
$1.7M
K and Ca Channels in Cardiac Hypertrophy and FailureR01HL071763 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI HAJJAR, ROGER J. · 2003 to 2006
$1.6M
Electrical Remodeling and Cardiac Hypertrophy and SignalingK01HL076659 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI LEBECHE, DJAMEL · 2004 to 2008
$676k
NHLBI NIH HHS HL071763NHLBI NIH HHS HL080498NHLBI NIH HHS HL083156NHLBI NIH HHS K01 HL076659NHLBI NIH HHS R01 HL071763NHLBI NIH HHS R01 HL078691NHLBI NIH HHS R01 HL080498NHLBI NIH HHS R01 HL083156NHLBI NIH HHS T32 HL007824
6 · The paper itself

Abstract

backgroundRNA interference (RNAi) has the potential to be a novel therapeutic strategy in diverse areas of medicine. Here, we report on targeted RNAi for the treatment of heart failure, an important disorder in humans that results from multiple causes. Successful treatment of heart failure is demonstrated in a rat model of transaortic banding by RNAi targeting of phospholamban, a key regulator of cardiac Ca(2+) homeostasis. Whereas gene therapy rests on recombinant protein expression as its basic principle, RNAi therapy uses regulatory RNAs to achieve its effect. METHODS AND

resultsWe describe structural requirements to obtain high RNAi activity from adenoviral and adeno-associated virus (AAV9) vectors and show that an adenoviral short hairpin RNA vector (AdV-shRNA) silenced phospholamban in cardiomyocytes (primary neonatal rat cardiomyocytes) and improved hemodynamics in heart-failure rats 1 month after aortic root injection. For simplified long-term therapy, we developed a dimeric cardiotropic adeno-associated virus vector (rAAV9-shPLB) to deliver RNAi activity to the heart via intravenous injection. Cardiac phospholamban protein was reduced to 25%, and suppression of sacroplasmic reticulum Ca(2+) ATPase in the HF groups was rescued. In contrast to traditional vectors, rAAV9 showed high affinity for myocardium but low affinity for liver and other organs. rAAV9-shPLB therapy restored diastolic (left ventricular end-diastolic pressure, dp/dt(min), and tau) and systolic (fractional shortening) functional parameters to normal ranges. The massive cardiac dilation was normalized, and cardiac hypertrophy, cardiomyocyte diameter, and cardiac fibrosis were reduced significantly. Importantly, no evidence was found of microRNA deregulation or hepatotoxicity during these RNAi therapies.

conclusionsOur data show for the first time the high efficacy of an RNAi therapeutic strategy in a cardiac disease.

Indexed as

RNA InterferenceAdenoviridaeAnimalsAortaCalciumCalcium-Binding ProteinsCardiomegalyCells, CulturedDisease Models, AnimalEchocardiographyGenetic TherapyGenetic VectorsHeart FailureMicroRNAsMyocytes, CardiacPhospholambanCalciumCalcium-Binding ProteinsMicroRNAsPhospholamban

Identifiers

PMID19237664
PMCPMC4298485
OpenAlexW2089055579

What OpenQuestion holds

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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.