Evidence map›Paper›PMID 22135478›Full record

ArticleJournal of cardiovascular disease research2011

Evaluating the role of connexin43 in congenital heart disease: Screening for mutations in patients with outflow tract anomalies and the analysis of knock-in mouse models.

Guo-Ying Huang, Li-Jian Xie, Kaari L Linask, Chen Zhang, Xiao-Qing Zhao, Yi Yang, Guo-Min Zhou, Ying-Jie Wu, Lucrecia Marquez-Rosado, Doff B McElhinney and 5 more

Abstract read
In one paragraph

Article in Journal of cardiovascular disease research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
1.1field-weighted citation impact, top 25% 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

37 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Injury-induced connexin 43 expression regulates endothelial wound healing.American journal of physiology. Heart and circulatory physiology · 2025
    Article
  3. Review
  4. Mutations of theMedicina (Kaunas, Lithuania) · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Connexin Mutations and Hereditary Diseases.International journal of molecular sciences · 2022
    Review
  9. Article
  10. Article
  11. Connexin43 promotes angiogenesis through activating the HIF-1α/VEGF signaling pathway under chronic cerebral hypoperfusion.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Article
  12. Mechanisms of Connexin Regulating Peptides.International journal of molecular sciences · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Importance of Cx43 for Right Ventricular Function.International journal of molecular sciences · 2021
    Review
  17. Review
  18. Article
  19. Article
  20. 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

15 authors at 6 institutions in 2 countries.

Guo-Ying HuangChildren's Hospital of Fudan University, Shanghai, China.
Li-Jian Xie
Kaari L Linask
Chen Zhang
Xiao-Qing Zhao
Yi Yang
Guo-Min Zhou
Ying-Jie Wu
Lucrecia Marquez-Rosado
Doff B McElhinney
Elizabeth Goldmuntz
Chengyu Liu
Paul D Lampe
Bishwanath Chatterjee
Cecilia W Lo
Children's Hospital of Fudan University · CNCancer Research Center · USPhiladelphia University · USUniversity of Pittsburgh · USFudan University · CNTransgenomic (United States) · US

Funding

Transgenic CoreZICHL005907 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LIU, CHENGYU · 2010 to 2025
$25.8M
Molecular Analysis of Human Subtelomeric RearrangementsP50HL074731 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI LEVY, ROBERT J · 2004 to 2008
$19.2M
Cell-cell Interactions /Cell Signaling In CardiovascularZ01HL005701 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LO, CECILIA W. · 2002 to 2008
$6.2M
PHOSPHORYLATION OF GAP JUNCTION PROTEINSR01GM055632 · NIGMS · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LAMPE, PAUL D. · 1997 to 2017
$6.1M
Intramural NIH HHS Z01 HL005701NHLBI NIH HHS P50 HL074731NIGMS NIH HHS R01 GM055632
6 · The paper itself

Abstract

backgroundGJA1 gene encodes a gap junction protein known as connexin 43 (Cx43). Cx43 is abundantly expressed in the ventricular myocardium and in cardiac neural crest cells. Cx43 is proposed to play an important role in human congenital heart disease, as GJA1 knock-out mice die neonatally from outflow tract obstruction. In addition, patients with visceroatrial heterotaxia or hypoplastic left heart syndrome were reported to have point mutations in GJA1 at residues that affect protein kinase phosphorylation and gating of the gap junction channel. However, as these clinical findings were not replicated in subsequent studies, the question remains about the contribution of GJA1 mutations in human congenital heart disease (CHD). MATERIALS AND

methodsWe analyzed the GJA1 coding sequence in 300 patients with CHD from two clinical centers, focusing on outflow tract anomalies. This included 152 with Tetralogy of Fallot from over 200 patients exhibiting outflow tract anomalies, as well as other structural heart defects including atrioventricular septal defects and other valvar anomalies. Our sequencing analysis revealed only two silent nucleotide substitutions in 8 patients. To further assess the possible role of Cx43 in CHD, we also generated two knock-in mouse models with point mutations at serine residues subject to protein kinase C or casein kinase phosphorylation, sites that are known to regulate gating and trafficking of Cx43, respectively.

resultsBoth heterozygous and homozygous knock-in mice were long term viable and did not exhibit overt CHD.

conclusionThe combined clinical and knock-in mouse mutant studies indicate GJA1 mutation is not likely a major contributor to CHD, especially those involving outflow tract anomalies.

Indexed as

congenital heart diseaseConnexin43gap junctionknock-in mouse modeloutflow tractphosphorylations

Identifiers

PMID22135478
PMCPMC3224440
OpenAlexW2017353698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.