Evidence map›Paper›PMID 25071591›Full record

ReviewFrontiers in physiology2014

Adrenal adrenoceptors in heart failure.

Claudio de Lucia, Grazia D Femminella, Giuseppina Gambino, Gennaro Pagano, Elena Allocca, Carlo Rengo, Candida Silvestri, Dario Leosco, Nicola Ferrara, Giuseppe Rengo

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 49 citations in OpenAlex.

  1. β-Adrenergic Receptors: Not Always Outside-In.Physiology (Bethesda, Md.) · 2026
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  4. The βAdvances in pharmacological and pharmaceutical sciences · 2024
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  18. Targeting GPCR-Gβγ-GRK2 signaling as a novel strategy for treating cardiorenal pathologies.Biochimica et biophysica acta. Molecular basis of disease · 2017
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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 at 2 institutions in 1 country.

Claudio de LuciaDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Grazia D FemminellaDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Giuseppina GambinoDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Gennaro PaganoDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Elena AlloccaDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Carlo RengoDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy ; Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Telese Terme Telese Terme, Italy.
Candida SilvestriDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Dario LeoscoDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy.
Nicola FerraraDepartment of Medical Translational Sciences, University of Naples Federico II Naples, Italy ; Salvatore Maugeri Foundation, IRCCS, Scientific Institute of Telese Terme Telese Terme, Italy.
Giuseppe RengoSalvatore Maugeri Foundation, IRCCS, Scientific Institute of Telese Terme Telese Terme, Italy.
Federico II University Hospital · ITFondazione Salvatore Maugeri · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure (HF) is a chronic clinical syndrome characterized by the reduction in left ventricular (LV) function and it represents one of the most important causes of morbidity and mortality worldwide. Despite considerable advances in pharmacological treatment, HF represents a severe clinical and social burden. Sympathetic outflow, characterized by increased circulating catecholamines (CA) biosynthesis and secretion, is peculiar in HF and sympatholytic treatments (as β-blockers) are presently being used for the treatment of this disease. Adrenal gland secretes Epinephrine (80%) and Norepinephrine (20%) in response to acetylcholine stimulation of nicotinic cholinergic receptors on the chromaffin cell membranes. This process is regulated by adrenergic receptors (ARs): α2ARs inhibit CA release through coupling to inhibitory Gi-proteins, and β ARs (mainly β2ARs) stimulate CA release through coupling to stimulatory Gs-proteins. All ARs are G-protein-coupled receptors (GPCRs) and GPCR kinases (GRKs) regulate their signaling and function. Adrenal GRK2-mediated α2AR desensitization and downregulation are increased in HF and seem to be a fundamental regulator of CA secretion from the adrenal gland. Consequently, restoration of adrenal α2AR signaling through the inhibition of GRK2 is a fascinating sympatholytic therapeutic strategy for chronic HF. This strategy could have several significant advantages over existing HF pharmacotherapies minimizing side-effects on extra-cardiac tissues and reducing the chronic activation of the renin-angiotensin-aldosterone and endothelin systems. The role of adrenal ARs in regulation of sympathetic hyperactivity opens interesting perspectives in understanding HF pathophysiology and in the identification of new therapeutic targets.

Indexed as

adrenal glandadrenergic systemcatecholaminefunctional recoveryGRK2heart failureβ-adrenergic receptor

Identifiers

PMID25071591
PMCPMC4084669
OpenAlexW1964604644

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.