Evidence map›Paper›PMID 22143102›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2012

AAV6-βARKct gene delivery mediated by molecular cardiac surgery with recirculating delivery (MCARD) in sheep results in robust gene expression and increased adrenergic reserve.

Michael G Katz, Anthony S Fargnoli, JaBaris D Swain, Catherine E Tomasulo, Michele Ciccarelli, Z Maggie Huang, Joseph E Rabinowitz, Charles R Bridges

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Current Landscape of Heart Failure Gene Therapy.Journal of the American Heart Association · 2019
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. AAV6-mediated Cardiac-specific Overexpression of Ribonucleotide Reductase Enhances Myocardial Contractility.Molecular therapy : the journal of the American Society of Gene Therapy · 2016
    Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Gene therapy for heart failure: where do we stand?Current cardiology reports · 2013
    Review
  19. Potential of gene therapy as a treatment for heart failure.The Journal of clinical investigation · 2013
    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

8 authors at 3 institutions in 1 country.

Michael G KatzDivision of Cardiovascular Surgery, Department of Surgery, the University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Anthony S Fargnoli
JaBaris D Swain
Catherine E Tomasulo
Michele Ciccarelli
Z Maggie Huang
Joseph E Rabinowitz
Charles R Bridges
Carolinas Medical Center · USThomas Jefferson University · USUniversity of Pennsylvania · US

Funding

Translational Studies in Heart Failure Gene TherapyR01HL083078 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI BRIDGES, CHARLES R · 2007 to 2018
$9.2M
NHLBI NIH HHS 1-R01-HL083078-01A2NHLBI NIH HHS R01 HL083078
6 · The paper itself

Abstract

objectiveGenetic modulation of heart function is a novel therapeutic strategy. We investigated the effect of molecular cardiac surgery with recirculating delivery (MCARD)-mediated carboxyl-terminus of the β-adrenergic receptor kinase (βARKct) gene transfer on cardiac mechanoenergetics and β-adrenoreceptor (βAR) signaling.

methodsAfter baseline measurements, sheep underwent MCARD-mediated delivery of 10(14) genome copies of self-complimentary adeno-associated virus (scAAV6)-βARKct. Four and 8 weeks after MCARD, mechanoenergetic studies using magnetic resonance imaging were performed. Tissues were analyzed with real-time quantitative polymerase chain reaction (RT-qPCR) and Western blotting. βAR density, cyclic adenosine monophosphate levels, and physiologic parameters were evaluated.

resultsThere was a significant increase in dP/dt(max) at 4 weeks: 1384 ± 76 versus 1772 ± 182 mm Hg/s; and the increase persisted at 8 weeks in response to isoproterenol (P < .05). Similarly, the magnitude of dP/dt(min) increased at both 4 weeks and 8 weeks with isoproterenol stimulation (P < .05). At 8 weeks, potential energy was conserved, whereas in controls there was a decrease in potential energy (P < .05) in response to isoproterenol. RT-qPCR confirmed robustness of βARKct expression throughout the left ventricle and undetectable expression in extracardiac tissues. Quantitative Western blot data confirmed higher expression of βARKct in the left ventricle: 0.46 ± 0.05 versus 0.00 in lung and liver (P < .05). Survival was 100% and laboratory parameters of major organ function were within normal limits.

conclusionsMCARD-mediated βARKct delivery is safe, results in robust cardiac-specific gene expression, enhances cardiac contractility and lusitropy, increases adrenergic reserve, and improves energy utilization efficiency in a preclinical large animal model.

Indexed as

Cardiac Surgical ProceduresGenetic VectorsGene Transfer TechniquesSignal TransductionAdrenergic beta-AgonistsAnimalsbeta-Adrenergic Receptor KinasesBlotting, WesternCyclic AMPDependovirusEchocardiography, DopplerGene Expression RegulationHeart VentriclesHemodynamicsIsoproterenolMagnetic Resonance ImagingAdrenergic beta-Agonistsbeta-Adrenergic Receptor KinasesCyclic AMPIsoproterenolReceptors, Adrenergic, beta

Identifiers

PMID22143102
PMCPMC3666102
OpenAlexW2056302675

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.