Evidence map›Paper›PMID 19446498›Full record

ReviewClinical immunology (Orlando, Fla.)2010

Cardiac troponins and autoimmunity: their role in the pathogenesis of myocarditis and of heart failure.

Ziya Kaya, Hugo A Katus, Noel R Rose

Abstract readReview
In one paragraph

Review in Clinical immunology (Orlando, Fla.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Hyperbaric Oxygen Therapy in Experimental Autoimmune Myocarditis: Insights from Preclinical Models to Translational Perspectives.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  6. RNA Therapeutics in Heart Failure.Journal of cardiovascular translational research · 2025
    Review
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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

3 authors at 2 institutions in 2 countries.

Ziya KayaDepartment of Cardiology, University of Heidelberg, 69120 Heidelberg, Germany. ziya.kaya@med.uni-heidelberg.de
Hugo A Katus
Noel R Rose
Heidelberg University · DEJohns Hopkins University · US

Funding

Pathogenesis of Autoimmune MyocarditisR01HL067290 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ROSE, NOEL R. · 2002 to 2009
$3.0M
Genetic mechanisms of autoimmune myocarditisR01HL077611 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ROSE, NOEL R. · 2004 to 2007
$1.4M
Genetic mechanisms of autoimmune myocarditisR56HL077611 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ROSE, NOEL R. · 2009 to 2009
$369k
NHLBI NIH HHS HL067290NHLBI NIH HHS HL077611NHLBI NIH HHS R01 HL067290NHLBI NIH HHS R01 HL077611NHLBI NIH HHS R56 HL077611
6 · The paper itself

Abstract

Despite the widespread use of cardiac troponins as biomarkers for the diagnosis and quantitation of cardiac injury, the effect of troponin release and a possible autoimmune response to the troponins is unknown. Other investigators reported that programmed cell death-1 (PD-1)-receptor deficient mice developed severe cardiomyopathy with autoantibodies to troponin I. We found that immunization of genetically susceptible mice with troponin I but not troponin T induced a robust autoimmune response leading to marked inflammation and fibrosis in the myocardium. At later times, antibodies to cardiac myosin were detected in troponin-immunized mice. The severity of inflammation correlated with expression of chemokines RANTES, MIP-2, IP-10 and MCP-1 in the myocardium. Prior immunization with troponin I increased the severity of experimental infarctions, indicating that an autoimmune response to troponin I aggravates acute cardiac damage. Cardiac inflammation, fibrosis and functional impairment were transferred from immunized to naive recipients by CD4+ T cells, and the cytokine profile suggested both Th2 and Th17 profiles in A/J mice. Finally we identified an 18-mer of troponin I containing an immuno-dominant epitope.

Indexed as

AnimalsAutoimmunityCardiomyopathiesDisease Models, AnimalHeart FailureHumansMiceMyocarditisMyocardiumTroponinTroponin

Identifiers

PMID19446498
PMCPMC2819185
OpenAlexW2039229911

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.