Evidence map›Paper›PMID 25955245›Full record

Trial reportPloS one2015

Antiarrhythmic Effects of Dantrolene in Patients with Catecholaminergic Polymorphic Ventricular Tachycardia and Replication of the Responses Using iPSC Models.

Kirsi Penttinen, Heikki Swan, Sari Vanninen, Jere Paavola, Annukka M Lahtinen, Kimmo Kontula, Katriina Aalto-Setälä

Erratum issuedOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
8.1field-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.

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

63 citing papers in PubMed, 104 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Stem cell models of inherited arrhythmias.Nature cardiovascular research · 2024
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Current clinical application of dantrolene sodium.Anesthesia and pain medicine · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. How does flecainide impact RyR2 channel function?The Journal of general physiology · 2022
    Article
  18. Article
  19. Synergistic FRET assays for drug discovery targeting RyR2 channels.Journal of molecular and cellular cardiology · 2022
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Kirsi PenttinenBioMediTech, University of Tampere, Tampere, Finland; School of Medicine, University of Tampere, Tampere, Finland.
Heikki SwanHeart and Lung Center, Helsinki University Hospital, Helsinki, Finland.
Sari VanninenHeart Hospital, Tampere University Hospital, Tampere, Finland.
Jere PaavolaMinerva Foundation Institute for Medical Research, Helsinki, Finland.
Annukka M LahtinenDepartment of Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Kimmo KontulaDepartment of Medicine, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Katriina Aalto-SetäläBioMediTech, University of Tampere, Tampere, Finland; School of Medicine, University of Tampere, Tampere, Finland; Heart Hospital, Tampere University Hospital, Tampere, Finland.
Helsinki University Hospital · FIMinerva Foundation · FITampere University · FITampere University · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a highly malignant inherited arrhythmogenic disorder. Type 1 CPVT (CPVT1) is caused by cardiac ryanodine receptor (RyR2) gene mutations resulting in abnormal calcium release from sarcoplasmic reticulum. Dantrolene, an inhibitor of sarcoplasmic Ca(2+) release, has been shown to rescue this abnormal Ca(2+) release in vitro. We assessed the antiarrhythmic efficacy of dantrolene in six patients carrying various RyR2 mutations causing CPVT. The patients underwent exercise stress test before and after dantrolene infusion. Dantrolene reduced the number of premature ventricular complexes (PVCs) on average by 74% (range 33-97) in four patients with N-terminal or central mutations in the cytosolic region of the RyR2 protein, while dantrolene had no effect in two patients with mutations in or near the transmembrane domain. Induced pluripotent stem cells (iPSCs) were generated from all the patients and differentiated into spontaneously beating cardiomyocytes (CMs). The antiarrhythmic effect of dantrolene was studied in CMs after adrenaline stimulation by Ca(2+) imaging. In iPSC derived CMs with RyR2 mutations in the N-terminal or central region, dantrolene suppressed the Ca(2+) cycling abnormalities in 80% (range 65-97) of cells while with mutations in or near the transmembrane domain only in 23 or 32% of cells. In conclusion, we demonstrate that dantrolene given intravenously shows antiarrhythmic effects in a portion of CPVT1 patients and that iPSC derived CM models replicate these individual drug responses. These findings illustrate the potential of iPSC models to individualize drug therapy of inherited diseases.Trial Registration: EudraCT Clinical Trial Registry 2012-005292-14.

Indexed as

Induced Pluripotent Stem CellsAdultAnimalsAnti-Arrhythmia AgentsArrhythmias, CardiacCalciumCell DifferentiationDantroleneEpinephrineFemaleHumansMiddle AgedMutationMyocytes, CardiacPolymorphic Catecholaminergic Ventricular TachycardiaRyanodine Receptor Calcium Release ChannelAnti-Arrhythmia AgentsCalciumDantroleneEpinephrineRyanodine Receptor Calcium Release Channel

Identifiers

PMID25955245
PMCPMC4425399
OpenAlexW1832288164

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.