Evidence map›Paper›PMID 22843703›Full record

ArticleCardiovascular research2012

Developmental basis for filamin-A-associated myxomatous mitral valve disease.

Kimberly Sauls, Annemarieke de Vlaming, Brett S Harris, Katherine Williams, Andy Wessels, Robert A Levine, Susan A Slaugenhaupt, Richard L Goodwin, Luigi Michele Pavone, Jean Merot and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Cardiovascular research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Mechanisms of mitral valve development and disease.Frontiers in cardiovascular medicine · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. New Insights on the Formation of the Mitral Valve Chordae Tendineae in Fetal Life.Journal of cardiovascular development and disease · 2024
    Article
  8. Article
  9. Valvulopathies and Genetics: Where are We?Reviews in cardiovascular medicine · 2024
    Review
  10. Article
  11. Degenerative mitral regurgitation.Nature reviews. Disease primers · 2023
    Review
  12. Review
  13. Review
  14. Genetics and pathophysiology of mitral valve prolapse.Frontiers in cardiovascular medicine · 2023
    Review
  15. Review
  16. Article
  17. DZIP1 regulates mammalian cardiac valve development through a Cby1-β-catenin mechanism.Developmental dynamics : an official publication of the American Association of Anatomists · 2021
    Article
  18. Article
  19. Review
  20. Review
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

20 authors at 12 institutions in 3 countries.

Kimberly SaulsDepartment of Regenerative Medicine and Cell Biology, School of Medicine, Cardiovascular Developmental Biology Center, Children's Research Institute, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425, USA.
Annemarieke de Vlaming
Brett S Harris
Katherine Williams
Andy Wessels
Robert A Levine
Susan A Slaugenhaupt
Richard L Goodwin
Luigi Michele Pavone
Jean Merot
Jean-Jacques Schott
Thierry Le Tourneau
Thomas Dix
Sean Jesinkey
Yuanyi Feng
Christopher Walsh
Bin Zhou
Scott Baldwin
Roger R Markwald
Russell A Norris
Medical University of South Carolina · USCollege of Charleston · USInstitut du Thorax · FRAlbert Einstein College of Medicine · USCenter for Human Genetics · USHarvard University · USInserm · FRMassachusetts General Hospital · USNorthwestern University · USUniversity of Naples Federico II · ITUniversity of South Carolina · USVanderbilt University · US

Funding

UBIQUITIN CARBOXYL TERMINAL HYDROLASE L1 (UCH-L1) AND VASCULAR LESION FORMATIONP20RR016434 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MARKWALD, ROGER R · 2001 to 2011
$24.8M
MUCOPOLYSACCHRIDE METABOLISM IN CARDIAC ANOMALIESR01HL033756 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MARKWALD, ROGER R · 1985 to 2015
$4.8M
Improving Mitral Compensation in Ischemic RegurgitationR01HL109506 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI AIKAWA, ELENA, BISCHOFF, JOYCE E. · 2012 to 2015
$3.3M
EXTRAMURAL RESEARCH FACILITIES CONSTRUCTIONC06RR018823 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND, JOHN R · 2003 to 2003
$2.9M
The Role of Fluid Flow in ValvulogenesisR01HL086856 · NHLBI · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI GOODWIN, RICHARD L · 2007 to 2011
$2.0M
MUSC FACIL EXPANSION &RENOV: SLE C06RR015455 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAYMOND, JOHN R · 2002 to 2002
$2.0M
TRANSCRIPTIONAL REGULATION OF ENDOCARDIAL DEVELOPMENTR01HL078881 · NHLBI · VANDERBILT UNIVERSITY · PI ZHOU, BIN · 2006 to 2010
$2.0M
ISCHEMIC MITRAL REGURGITATION: FROM MECHANISM TO THERAPYK24HL067434 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI LEVINE, ROBERT A · 2001 to 2011
$1.6M
The Role of Cartilage Link Protein 1 (Crtl1) in Heart DevelopmentR01HL084285 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI WESSELS, ARNO · 2007 to 2010
$1.5M
NCRR NIH HHS C06 RR015455NCRR NIH HHS C06 RR018823NCRR NIH HHS P20 RR016434NCRR NIH HHS P20RR016434-07NCRR NIH HHS P20RR016434-09S1NHLBI NIH HHS K24 HL067434NHLBI NIH HHS R01 HL033756NHLBI NIH HHS R01-HL07881SNHLBI NIH HHS R01-HL078881NHLBI NIH HHS R01 HL084285NHLBI NIH HHS R01HL084285NHLBI NIH HHS R01HL086856NHLBI NIH HHS R01 HL109506NHLBI NIH HHS R01-HL33756NHLBI NIH HHS R21-HL111770
6 · The paper itself

Abstract

aimsWe hypothesized that the structure and function of the mature valves is largely dependent upon how these tissues are built during development, and defects in how the valves are built can lead to the pathological progression of a disease phenotype. Thus, we sought to uncover potential developmental origins and mechanistic underpinnings causal to myxomatous mitral valve disease. We focus on how filamin-A, a cytoskeletal binding protein with strong links to human myxomatous valve disease, can function as a regulatory interface to control proper mitral valve development. METHODS AND

resultsFilamin-A-deficient mice exhibit abnormally enlarged mitral valves during foetal life, which progresses to a myxomatous phenotype by 2 months of age. Through expression studies, in silico modelling, 3D morphometry, biochemical studies, and 3D matrix assays, we demonstrate that the inception of the valve disease occurs during foetal life and can be attributed, in part, to a deficiency of interstitial cells to efficiently organize the extracellular matrix (ECM). This ECM organization during foetal valve gestation is due, in part, to molecular interactions between filamin-A, serotonin, and the cross-linking enzyme, transglutaminase-2 (TG2). Pharmacological and genetic perturbations that inhibit serotonin-TG2-filamin-A interactions lead to impaired ECM remodelling and engender progression to a myxomatous valve phenotype.

conclusionsThese findings illustrate a molecular mechanism by which valve interstitial cells, through a serotonin, TG, and filamin-A pathway, regulate matrix organization during foetal valve development. Additionally, these data indicate that disrupting key regulatory interactions during valve development can set the stage for the generation of postnatal myxomatous valve disease.

Indexed as

AnimalsContractile ProteinsFilaminsGenetic Diseases, X-LinkedGTP-Binding ProteinsHeart Defects, CongenitalMaleMiceMice, KnockoutMicrofilament ProteinsMitral ValveMitral Valve ProlapseMyxomaProtein Glutamine gamma Glutamyltransferase 2SerotoninSerotonin Plasma Membrane Transport ProteinsContractile ProteinsFilaminsGTP-Binding ProteinsMicrofilament ProteinsProtein Glutamine gamma Glutamyltransferase 2SerotoninSerotonin Plasma Membrane Transport ProteinsSlc6a4 protein, mouseTph1 protein, mouseTransglutaminasesTryptophan Hydroxylase

Identifiers

PMID22843703
PMCPMC3444235
OpenAlexW2170364393

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.