Evidence map›Paper›PMID 26253611›Full record

ArticleDiabetes2015

Ceramide-Initiated Protein Phosphatase 2A Activation Contributes to Arterial Dysfunction In Vivo.

Leena P Bharath, Ting Ruan, Youyou Li, Anindita Ravindran, Xin Wan, Jennifer Kim Nhan, Matthew Lewis Walker, Lance Deeter, Rebekah Goodrich, Elizabeth Johnson and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 119 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Sphingolipids and Atherosclerosis.Current atherosclerosis reports · 2026
    Review
  6. Review
  7. Article
  8. Impact of C-Terminal PKC Phosphorylation on TRPC6 Current Kinetics.International journal of molecular sciences · 2025
    Article
  9. Ceramide as a Biomarker for HFpEF in Women: Menopause, Aging, and Pregnancy.International journal of molecular sciences · 2025
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Hypersensitive blood vessels in Clarkson disease.The Journal of clinical investigation · 2024
    Article
  19. Review
  20. Article

20 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

21 authors at 6 institutions in 2 countries.

Leena P BharathCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT Molecular Medicine Program, The University of Utah School of Medicine, Salt Lake City, UT.
Ting RuanCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Youyou LiCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Anindita RavindranCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Xin WanCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Jennifer Kim NhanCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Matthew Lewis WalkerCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Lance DeeterCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Rebekah GoodrichCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Elizabeth JohnsonCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Derek MundayCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Robert MuellerCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
David KunzCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Deborah JonesDivision of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT.
Van ReeseThe University of Utah Geriatric Research, Education, and Clinical Center, George E. Wahlen VA Medical Center, Salt Lake City, UT.
Scott A SummersBaker IDI Heart and Diabetes Institute, Melbourne, Australia.
Pon Velayutham Anandh BabuCollege of Health, The University of Utah, Salt Lake City, UT.
William L HollandTouchstone Diabetes Center, The University of Texas Southwestern Medical Center, Dallas, TX.
Quan-Jiang ZhangFraternal Order of Eagles Diabetes Research Center and Division of Endocrinology and Metabolism, Roy J. and Lucille A. Carver College of Medicine, The University of Iowa, Iowa City, IA.
E Dale AbelFraternal Order of Eagles Diabetes Research Center and Division of Endocrinology and Metabolism, Roy J. and Lucille A. Carver College of Medicine, The University of Iowa, Iowa City, IA.
J David SymonsCollege of Health, The University of Utah, Salt Lake City, UT Division of Endocrinology, Metabolism and Diabetes, The University of Utah School of Medicine, Salt Lake City, UT Molecular Medicine Program, The University of Utah School of Medicine, Salt Lake City, UT j.david.symons@hsc.utah.edu.
University of Utah · USBaker Heart and Diabetes Institute · AUFraternal Order of Eagles · USGeriatric Research Education and Clinical Center · USThe University of Texas Southwestern Medical Center · USUniversity of Iowa · US

Funding

Translational Research Skills Development CoreU54HL112311 · NHLBI · UNIVERSITY OF UTAH · PI WEYRICH, ANDREW S, ZIMMERMAN, GUY A. · 2012 to 2016
$12.9M
Short-Term Training: Students in Health Professional SchoolsT35HL007744 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RONDINA, MATTHEW THOMAS, TRISTANI-FIROUZI, MARTIN · 1993 to 2025
$3.1M
Adiponectin Receptors and S1P Signaling in Beta Cell Survival and ProliferationR00DK094973 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI HOLLAND, WILLIAM L · 2014 to 2016
$894k
The role of ceramide in obesity-related vascular dysfunctionR15HL091493 · NHLBI · UNIVERSITY OF UTAH · PI SYMONS, JOHN DAVID · 2008 to 2012
$661k
Insulin Signaling and the Heart in DiabetesR01DK092065 · NIDDK · UNIVERSITY OF UTAH · PI ABEL, E DALE · 2010 to 2011
$649k
NHLBI NIH HHS 2R15HL091493NHLBI NIH HHS R15 HL091493NHLBI NIH HHS T35 HL007744NHLBI NIH HHS U54 HL112311NIDDK NIH HHS R00 DK094973NIDDK NIH HHS R01 DK092065
6 · The paper itself

Abstract

Prior studies have implicated accumulation of ceramide in blood vessels as a basis for vascular dysfunction in diet-induced obesity via a mechanism involving type 2 protein phosphatase (PP2A) dephosphorylation of endothelial nitric oxide synthase (eNOS). The current study sought to elucidate the mechanisms linking ceramide accumulation with PP2A activation and determine whether pharmacological inhibition of PP2A in vivo normalizes obesity-associated vascular dysfunction and limits the severity of hypertension. We show in endothelial cells that ceramide associates with the inhibitor 2 of PP2A (I2PP2A) in the cytosol, which disrupts the association of I2PP2A with PP2A leading to its translocation to the plasma membrane. The increased association between PP2A and eNOS at the plasma membrane promotes dissociation of an Akt-Hsp90-eNOS complex that is required for eNOS phosphorylation and activation. A novel small-molecule inhibitor of PP2A attenuated PP2A activation, prevented disruption of the Akt-Hsp90-eNOS complex in the vasculature, preserved arterial function, and maintained normal blood pressure in obese mice. These findings reveal a novel mechanism whereby ceramide initiates PP2A colocalization with eNOS and demonstrate that PP2A activation precipitates vascular dysfunction in diet-induced obesity. Therapeutic strategies targeted to reducing PP2A activation might be beneficial in attenuating vascular complications that exist in the context of type 2 diabetes, obesity, and conditions associated with insulin resistance.

Indexed as

AnimalsAortaCattleCell MembraneCeramidesEndothelial CellsEndothelium, VascularFatty Acids, MonounsaturatedHSP90 Heat-Shock ProteinsMaleMiceNitric Oxide Synthase Type IIIObesityPalmitic AcidProtein Phosphatase 2Proto-Oncogene Proteins c-aktCeramidesFatty Acids, MonounsaturatedHSP90 Heat-Shock ProteinsNitric Oxide Synthase Type IIIPalmitic AcidProtein Phosphatase 2Proto-Oncogene Proteins c-aktthermozymocidin

Identifiers

PMID26253611
PMCPMC4613970
OpenAlexW1953327177

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.