Evidence map›Paper›PMID 25052725›Full record

ArticleHeart rhythm2014

From beat rate variability in induced pluripotent stem cell-derived pacemaker cells to heart rate variability in human subjects.

Meital Ben-Ari, Revital Schick, Lili Barad, Atara Novak, Erez Ben-Ari, Avraham Lorber, Joseph Itskovitz-Eldor, Michael R Rosen, Amir Weissman, Ofer Binah

Abstract read
In one paragraph

Article in Heart rhythm, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
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

30 citing papers in PubMed.

  1. Intracellular CaInternational journal of molecular sciences · 2026
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  9. Increase in CaFrontiers in physiology · 2022
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  12. Intronic Alternative Polyadenylation in the Middle of theInternational journal of molecular sciences · 2020
    Article
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  15. Article
  16. Modeling ofCells · 2019
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  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

10 authors.

Meital Ben-Ari *The Sohnis Family Stem Cells Center, Technion, Haifa, Israel.
Revital Schick *The Sohnis Family Stem Cells Center, Technion, Haifa, Israel.
Lili BaradThe Sohnis Family Stem Cells Center, Technion, Haifa, Israel.
Atara NovakThe Sohnis Family Stem Cells Center, Technion, Haifa, Israel.
Erez Ben-AriDepartment of Electrical Engineering, Technion, Haifa, Israel.
Avraham LorberRuth & Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Joseph Itskovitz-EldorThe Sohnis Family Stem Cells Center, Technion, Haifa, Israel.
Michael R RosenDepartment of Pharmacology, College of Physicians and Surgeons of Columbia University, New York, USA.
Amir WeissmanRuth & Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Ofer BinahThe Sohnis Family Stem Cells Center, Technion, Haifa, Israel.

Funding

Novel ion channel approaches to reentrant arrythymiasR01HL094410 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI COHEN, IRA S · 2009 to 2013
$3.8M
From human keratinocytes to biological pacemakersR01HL111401 · NHLBI · STATE UNIVERSITY NEW YORK STONY BROOK · PI COHEN, IRA S · 2012 to 2015
$2.6M
NHLBI NIH HHS HL-094410NHLBI NIH HHS HL-111401NHLBI NIH HHS R01 HL094410NHLBI NIH HHS R01 HL111401
6 · The paper itself

Abstract

backgroundWe previously reported that induced pluripotent stem cell-derived cardiomyocytes manifest beat rate variability (BRV) resembling heart rate variability (HRV) in the human sinoatrial node. We now hypothesized the BRV-HRV continuum originates in pacemaker cells.

objectiveTo investigate whether cellular BRV is a source of HRV dynamics, we hypothesized 3 levels of interaction among different cardiomyocyte entities: (1) single pacemaker cells, (2) networks of electrically coupled pacemaker cells, and (3) the in situ sinoatrial node.

methodsWe measured BRV/HRV properties in single pacemaker cells, induced pluripotent stem cell-derived contracting embryoid bodies (EBs), and electrocardiograms from the same individual.

resultsPronounced BRV/HRV was present at all 3 levels. The coefficient of variance of interbeat intervals and Poincaré plot indices SD1 and SD2 for single cells were 20 times greater than those for EBs (P < .05) and the in situ heart (the latter two were similar; P > .05). We also compared BRV magnitude among single cells, small EBs (~5-10 cells), and larger EBs (>10 cells): BRV indices progressively increased with the decrease in the cell number (P < .05). Disrupting intracellular Ca(2+) handling markedly augmented BRV magnitude, revealing a unique bimodal firing pattern, suggesting that intracellular mechanisms contribute to BRV/HRV and the fractal behavior of heart rhythm.

conclusionThe decreased BRV magnitude in transitioning from the single cell to the EB suggests that the HRV of in situ hearts originates from the summation and integration of multiple cell-based oscillators. Hence, complex interactions among multiple pacemaker cells and intracellular Ca(2+) handling determine HRV in humans and cardiomyocyte networks.

Indexed as

ElectrocardiographyAction PotentialsAdultFemaleHealthy VolunteersHeart RateHumansInduced Pluripotent Stem CellsMiddle AgedMyocytes, CardiacSinoatrial NodeCardiac myocytesElectrophysiologyHeart rateHeart rate variabilityInduced pluripotent stem cells

Identifiers

PMID25052725
PMCPMC4283811

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Registered trials

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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.