Evidence map›Paper›PMID 21730058›Full record

ArticleThe Journal of biological chemistry2011

A novel role of endothelin-1 in linking Toll-like receptor 7-mediated inflammation to fibrosis in congenital heart block.

David Alvarez, Paraskevi Briassouli, Robert M Clancy, Jiri Zavadil, Joanne H Reed, Rosanna G Abellar, Marc Halushka, Karen Fox-Talbot, Franck J Barrat, Jill P Buyon

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00074373 (The Research Registry for Neonatal Lupus), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.2field-weighted citation impact, top 5% 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.

NCT00074373 completednot on this map

The Research Registry for Neonatal Lupus

TypeobservationalSponsorNYU Langone HealthRan2010 to 2016Enrolled100ConditionsNeonatal Lupus, Systemic Lupus Erythematosus, Sjogren's Syndrome, Congenital Heart BlockArmsNo intervention, observational
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
  2. Article
  3. Rewiring the scar: translational advances in cardiac fibrosis.The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology · 2025
    Review
  4. Maternal Immune Activation: Implications for Congenital Heart Defects.Clinical reviews in allergy & immunology · 2025
    Review
  5. Review
  6. Article
  7. NLRP3 activation contributes to endothelin-1-induced erectile dysfunction.Journal of cellular and molecular medicine · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Cardiac fibrosis.Cardiovascular research · 2021
    Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Pulmonary artery smooth muscle cell HIF-1α regulates endothelin expression via microRNA-543.American journal of physiology. Lung cellular and molecular physiology · 2018
    Article
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

10 authors at 4 institutions in 1 country.

David AlvarezNew York University Medical Center, New York, New York 10016.
Paraskevi BriassouliNew York University Medical Center, New York, New York 10016.
Robert M ClancyNew York University Medical Center, New York, New York 10016.
Jiri ZavadilNew York University Medical Center, New York, New York 10016.
Joanne H ReedNew York University Medical Center, New York, New York 10016.
Rosanna G AbellarColumbia University Medical Center, New York, New York 10032.
Marc HalushkaJohns Hopkins Medical Institutions, Baltimore, Maryland 21205.
Karen Fox-TalbotJohns Hopkins Medical Institutions, Baltimore, Maryland 21205.
Franck J BarratDynavax Technologies, Berkeley, California 94710.
Jill P BuyonNew York University Medical Center, New York, New York 10016. Electronic address: Jill.Buyon@nyumc.org.
Columbia University Irving Medical Center · USJohns Hopkins University · USNew York University · USDynavax Technologies (United States) · US

Funding

Maternal Autoantibodies: Pathogenesis of Neonatal LupusR37AR042455 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL P · 2008 to 2018
$4.0M
MATERNAL AUTOANTIBODIES--PATHOGENESIS OF NEONATAL LUPUSR01AR042455 · NIAMS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BUYON, JILL PAMELA · 1994 to 2007
$2.7M
NIAMS NIH HHS AR-42455NIAMS NIH HHS N01-AR-4-2271NIAMS NIH HHS R01 AR042455NIAMS NIH HHS R37 AR042455
6 · The paper itself

Abstract

Autoimmune associated congenital heart block (CHB) may result from pathogenic cross-talk between inflammatory and profibrosing pathways. Incubation of macrophages with immune complexes (IC) composed of Ro60, a target of the pathologic maternal autoantibodies necessary for CHB, hY3 ssRNA, and affinity-purified anti-Ro60 antibody induces the Toll-like receptor 7 (TLR7)-dependent generation of supernatants that provoke a fibrosing phenotype in human fetal cardiac fibroblasts. We show herein that these cells are a major source of TGFβ and that endothelin-1 (ET-1) is one of the key components responsible for the profibrosing effects generated by stimulated macrophages. Supernatants from macrophages incubated with IC induced the fibroblast secretion of TGFβ, which was inhibited by treating the macrophages with an antagonist of TLR7. Under the same conditions, the induced fibroblast secretion of TGFβ was decreased by inhibitors of the ET-1 receptors ETa or ETb or by an anti-ET-1 antibody but not by an isotype control. Exogenous ET-1 induced a profibrosing phenotype, whereas fibroblasts transfected with either ETa or ETb siRNA were unresponsive to the profibrosing effects of the IC-generated macrophage supernatants. Immunohistochemistry of the hearts from two fetuses dying with CHB revealed the presence of ET-1-producing mononuclear cells in the septal region in areas of calcification and fibrosis. In conclusion, these data support a novel role of ET-1 in linking TLR7 inflammatory signaling to subsequent fibrosis and provide new insight in considering therapeutics for CHB.

Indexed as

InflammationAntibodiesAutoimmunityEndothelin-1FemaleFibroblastsFibrosisFlow CytometryHeart BlockHumansLeukocytes, MononuclearMacrophagesRibonucleoproteinsSS-A AntigenToll-Like Receptor 7Transforming Growth Factor betaAntibodiesEndothelin-1RibonucleoproteinsSS-A AntigenToll-Like Receptor 7Transforming Growth Factor beta

Identifiers

PMID21730058
PMCPMC3162404
OpenAlexW2022226947

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.