Evidence map›Paper›PMID 24030498›Full record

ArticleCirculation2013

Oxidized Ca(2+)/calmodulin-dependent protein kinase II triggers atrial fibrillation.

Anil Purohit, Adam G Rokita, Xiaoqun Guan, Biyi Chen, Olha M Koval, Niels Voigt, Stefan Neef, Thomas Sowa, Zhan Gao, Elizabeth D Luczak and 12 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 183 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
183citing papers in PubMed, 4 pooled it
15.6field-weighted citation impact, top 1% 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

183 citing papers in PubMed, 4 syntheses or guidelines pooled it, 306 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Pooled it
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Metabolic and Inflammatory Mechanisms Driving Atrial Fibrillation.Annual review of pharmacology and toxicology · 2026
    Review
  14. Stress-Induced calcium mishandling in cardiac (Patho)physiology.Cellular and molecular life sciences : CMLS · 2025
    Review
  15. Mechanisms underlying atrial fibrillation in chronic kidney disease.Journal of molecular and cellular cardiology · 2025
    Review
  16. Article
  17. Article
  18. Immune cells and arrhythmias.Cardiovascular research · 2025
    Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 3 institutions in 1 country.

Anil PurohitDepartment of Internal Medicine, Division of Cardiovascular Medicine and Cardiovascular Research Center, Carver College of Medicine (A.P., A.G.R., X.G., B.C., O.M.K., Z.G., E.D.L., H.S., A.C.B., R.N.E.-A., P.D.S., R.M.W., L.-S.S., M.E.A.), Department of Obstetrics and Gynecology (B.Y.), and Department of Molecular Physiology and Biophysics (M.E.A.), University of Iowa, Iowa City; Institute of Pharmacology, Faculty of Medicine, University Duisburg-Essen, Essen, Germany, and Division of Experimental Cardiology, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany (N.V., D.D.); Cardiology and Pneumology, German Heart Center, University Hospital Goettingen, Goettingen, Germany (S.N., T.S., L.S.M.); and Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, TX (N.L., X.H.T.W.).
Adam G Rokita
Xiaoqun Guan
Biyi Chen
Olha M Koval
Niels Voigt
Stefan Neef
Thomas Sowa
Zhan Gao
Elizabeth D Luczak
Hrafnhildur Stefansdottir
Andrew C Behunin
Na Li
Ramzi N El-Accaoui
Baoli Yang
Paari Dominic Swaminathan
Robert M Weiss
Xander H T Wehrens
Long-Sheng Song
Dobromir Dobrev
Lars S Maier
Mark E Anderson
Heidelberg University · DEUniversity Hospital Heidelberg · DEDeutsches Herzzentrum München · DE

Funding

Ryanodine receptor regulation in post-operative atrial fibrillationR01HL089598 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI WEHRENS, XANDER H.T. · 2007 to 2022
$6.5M
Mitochondrial Calmodulin Kinase II in Physiology and DiseaseR01HL070250 · NHLBI · VANDERBILT UNIVERSITY · PI ANDERSON, MARK E · 2002 to 2017
$5.2M
Thoracic Veins and Sustained Atrial FibrillationR01HL071140 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI CHEN, PENG-SHENG · 2002 to 2014
$4.7M
Methionine sulfoxide reductase A and oxidized CaMKII in structural heart diseaseR01HL079031 · NHLBI · UNIVERSITY OF IOWA · PI ANDERSON, MARK E · 2006 to 2015
$3.3M
Regulation of Sarcoplasmic Reticulum Calcium Release in Heart FailureR01HL091947 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI WEHRENS, XANDER H.T. · 2009 to 2019
$3.2M
CaMKII in Sinus Node Physiology and DiseaseR01HL096652 · NHLBI · UNIVERSITY OF IOWA · PI ANDERSON, MARK E · 2009 to 2016
$3.0M
Oxidized CaMKII in Atrial FibrillationR01HL113001 · NHLBI · UNIVERSITY OF IOWA · PI ANDERSON, MARK E · 2012 to 2016
$1.9M
Research Ultrasound Imaging UpgradesS10RR026293 · NCRR · UNIVERSITY OF IOWA · PI WEISS, ROBERT M · 2010 to 2010
$200k
NCRR NIH HHS RR026293NCRR NIH HHS S10 RR026293NHLBI NIH HHS R01 HL070250NHLBI NIH HHS R01-HL070250NHLBI NIH HHS R01 HL071140NHLBI NIH HHS R01-HL071140NHLBI NIH HHS R01 HL079031NHLBI NIH HHS R01-HL 079031NHLBI NIH HHS R01 HL089598NHLBI NIH HHS R01-HL089598NHLBI NIH HHS R01-HL0909050NHLBI NIH HHS R01 HL091947NHLBI NIH HHS R01-HL091947NHLBI NIH HHS R01 HL096652NHLBI NIH HHS R01-HL096652NHLBI NIH HHS R01 HL113001
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is a growing public health problem without adequate therapies. Angiotensin II and reactive oxygen species are validated risk factors for AF in patients, but the molecular pathways connecting reactive oxygen species and AF are unknown. The Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) has recently emerged as a reactive oxygen species-activated proarrhythmic signal, so we hypothesized that oxidized CaMKIIδ could contribute to AF. METHODS AND

resultsWe found that oxidized CaMKII was increased in atria from AF patients compared with patients in sinus rhythm and from mice infused with angiotensin II compared with mice infused with saline. Angiotensin II-treated mice had increased susceptibility to AF compared with saline-treated wild-type mice, establishing angiotensin II as a risk factor for AF in mice. Knock-in mice lacking critical oxidation sites in CaMKIIδ (MM-VV) and mice with myocardium-restricted transgenic overexpression of methionine sulfoxide reductase A, an enzyme that reduces oxidized CaMKII, were resistant to AF induction after angiotensin II infusion.

conclusionsOur studies suggest that CaMKII is a molecular signal that couples increased reactive oxygen species with AF and that therapeutic strategies to decrease oxidized CaMKII may prevent or reduce AF.

Indexed as

AgedAngiotensin IIAnimalsAtrial FibrillationCalcium-Calmodulin-Dependent Protein Kinase Type 2Calcium SignalingFeedback, PhysiologicalFemaleHeart Conduction SystemHumansMaleMethionine Sulfoxide ReductasesMiceMice, Inbred C57BLMice, KnockoutMiddle AgedAngiotensin IICalcium-Calmodulin-Dependent Protein Kinase Type 2CAMK2D protein, humanCamk2d protein, mousemethionine sulfoxide reductaseMethionine Sulfoxide ReductasesNADPH Oxidasesneutrophil cytosolic factor 1Ryanodine Receptor Calcium Release Channelangiotensin IIarrhythmias, cardiacatrial fibrillationcalcium-calmodulin-dependent protein kinase type IIreactive oxygen species

Identifiers

PMID24030498
PMCPMC3876034
OpenAlexW1994456301

What OpenQuestion holds

Textmetadata
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.