Evidence map›Paper›PMID 22583703›Full record

ArticleFree radical biology & medicine2012

Preserving mitochondrial function prevents the proteasomal degradation of GTP cyclohydrolase I.

Shruti Sharma, Xutong Sun, Sanjiv Kumar, Ruslan Rafikov, Angela Aramburo, Gokhan Kalkan, Jing Tian, Imran Rehmani, Suphin Kallarackal, Jeffrey R Fineman and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Free radical biology & medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01825369 (Phase 1 Study of the Safety and Pharmacokinetics of Perioperative IV L-carnitine Administration in Patients With Congenital Heart Disease With Increased Pulmonary Blood Flow), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT01825369 phase1withdrawnnot on this mapstarted 2014, after this paper: background citation

Phase 1 Study of the Safety and Pharmacokinetics of Perioperative IV L-carnitine Administration in Patients With Congenital Heart Disease With Increased Pulmonary Blood Flow

TypeinterventionalSponsorUniversity of California, San FranciscoRan2014 to 2020Enrolled0ConditionsHeart Septal Defects, Ventricular, Atrioventricular Septal DefectArmsIV L-carnitine
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Restoration of pp60International journal of molecular sciences · 2025
    Article
  2. Article
  3. SGLT2 Inhibitors: New Hope for the Treatment of Acute Myocardial Infarction?American journal of cardiovascular drugs : drugs, devices, and other interventions · 2022
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Hyper-activation of pp60Free radical biology & medicine · 2017
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The NO/ONOO-cycle as the central cause of heart failure.International journal of molecular sciences · 2013
    Review
  14. Article
  15. Review
  16. Article
  17. 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

11 authors at 2 institutions in 1 country.

Shruti SharmaProgram in Pulmonary Vascular Disease, Vascular Biology Center, Georgia Health Sciences University, Augusta, GA 30912, USA.
Xutong Sun
Sanjiv Kumar
Ruslan Rafikov
Angela Aramburo
Gokhan Kalkan
Jing Tian
Imran Rehmani
Suphin Kallarackal
Jeffrey R Fineman
Stephen M Black
Augusta University Health · USUniversity of California, San Francisco · US

Funding

PERINATAL PULMONARY HYPERTENSION: DEVELOPMENT MEDIATORSR01HL061284 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI FINEMAN, JEFFREY R · 1999 to 2016
$8.3M
PERINATAL REGULATION OF THE ENDOTHELIAL NOS GENER01HL060190 · NHLBI · UNIVERSITY OF MONTANA · PI Stephen M Black · 1998 to 2026
$7.1M
Research Training in Pediatric Critical Care MedicineT32HD049303 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JEFFREY R FINEMAN · 2006 to 2026
$3.1M
ROS in Pulmonary Hypertension: Role of ADMAR01HL067841 · NHLBI · UNIVERSITY OF MONTANA · PI BLACK, STEPHEN M · 2002 to 2011
$2.6M
Perinatal regulation of TGF-beta1 during vascular remodelingR01HL084739 · NHLBI · AUGUSTA UNIVERSITY · PI BLACK, STEPHEN M · 2007 to 2010
$1.5M
Role of altered carnitine metabolism in perinatal endothelial dysfunctionR21HD057406 · NICHD · AUGUSTA UNIVERSITY · PI BLACK, STEPHEN M · 2008 to 2009
$423k
NHLBI NIH HHS HL084739NHLBI NIH HHS HL60190NHLBI NIH HHS HL61284NHLBI NIH HHS HL67841NHLBI NIH HHS R01 HL060190NHLBI NIH HHS R01 HL061284NHLBI NIH HHS R01 HL067841NHLBI NIH HHS R01 HL084739NICHD NIH HHS R21 HD057406NICHD NIH HHS R21HD057406NICHD NIH HHS T32 HD049303
6 · The paper itself

Abstract

The development of pulmonary hypertension is a common accompaniment of congenital heart disease (CHD) with increased pulmonary blood flow. Our recent evidence suggests that asymmetric dimethylarginine (ADMA)-induced mitochondrial dysfunction causes endothelial nitric oxide synthase (eNOS) uncoupling secondary to a proteasome-dependent degradation of GTP cyclohydrolase I (GCH1) that results in a decrease in the NOS cofactor tetrahydrobiopterin (BH(4)). Decreases in NO signaling are thought to be an early hallmark of endothelial dysfunction. As l-carnitine plays an important role in maintaining mitochondrial function, in this study we examined the protective mechanisms and the therapeutic potential of l-carnitine on NO signaling in pulmonary arterial endothelial cells and in a lamb model of CHD and increased pulmonary blood flow (Shunt). Acetyl-l-carnitine attenuated the ADMA-mediated proteasomal degradation of GCH1. This preservation was associated with a decrease in the association of GCH1 with Hsp70 and the C-terminus of Hsp70-interacting protein (CHIP) and a decrease in its ubiquitination. This in turn prevented the decrease in BH(4) levels induced by ADMA and preserved NO signaling. Treatment of Shunt lambs with l-carnitine also reduced GCH1/CHIP interactions, attenuated the ubiquitination and degradation of GCH1, and increased BH(4) levels compared to vehicle-treated Shunt lambs. The increases in BH(4) were associated with decreased NOS uncoupling and enhanced NO generation. Thus, we conclude that L-carnitine may have a therapeutic potential in the treatment of pulmonary hypertension in children with CHD with increased pulmonary blood flow.

Indexed as

AcetylcarnitineAdaptor Proteins, Signal TransducingAnimalsAnimals, NewbornArginineBiopterinsDisease Models, AnimalEndothelial CellsFemaleGTP CyclohydrolaseHSP70 Heat-Shock ProteinsHypertension, PulmonaryMitochondriaNitric OxideNitric Oxide SynthasePregnancyAcetylcarnitineAdaptor Proteins, Signal TransducingArginineBiopterinsGTP CyclohydrolaseHSP70 Heat-Shock ProteinsNitric OxideNitric Oxide SynthaseN,N-dimethylarginineProteasome Endopeptidase ComplexProteasome InhibitorssapropterinUbiquitin-Protein Ligases

Identifiers

PMID22583703
PMCPMC3527085
OpenAlexW2074176407

What OpenQuestion holds

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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.