Evidence map›Paper›PMID 25524335›Full record

ArticleJournal of the American College of Cardiology2014

Engineered electrical conduction tract restores conduction in complete heart block: from in vitro to in vivo proof of concept.

Eugenio Cingolani, Vittoria Ionta, Ke Cheng, Alessandro Giacomello, Hee Cheol Cho, Eduardo Marbán

Open access · greenAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

15 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Nonmyocytes as electrophysiological contributors to cardiac excitation and conduction.American journal of physiology. Heart and circulatory physiology · 2023
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  11. Electrotonic coupling of excitable and nonexcitable cells in the heart revealed by optogenetics.Proceedings of the National Academy of Sciences of the United States of America · 2016
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  12. Probing the Electrophysiology of the Developing Heart.Journal of cardiovascular development and disease · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Eugenio CingolaniCedars-Sinai Heart Institute, Los Angeles, California.
Vittoria IontaCedars-Sinai Heart Institute, Los Angeles, California; University of Rome "La Sapienza," Rome, Italy.
Ke ChengCedars-Sinai Heart Institute, Los Angeles, California.
Alessandro GiacomelloUniversity of Rome "La Sapienza," Rome, Italy.
Hee Cheol ChoCedars-Sinai Heart Institute, Los Angeles, California. Electronic address: heecheol.cho@emory.edu.
Eduardo MarbánCedars-Sinai Heart Institute, Los Angeles, California. Electronic address: eduardo.marban@cshs.org.
Cedars-Sinai Smidt Heart Institute · USSapienza University of Rome · IT

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Molecular determinants of the cardiac pacemaker automaticityR01HL111646 · NHLBI · EMORY UNIVERSITY · PI CHO, HEE CHEOL · 2012 to 2016
$2.0M
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NHLBI NIH HHS 1R01HL111646-01A1NHLBI NIH HHS R01 HL111646
6 · The paper itself

Abstract

backgroundCardiac electrical conduction delays and blocks cause rhythm disturbances such as complete heart block, which can be fatal. Standard of care relies on electronic devices to artificially restore synchrony. We sought to create a new modality for treating these disorders by engineering electrical conduction tracts designed to propagate electrical impulses.

objectivesThis study sought to create a new approach for treating cardiac conduction disorders by using engineered electrical conduction tracts (EECTs).

methodsParamagnetic beads were conjugated with an antibody to gamma-sarcoglycan, a cardiomyocyte cell surface antigen, and mixed with freshly isolated neonatal rat ventricular cardiomyocytes. A magnetic field was used to pattern a linear EECT.

resultsIn an in vitro model of conduction block, the EECT was patterned so that it connected 2 independently beating neonatal rat ventricular cardiomyocyte monolayers; it achieved coordinated electrical activity, with action potentials propagating from 1 region to the other via EECT. Spiking the EECT with heart-derived stromal cells yielded stable structures with highly reproducible conduction velocities. Transplantation of EECTs in vivo restored atrioventricular conduction in a rat model of complete heart block.

conclusionsAn EECT can re-establish electrical conduction in the heart. This novel approach could, in principle, be used not only to treat cardiac arrhythmias but also to repair other organs.

Indexed as

Atrioventricular BlockHeart Conduction SystemSarcoglycansAnimalsCells, CulturedCell TransplantationElectromagnetic FieldsHeart VentriclesImmunoconjugatesIn Vitro TechniquesMagnetsModels, CardiovascularMyocytes, CardiacRatsRats, Sprague-DawleyTissue EngineeringImmunoconjugatesSarcoglycansarrhythmiascardiac tissue engineeringgap junctionsheart conduction system

Identifiers

PMID25524335
PMCPMC5235386
OpenAlexW204919224

What OpenQuestion holds

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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.