Evidence map›Paper›PMID 25739765›Full record

ArticleScience translational medicine2015

Paroxetine-mediated GRK2 inhibition reverses cardiac dysfunction and remodeling after myocardial infarction.

Sarah M Schumacher, Erhe Gao, Weizhong Zhu, Xiongwen Chen, J Kurt Chuprun, Arthur M Feldman, John J G Tesmer, Walter J Koch

Registry-linked trialAbstract read
In one paragraph

Article in Science translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03274752 (Paroxetine-mediated GRK2 Inhibition to Reduce Cardiac Remodeling After Acute Myocardial Infarction), which is not on this map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
8.4field-weighted citation impact, top 2% 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.

NCT03274752 phase2completednot on this mapstarted 2017, after this paper: background citation

Paroxetine-mediated GRK2 Inhibition to Reduce Cardiac Remodeling After Acute Myocardial Infarction (CARE-AMI): a Randomized Controlled Pilot Study

TypeinterventionalSponsorInsel Gruppe AG, University Hospital BernRan2017 to 2022Enrolled50ConditionsCardiac Remodeling, Myocardial InfarctionArmsParoxetine, Placebo oral capsule
3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 157 citations in OpenAlex.

  1. Review
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  8. Review
  9. Logic-based machine learning predicts how escitalopram attenuates cardiomyocyte hypertrophy.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. GRK2 and Mitochondrial Dynamics in Cardiovascular Health and Disease.International journal of molecular sciences · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Advances in Metabolic Remodeling and Intervention Strategies in Heart Failure.Journal of cardiovascular translational research · 2024
    Review
  17. Augmentation of Endothelial S1PR1 Attenuates Postviral Pulmonary Fibrosis.American journal of respiratory cell and molecular biology · 2024
    Article
  18. Article
  19. GRK2 inhibits Flt-1Acta pharmaceutica Sinica. B · 2024
    Article
  20. Article

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

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

8 authors at 2 institutions in 1 country.

Sarah M SchumacherCenter for Translational Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA. Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Erhe GaoCenter for Translational Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Weizhong ZhuCardiovascular Research Center, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Xiongwen ChenCardiovascular Research Center, Temple University School of Medicine, Philadelphia, PA 19140, USA.
J Kurt ChuprunCenter for Translational Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA. Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA 19140, USA.
Arthur M FeldmanCardiovascular Research Center, Temple University School of Medicine, Philadelphia, PA 19140, USA.
John J G TesmerLife Sciences Institute, University of Michigan, Ann Arbor, MI 48109, USA.
Walter J KochCenter for Translational Medicine, Temple University School of Medicine, Philadelphia, PA 19140, USA. Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA 19140, USA. walter.koch@temple.edu.
Temple University · USUniversity of Michigan–Ann Arbor · US

Funding

Regulation of Beta-Adrenergic Receptor Signaling by S-NitrosylationP01HL075443 · NHLBI · DUKE UNIVERSITY · PI STAMLER, JONATHAN S. · 2004 to 2019
$26.1M
Targeted Cancer Therapeutics and Heart Failure: Mechanisms and Post-injury RepairP01HL091799 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI KOCH, WALTER J. · 2008 to 2018
$23.1M
PKC alpha as a translational target in Heart FailureP01HL108806 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI RABINOWITZ, JOSEPH E · 2012 to 2016
$11.3M
Structure, function, and inhibition of G protein-coupled receptor kinasesR01HL071818 · NHLBI · UNIVERSITY OF TEXAS AUSTIN · PI TESMER, JOHN · 2004 to 2023
$7.1M
Targeting GRK2 in the HeartR01HL061690 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI KOCH, WALTER J. · 1998 to 2022
$4.2M
Protein Kinase A Inhibitor Peptide (PKI) and Cardiac Protection in Heart FailureR01HL088243 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI CHEN, XIONGWEN · 2007 to 2017
$4.0M
Targeting GRK2 (BARK1) in Heart FailureR37HL061690 · NHLBI · THOMAS JEFFERSON UNIVERSITY · PI KOCH, WALTER J. · 2009 to 2018
$3.9M
Structural Studies of Galphaq and Its Complexes at the Cell MembraneR01HL086865 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TESMER, JOHN · 2007 to 2015
$3.0M
NHLBI NIH HHS HL086865NHLBI NIH HHS P01 HL075443NHLBI NIH HHS P01 HL08806NHLBI NIH HHS P01 HL091799NHLBI NIH HHS P01 HL108806NHLBI NIH HHS R01 HL061690NHLBI NIH HHS R01 HL071818NHLBI NIH HHS R01 HL086865NHLBI NIH HHS R01 HL088243NHLBI NIH HHS R37 HL061690
6 · The paper itself

Abstract

Heart failure (HF) is a disease of epidemic proportion and is associated with exceedingly high health care costs. G protein (heterotrimeric guanine nucleotide-binding protein)-coupled receptor (GPCR) kinase 2 (GRK2), which is up-regulated in the failing human heart, appears to play a critical role in HF progression in part because enhanced GRK2 activity promotes dysfunctional adrenergic signaling and myocyte death. Recently, we found that the selective serotonin reuptake inhibitor (SSRI) paroxetine could inhibit GRK2 with selectivity over other GRKs. Wild-type mice were treated for 4 weeks with paroxetine starting at 2 weeks after myocardial infarction (MI). These mice were compared with mice treated with fluoxetine, which does not inhibit GRK2, to control for the SSRI effects of paroxetine. All mice exhibited similar left ventricular (LV) dysfunction before treatment; however, although the control and fluoxetine groups had continued degradation of function, the paroxetine group had considerably improved LV function and structure, and several hallmarks of HF were either inhibited or reversed. Use of genetically engineered mice indicated that paroxetine was working through GRK2 inhibition. The beneficial effects of paroxetine were markedly greater than those of β-blocker therapy, a current standard of care in human HF. These data demonstrate that paroxetine-mediated inhibition of GRK2 improves cardiac function after MI and represents a potential repurposing of this drug, as well as a starting point for innovative small-molecule GRK2 inhibitor development.

Indexed as

Adrenergic beta-AntagonistsAnimalsFibrosisG-Protein-Coupled Receptor Kinase 2Heart FailureHemodynamicsMaleMice, Inbred C57BLMyocardial InfarctionMyocardiumParoxetineReceptors, Adrenergic, betaTranslational Research, BiomedicalVentricular RemodelingAdrenergic beta-AntagonistsG-Protein-Coupled Receptor Kinase 2GRK2 protein, mouseParoxetineReceptors, Adrenergic, beta

Identifiers

PMID25739765
PMCPMC4768806
OpenAlexW2125102696

What OpenQuestion holds

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Registered trials

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.