Evidence map›Paper›PMID 26354680›Full record

ArticleNature communications2015

High-efficiency reprogramming of fibroblasts into cardiomyocytes requires suppression of pro-fibrotic signalling.

Yuanbiao Zhao, Pilar Londono, Yingqiong Cao, Emily J Sharpe, Catherine Proenza, Rebecca O'Rourke, Kenneth L Jones, Mark Y Jeong, Lori A Walker, Peter M Buttrick and 2 more

Open access · goldAbstract readVideo-Audio Media
In one paragraph

Article in Nature communications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% 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

148 citing papers in PubMed, 2 syntheses or guidelines pooled it, 229 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. HDAC11 Regulates RNA Splicing via De-Fatty Acylation of SF3B2.bioRxiv : the preprint server for biology · 2026
    Article
  10. Heart Regeneration for Clinical Application.Internal medicine (Tokyo, Japan) · 2026
    Review
  11. Article
  12. Advances in fibroblast-based cardiac reprogramming in the treatment of heart disease.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  13. Article
  14. Review
  15. Cell reprogramming: methods, mechanisms and applications.Cell regeneration (London, England) · 2025
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

88 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

12 authors at 2 institutions in 1 country.

Yuanbiao ZhaoDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Pilar LondonoDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Yingqiong CaoDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Emily J SharpeDepartment of Physiology and Biophysics, University of Colorado School of Medicine, 12800 E. 19th Avenue, Aurora, Colorado 80045, USA.
Catherine ProenzaDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Rebecca O'RourkeDepartment of Biochemistry and Molecular Genetics, University of Colorado School of Medicine, 12801 E. 17th Avenue, Aurora, Colorado 80045, USA.
Kenneth L JonesDepartment of Biochemistry and Molecular Genetics, University of Colorado School of Medicine, 12801 E. 17th Avenue, Aurora, Colorado 80045, USA.
Mark Y JeongDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Lori A WalkerDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Peter M ButtrickDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Timothy A McKinseyDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
Kunhua SongDivision of Cardiology, Department of Medicine, University of Colorado School of Medicine, 12700 E. 19th Avenue, B139, Aurora, Colorado 80045, USA.
University of Colorado Denver · USGates (United States) · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
University of Colorado Aging Training GrantT32AG000279 · NIA · UNIVERSITY OF COLORADO DENVER · PI Kerrie Moreau · 2001 to 2026
$10.1M
Regulation of Chromatin Signaling in Heart Failure by the BRD4 Bromodomain Protein.R01HL127240 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY, SRIVASTAVA, DEEPAK · 2015 to 2022
$6.4M
Regulation of excitability in sinoatrial myocytesR01HL088427 · NHLBI · UNIVERSITY OF CONNECTICUT STORRS · PI PROENZA, CATHERINE · 2008 to 2024
$5.8M
Regulation of Cardiac Signaling by Class I Histone DeacetylasesR01HL116848 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY · 2013 to 2021
$3.1M
Isoform-Selective HDAC Inhibitors for Age-Associated Diastolic DysfunctionR21AG043822 · NIA · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY · 2012 to 2013
$414k
NCATS NIH HHS UL1 TR001082NCI NIH HHS P30 CA046934NCI NIH HHS P30CA046934NHLBI NIH HHS R01 HL088427NHLBI NIH HHS R01 HL116848NHLBI NIH HHS R01HL116848NHLBI NIH HHS R01 HL127240NHLBI NIH HHS R01HL127240NIA NIH HHS R21 AG043822NIA NIH HHS R21AG043822NIA NIH HHS T32 AG000279
6 · The paper itself

Abstract

Direct reprogramming of fibroblasts into cardiomyocytes by forced expression of cardiomyogenic factors, GMT (GATA4, Mef2C, Tbx5) or GHMT (GATA4, Hand2, Mef2C, Tbx5), has recently been demonstrated, suggesting a novel therapeutic strategy for cardiac repair. However, current approaches are inefficient. Here we demonstrate that pro-fibrotic signalling potently antagonizes cardiac reprogramming. Remarkably, inhibition of pro-fibrotic signalling using small molecules that target the transforming growth factor-β or Rho-associated kinase pathways converts embryonic fibroblasts into functional cardiomyocyte-like cells, with the efficiency up to 60%. Conversely, overactivation of these pro-fibrotic signalling networks attenuates cardiac reprogramming. Furthermore, inhibition of pro-fibrotic signalling dramatically enhances the kinetics of cardiac reprogramming, with spontaneously contracting cardiomyocytes emerging in less than 2 weeks, as opposed to 4 weeks with GHMT alone. These findings provide new insights into the molecular mechanisms underlying cardiac conversion of fibroblasts and would enhance efforts to generate cardiomyocytes for clinical applications.

Indexed as

Action PotentialsAnimalsBasic Helix-Loop-Helix ProteinsBlotting, WesternCellular ReprogrammingCellular Reprogramming TechniquesChromatin ImmunoprecipitationEmbryo, MammalianFibroblastsFibrosisGATA4 Transcription FactorImmunohistochemistryMEF2 Transcription FactorsMiceMicroRNAsMyocytes, CardiacBasic Helix-Loop-Helix ProteinsGata4 protein, mouseGATA4 Transcription FactorHand2 protein, mouseMef2c protein, mouseMEF2 Transcription FactorsMicroRNAsMirn133 microRNA, mouseMirn1 microRNA, mouserho-Associated KinasesT-Box Domain ProteinsT-box transcription factor 5Transforming Growth Factor beta

Identifiers

PMID26354680
PMCPMC4579788
OpenAlexW2260943715

What OpenQuestion holds

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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.