Evidence map›Paper›PMID 25773299›Full record

ArticleJournal of the American Heart Association2015

LKB1 knockout mouse develops spontaneous atrial fibrillation and provides mechanistic insights into human disease process.

Cevher Ozcan, Emily Battaglia, Rebeccah Young, Gen Suzuki

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

59 citing papers in PubMed, 106 citations in OpenAlex.

  1. Article
  2. Article
  3. Metabolic and Inflammatory Mechanisms Driving Atrial Fibrillation.Annual review of pharmacology and toxicology · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Animal and cellular models of atrial fibrillation: a review.Frontiers in cardiovascular medicine · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Towards Improved HumanBiomedicines · 2023
    Review
  19. Mouse models of spontaneous atrial fibrillation.Mammalian genome : official journal of the International Mammalian Genome Society · 2023
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Cevher OzcanDivision of Cardiovascular Medicine, Department of Medicine, Clinical & Translational Research Center, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY (C.O., E.B., R.Y., G.S.) Section of Cardiology, Department of Medicine, University of Chicago, IL (C.O.).
Emily BattagliaDivision of Cardiovascular Medicine, Department of Medicine, Clinical & Translational Research Center, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY (C.O., E.B., R.Y., G.S.).
Rebeccah YoungDivision of Cardiovascular Medicine, Department of Medicine, Clinical & Translational Research Center, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY (C.O., E.B., R.Y., G.S.).
Gen SuzukiDivision of Cardiovascular Medicine, Department of Medicine, Clinical & Translational Research Center, University at Buffalo School of Medicine and Biomedical Sciences, Buffalo, NY (C.O., E.B., R.Y., G.S.).
University at Buffalo, State University of New York · US

Funding

Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
Mitochondrial Mechanisms and Novel Therapeutic Targets in Atrial FibrillationK08HL117082 · NHLBI · UNIVERSITY OF CHICAGO · PI OZCAN, CEVHER · 2014 to 2018
$798k
NCATS NIH HHS UL1 TR000430NHLBI NIH HHS 1K08HL117082-01A1NHLBI NIH HHS K08 HL117082
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is a complex disease process, and the molecular mechanisms underlying initiation and progression of the disease are unclear. Consequently, AF has been difficult to model. In this study, we have presented a novel transgenic mouse model of AF that mimics human disease and characterized the mechanisms of atrial electroanatomical remodeling in the genesis of AF. METHODS AND

resultsCardiac-specific liver kinase B1 (LKB1) knockout (KO) mice were generated, and 47% aged 4 weeks and 95% aged 12 weeks developed spontaneous AF from sinus rhythm by demonstrating paroxysmal and persistent stages of the disease. Electrocardiographic characteristics of sinus rhythm were similar in KO and wild-type mice. Atrioventricular block and atrial flutter were common in KO mice. Heart rate was slower with persistent AF. In parallel with AF, KO mice developed progressive biatrial enlargement with inflammation, heterogeneous fibrosis, and loss of cardiomyocyte population with apoptosis and necrosis. Atrial tissue was infiltrated with inflammatory cells. C-reactive protein, interleukin 6, and tumor necrosis factor α were significantly elevated in serum. KO atria demonstrated elevated reactive oxygen species and decreased AMP-activated protein kinase activity. Cardiomyocyte and myofibrillar ultrastructure were disrupted. Intercellular matrix and gap junction were interrupted. Connexins 40 and 43 were reduced. Persistent AF caused left ventricular dysfunction and heart failure. Survival and exercise capacity were worse in KO mice.

conclusionsLKB1 KO mice develop spontaneous AF from sinus rhythm and progress into persistent AF by replicating the human AF disease process. Progressive inflammatory atrial cardiomyopathy is the genesis of AF, through mechanistic electrical and structural remodeling.

Indexed as

Age FactorsAMP-Activated Protein KinasesAnimalsApoptosisAtrial FibrillationAtrial FlutterAtrioventricular BlockCardiomyopathiesConnexin 43ConnexinsDisease ProgressionExercise ToleranceFibrosisGap Junction alpha-5 ProteinGenotypeHeart FailureAMP-Activated Protein KinasesConnexin 43ConnexinsGap Junction alpha-5 ProteinGJA1 protein, mouseInflammation MediatorsProtein Serine-Threonine KinasesReactive Oxygen SpeciesStk11 protein, mouseanimal models of human disease remodelingatrial fibrillationatriuminflammationpathogenesis

Identifiers

PMID25773299
PMCPMC4392447
OpenAlexW2138343209

What OpenQuestion holds

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LicenceCC BY-NC
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.