Evidence map›Paper›PMID 19881492›Full record

ArticleNature medicine2009

Nexilin mutations destabilize cardiac Z-disks and lead to dilated cardiomyopathy.

David Hassel, Tillman Dahme, Jeanette Erdmann, Benjamin Meder, Andreas Huge, Monika Stoll, Steffen Just, Alexander Hess, Philipp Ehlermann, Dieter Weichenhan and 9 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

125 citing papers in PubMed, 1 synthesis or guideline pooled it, 212 citations in OpenAlex.

  1. Role of miRNA in Cardiovascular Diseases in Children-Systematic Review.International journal of molecular sciences · 2024
    Pooled it
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  20. Undetected Neuromuscular Disease in Patients after Heart Transplantation.International journal of molecular sciences · 2024
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 6 institutions in 1 country.

David HasselDepartment of Medicine III, University of Heidelberg, Heidelberg, Germany.
Tillman Dahme
Jeanette Erdmann
Benjamin Meder
Andreas Huge
Monika Stoll
Steffen Just
Alexander Hess
Philipp Ehlermann
Dieter Weichenhan
Matthias Grimmler
Henrike Liptau
Roland Hetzer
Vera Regitz-Zagrosek
Christine Fischer
Peter Nürnberg
Heribert Schunkert
Hugo A Katus
Wolfgang Rottbauer
Heidelberg University · DEUniversity of Lübeck · DEBerlin Heart (Germany) · DEUniversity of Münster · DEUniversity of Cologne · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Z-disks, the mechanical integration sites of heart and skeletal muscle cells, link anchorage of myofilaments to force reception and processing. The key molecules that enable the Z-disk to persistently withstand the extreme mechanical forces during muscle contraction have not yet been identified. Here we isolated nexilin (encoded by NEXN) as a novel Z-disk protein. Loss of nexilin in zebrafish led to perturbed Z-disk stability and heart failure. To evaluate the role of nexilin in human heart failure, we performed a genetic association study on individuals with dilated cardiomyopathy and found several mutations in NEXN associated with the disease. Nexilin mutation carriers showed the same cardiac Z-disk pathology as observed in nexilin-deficient zebrafish. Expression in zebrafish of nexilin proteins encoded by NEXN mutant alleles induced Z-disk damage and heart failure, demonstrating a dominant-negative effect and confirming the disease-causing nature of these mutations. Increasing mechanical strain aggravated Z-disk damage in nexilin-deficient skeletal muscle, implying a unique role of nexilin in protecting Z-disks from mechanical trauma.

Indexed as

Cardiomyopathy, DilatedAdultAgedAmino Acid SequenceAnimalsAnimals, Genetically ModifiedChromosome AberrationsChromosomes, Human, Pair 1Computational BiologyDisease Models, AnimalEmbryo, MammalianFamily HealthFemaleGenetic Predisposition to DiseaseHumansMaleMicrofilament ProteinsNEXN protein, human

Identifiers

PMID19881492
OpenAlexW2009404472

What OpenQuestion holds

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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.