Evidence map›Paper›PMID 25888893›Full record

ArticleBMC biology2015

Long-range regulatory interactions at the 4q25 atrial fibrillation risk locus involve PITX2c and ENPEP.

Luis A Aguirre, M Eva Alonso, Claudio Badía-Careaga, Isabel Rollán, Cristina Arias, Ana Fernández-Miñán, Elena López-Jiménez, Amelia Aránega, José Luis Gómez-Skarmeta, Diego Franco and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

35 citing papers in PubMed, 63 citations in OpenAlex.

  1. Review
  2. Single-Nucleotide Polymorphisms,International journal of molecular sciences · 2025
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  9. Identification of atrial-enriched lncRNA Walras linked to cardiomyocyte cytoarchitecture and atrial fibrillation.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2022
    Article
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  11. Review
  12. Review
  13. Article
  14. Review
  15. Three-dimensional chromatin organization in cardiac development and disease.Journal of molecular and cellular cardiology · 2021
    Review
  16. In Silico Assessment of Class I Antiarrhythmic Drug Effects onInternational journal of molecular sciences · 2021
    Article
  17. Article
  18. Article
  19. Big Data and Atrial Fibrillation: Current Understanding and New Opportunities.Journal of cardiovascular translational research · 2020
    Review
  20. Genetics and Epigenetics of Atrial Fibrillation.International journal of molecular sciences · 2020
    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

11 authors at 3 institutions in 1 country.

Luis A AguirreCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. laguirre04@gmail.com.
M Eva AlonsoCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. mevaalonso@gmx.net.
Claudio Badía-CareagaCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. cbadia@cnic.es.
Isabel RollánCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. isabelclara.rollan@cnic.es.
Cristina AriasCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. cris_amberes@yahoo.es.
Ana Fernández-MiñánCentro Andaluz de Biología del Desarrollo (CABD), CSIC-Universidad Pablo de Olavide-Junta de Andalucía, ctra. de Utrera km1, 41013, Seville, Spain. amfermin@upo.es.
Elena López-JiménezCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. elena.lopez@cnic.es.
Amelia AránegaDepartment of Experimental Biology, Faculty of Experimental Sciences, University of Jaen, Paraje de las Lagunillas s/n, 23071, Jaén, Spain. aaranega@ujaen.es.
José Luis Gómez-SkarmetaCentro Andaluz de Biología del Desarrollo (CABD), CSIC-Universidad Pablo de Olavide-Junta de Andalucía, ctra. de Utrera km1, 41013, Seville, Spain. jlgomska@upo.es.
Diego FrancoDepartment of Experimental Biology, Faculty of Experimental Sciences, University of Jaen, Paraje de las Lagunillas s/n, 23071, Jaén, Spain. dfranco@ujaen.es.
Miguel ManzanaresCentro Nacional de Investigaciones Cardiovasculares (CNIC), Melchor Fernández Almagro 3, 28029, Madrid, Spain. mmanzanares@cnic.es.
Spanish National Centre for Cardiovascular Research · ESJunta de Andalucía · ESUniversidad Pablo de Olavide · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent genome-wide association studies have uncovered genomic loci that underlie an increased risk for atrial fibrillation, the major cardiac arrhythmia in humans. The most significant locus is located in a gene desert at 4q25, approximately 170 kilobases upstream of PITX2, which codes for a transcription factor involved in embryonic left-right asymmetry and cardiac development. However, how this genomic region functionally and structurally relates to PITX2 and atrial fibrillation is unknown.

resultsTo characterise its function, we tested genomic fragments from 4q25 for transcriptional activity in a mouse atrial cardiomyocyte cell line and in transgenic mouse embryos, identifying a non-tissue-specific potentiator regulatory element. Chromosome conformation capture revealed that this region physically interacts with the promoter of the cardiac specific isoform of Pitx2. Surprisingly, this regulatory region also interacts with the promoter of the next neighbouring gene, Enpep, which we show to be expressed in regions of the developing mouse heart essential for cardiac electrical activity.

conclusionsOur data suggest that de-regulation of both PITX2 and ENPEP could contribute to an increased risk of atrial fibrillation in carriers of disease-associated variants, and show the challenges that we face in the functional analysis of genome-wide disease associations.

Indexed as

Genetic LociGenetic Predisposition to DiseaseAnimalsAtrial FibrillationChromatinChromosomes, Human, Pair 4Embryo, MammalianFemaleGlutamyl AminopeptidaseHeart AtriaHEK293 CellsHomeobox Protein PITX2Homeodomain ProteinsHumansMiceMice, TransgenicChromatinEnpep protein, mouseGlutamyl AminopeptidaseHomeobox Protein PITX2Homeodomain ProteinsTranscription Factors

Identifiers

PMID25888893
PMCPMC4416339
OpenAlexW1974184870

What OpenQuestion holds

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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.