Evidence map›Paper›PMID 25406899›Full record

ArticlePediatric research2015

Adrenergic receptor genotype influences heart failure severity and β-blocker response in children with dilated cardiomyopathy.

Sushma Reddy, Alan Fung, Cedric Manlhiot, Elif Seda Selamet Tierney, Wendy K Chung, Elizabeth Blume, Beth D Kaufman, Elizabeth Goldmuntz, Steven Colan, Seema Mital

Open access · hybridAbstract read
In one paragraph

Article in Pediatric research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Clinical value of detecting autoantibodies against βJournal of geriatric cardiology : JGC · 2020
    Article
  3. Article
  4. Article
  5. Cardiac autonomic innervation.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2017
    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 at 7 institutions in 2 countries.

Sushma ReddyDepartment of Pediatrics, Stanford University, Stanford, California.
Alan FungDepartment of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Cedric ManlhiotDepartment of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Elif Seda Selamet TierneyDepartment of Pediatrics, Stanford University, Stanford, California.
Wendy K ChungDepartments of Pediatrics and Medicine, Columbia University, New York, New York.
Elizabeth BlumeDepartment of Pediatrics, Children's Hospital Boston, Harvard University, Boston, Massachusetts.
Beth D KaufmanDepartment of Pediatrics, Stanford University, Stanford, California.
Elizabeth GoldmuntzDepartment of Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania.
Steven ColanDepartment of Pediatrics, Children's Hospital Boston, Harvard University, Boston, Massachusetts.
Seema MitalDepartment of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Stanford University · USBoston Children's Hospital · USColumbia University · USHospital for Sick Children · CASickKids Foundation · CAUniversity of Pennsylvania · USUniversity of Toronto · CA

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
ZOLEDRONIC ACID IN PROSTATE CANCERM01RR000645 · NCRR · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI COLTEN, HARVEY R · 1985 to 2006
$27.0M
Pediatric Heart Network: Follow-up of the Single Ventricle Reconstruction TrialU01HL068290 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LAI, WYMAN W · 2001 to 2010
$4.1M
Pediatric Heart Disease Network: CHOP MembershipU01HL068279 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI VETTER, VICTORIA L · 2001 to 2010
$3.7M
Randomized Therapeutic Trials in Pediatric Heart DiseaseU01HL068285 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI NEWBURGER, JANE W. · 2001 to 2010
$3.4M
Clinical and genomic responses to remote ischemic preconditioningU01HL068288 · NHLBI · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI MCCRINDLE, BRIAN W · 2001 to 2010
$3.0M
NCRR NIH HHS RR00645NCRR NIH HHS UL1 RR025758NHLBI NIH HHS U01 HL068279NHLBI NIH HHS U01 HL068285NHLBI NIH HHS U01 HL068288NHLBI NIH HHS U01 HL068290
6 · The paper itself

Abstract

backgroundAdrenergic receptor (ADR) genotypes are associated with heart failure (HF) and β-blocker response in adults. We assessed the influence of ADR genotypes in children with dilated cardiomyopathy (DCM).

methodsNinety-one children with advanced DCM and 44 with stable DCM were genotyped for three ADR genotypes associated with HF risk in adults: α2cdel322-325, β1Arg389, and β2Arg16. Data were analyzed by genotype and β-blocker use. Mean age at enrollment was 8.5 y.

resultsOne-year event-free survival was 51% in advanced and 80% in stable DCM. High-risk genotypes were associated with higher left ventricular (LV) filling pressures, higher systemic and pulmonary vascular resistance, greater decline in LV ejection fraction (P < 0.05), and a higher frequency of mechanical circulatory support while awaiting transplant (P = 0.05). While β-blockers did not reduce HF severity in the overall cohort, in the subset with multiple high-risk genotypes, those receiving β-blockers showed better preservation of cardiac function and hemodynamics compared with those not receiving β-blockers (interaction P < 0.05).

conclusionOur study identifies genetic risk markers that may help in the identification of patients at risk for developing decompensated HF and who may benefit from early institution of β-blocker therapy before progression to decompensated HF.

Indexed as

AdolescentAdrenergic beta-AntagonistsBase SequenceCardiomyopathy, DilatedChildDNA PrimersEchocardiographyGene FrequencyGenotypeHeart FailureHemodynamicsHumansKaplan-Meier EstimateMolecular Sequence DataMutation, MissenseReal-Time Polymerase Chain ReactionADRA2C protein, humanADRB1 protein, humanADRB2 protein, humanAdrenergic beta-AntagonistsDNA PrimersReceptors, AdrenergicReceptors, Adrenergic, alpha-2Receptors, Adrenergic, beta-1Receptors, Adrenergic, beta-2

Identifiers

PMID25406899
PMCPMC4298011
OpenAlexW2145740217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.