Evidence map›Paper›PMID 22883636›Full record

ArticleJournal of the American College of Cardiology2012

Connexin43 gene transfer reduces ventricular tachycardia susceptibility after myocardial infarction.

Ian D Greener, Tetsuo Sasano, Xiaoping Wan, Tomonori Igarashi, Maria Strom, David S Rosenbaum, J Kevin Donahue

Abstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
4.3field-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.

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

66 citing papers in PubMed, 111 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. A coronary anatomy-guided myocardial infarction strategy for optimizing survival and ventricular tachycardia inducibility in a porcine model.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
  5. Article
  6. Review
  7. Novel Electroactive Therapeutic Platforms for Cardiac Arrhythmia Management.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Implications for neutrophils in cardiac arrhythmias.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Identification of Cx43 variants predisposing to ventricular fibrillation in the acute phase of ST-elevation myocardial infarction.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
    Article
  18. Effects of Cardiac Stem Cell on Postinfarction Arrhythmogenic Substrate.International journal of molecular sciences · 2022
    Article
  19. Article
  20. Review

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Ian D GreenerHeart and Vascular Research Center, MetroHealth Campus, Case Western Reserve University, Cleveland, Ohio 44109, USA.
Tetsuo Sasano
Xiaoping Wan
Tomonori Igarashi
Maria Strom
David S Rosenbaum
J Kevin Donahue
MetroHealth Medical Center · USTokyo Medical and Dental University · JP

Funding

Focal Modification of Electrical Conduction in the HeartR01HL067148 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI DONAHUE, J KEVIN · 2002 to 2011
$3.7M
GENE TRANSFER APPROACHES TO ATRIAL FIBRILATIONR01HL093486 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN · 2008 to 2012
$2.0M
Improved Methods for Myocardial Gene TransferR01EB002846 · NIBIB · JOHNS HOPKINS UNIVERSITY · PI DONAHUE, J KEVIN · 2003 to 2005
$883k
NHLBI NIH HHS R01 HL067148NHLBI NIH HHS R01 HL093486NHLBI NIH HHS R01HL67148NIBIB NIH HHS R01 EB002846
6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate the links between connexin43 (Cx43) expression, myocardial conduction velocity, and ventricular tachycardia in a model of healed myocardial infarction.

backgroundPost-infarction ventricular arrhythmias frequently cause sudden death. Impaired myocardial conduction has previously been linked to ventricular arrhythmias. Altered connexin expression is a potential source of conduction slowing identified in healed scar border tissues. The functional effect of increasing border-zone Cx43 has not been previously evaluated.

methodsTwenty-five Yorkshire pigs underwent anterior infarction by transient left anterior descending coronary artery occlusion, followed by weekly testing for arrhythmia inducibility. Twenty animals with reproducibly inducible sustained monomorphic ventricular tachycardia were randomized 2:1:1 to receive AdCx43, Adβgal, or no gene transfer. One week later, animals underwent follow-up electrophysiologic study and tissue assessment for several functional and molecular measures.

resultsAnimals receiving AdCx43 had less electrogram fractionation and faster conduction velocity in the anterior-septal border zone. Only 40% of AdCx43 animals remained inducible for ventricular tachycardia, while 100% of controls were inducible after gene transfer. AdCx43 animals had 2-fold higher Cx43 protein levels in the anterior-septal infarct border, with similar percents of phosphorylated and intercalated disk-localized Cx43 compared with controls.

conclusionsThese data mechanistically link Cx43 expression to slow conduction and arrhythmia susceptibility in the healed scar border zone. Targeted manipulation of Cx43 levels improved conduction velocity and reduced ventricular tachycardia susceptibility. Cx43 gene transfer represents a novel treatment strategy for post-infarction arrhythmias.

Indexed as

Gene Transfer TechniquesAnimalsConnexin 43Disease SusceptibilityGenetic TherapyHeart Conduction SystemMyocardial InfarctionRandom AllocationSwineTachycardia, VentricularConnexin 43

Identifiers

PMID22883636
PMCPMC3578694
OpenAlexW2062179663

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.