Evidence map›Paper›PMID 26512958›Full record

ArticleCell death & disease2015

A novel miR-371a-5p-mediated pathway, leading to BAG3 upregulation in cardiomyocytes in response to epinephrine, is lost in Takotsubo cardiomyopathy.

M d'Avenia, R Citro, M De Marco, A Veronese, A Rosati, R Visone, S Leptidis, L Philippen, G Vitale, A Cavallo and 14 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
4.0field-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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Genetic and Epigenetic Factors of Takotsubo Syndrome: A Systematic Review.International journal of molecular sciences · 2021
    Pooled it
  3. A Genome-Wide Association Study of Takotsubo Syndrome.JACC. Basic to translational science · 2026
    Article
  4. Review
  5. MicroRNA Profiling in Chronic Limb-Threatening Ischemia Their Role in Arteriogenesis.The International journal of angiology : official publication of the International College of Angiology, Inc · 2025
    Article
  6. BAG3 in human tumors.Frontiers in oncology · 2025
    Article
  7. Article
  8. Role of miR-204 in segmental cardiac effects of phenylephrine and pressure overload.Biochemical and biophysical research communications · 2023
    Article
  9. Review
  10. Review
  11. Review
  12. Molecular Mechanisms of Takotsubo Syndrome.International journal of molecular sciences · 2022
    Review
  13. MicroRNA regulation of BAG3.Experimental biology and medicine (Maywood, N.J.) · 2022
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Novel Imaging and Genetic Risk Markers in Takotsubo Syndrome.Frontiers in cardiovascular medicine · 2021
    Review
  19. Article
  20. Article
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

24 authors at 7 institutions in 3 countries.

M d'AveniaDepartment of Pharmacy (DIFARMA), University of Salerno, Fisciano, Italy.
R Citro'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
M De MarcoDepartment of Pharmacy (DIFARMA), University of Salerno, Fisciano, Italy.
A VeroneseDipartimento di Scienze Mediche, Orali e Biotecnologiche, CeSI, Universita' 'G. D'Annunzio' di Chieti e Pescara, Pescara, Italy.
A RosatiDepartment of Pharmacy (DIFARMA), University of Salerno, Fisciano, Italy.
R VisoneDipartimento di Scienze Mediche, Orali e Biotecnologiche, CeSI, Universita' 'G. D'Annunzio' di Chieti e Pescara, Pescara, Italy.
S LeptidisFaculty of Health, Medicine and Life Sciences, Department of Cardiology, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
L PhilippenFaculty of Health, Medicine and Life Sciences, Department of Cardiology, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
G Vitale'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
A Cavallo'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
A Silverio'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
C Prota'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
P GravinaDepartment of Laboratory Medicine, 'Tor Vergata' University, Rome, Italy.
A De ColaDipartimento di Scienze Mediche, Orali e Biotecnologiche, CeSI, Universita' 'G. D'Annunzio' di Chieti e Pescara, Pescara, Italy.
E CarlettiDipartimento di Scienze Mediche, Orali e Biotecnologiche, CeSI, Universita' 'G. D'Annunzio' di Chieti e Pescara, Pescara, Italy.
G CoppolaTransfusional Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
S GalloTransfusional Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
G ProvenzaDivision of Cardiology San Francesco d'Assisi, Hospital of Oliveto Citra, Salerno, Italy.
E Bossone'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
F Piscione'Cuore' Department, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.
M HahneInstitut de Genetique Moleculaire de Montpellier, CNRS UMR5535, Montpellier, France.
L J De WindtFaculty of Health, Medicine and Life Sciences, Department of Cardiology, CARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, The Netherlands.
M C TurcoBiouniversa s.r.l., c/o University of Salerno, Fisciano, Italy.
V De LaurenziBiouniversa s.r.l., c/o University of Salerno, Fisciano, Italy.
Ospedali Riuniti San Giovanni di Dio e Ruggi d'Aragona · ITUniversity of Chieti-Pescara · ITUniversity of Salerno · ITMaastricht University · NLInstitut de Génétique Moléculaire de Montpellier · FRUniversity of Bari Aldo Moro · ITUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Molecular mechanisms protecting cardiomyocytes from stress-induced death, including tension stress, are essential for cardiac physiology and defects in these protective mechanisms can result in pathological alterations. Bcl2-associated athanogene 3 (BAG3) is expressed in cardiomyocytes and is a component of the chaperone-assisted autophagy pathway, essential for homeostasis of mechanically altered cells. BAG3 ablation in mice results in a lethal cardiomyopathy soon after birth and mutations of this gene have been associated with different cardiomyopathies including stress-induced Takotsubo cardiomyopathy (TTC). The pathogenic mechanism leading to TTC has not been defined, but it has been suggested that the heart can be damaged by excessive epinephrine (epi) spillover in the absence of a protective mechanism. The aim of this study was to provide more evidence for a role of BAG3 in the pathogenesis of TTC. Therefore, we sequenced BAG3 gene in 70 TTC patients and in 81 healthy donors with the absence of evaluable cardiovascular disease. Mutations and polymorphisms detected in the BAG3 gene included a frequent nucleotide change g2252c in the BAG3 3'-untranslated region (3'-UTR) of Takotsubo patients (P<0.05), resulting in loss of binding of microRNA-371a-5p (miR-371a-5p) as evidenced by dual-luciferase reporter assays and argonaute RNA-induced silencing complex catalytic component 2/pull-down assays. Moreover, we describe a novel signaling pathway in cardiomyocytes that leads to BAG3 upregulation on exposure to epi through an ERK-dependent upregulation of miR-371a-5p. In conclusion, the presence of a g2252c polymorphism in the BAG3 3'-UTR determines loss of miR-371a-5p binding and results in an altered response to epi, potentially representing a new molecular mechanism that contributes to TTC pathogenesis.

Indexed as

MutationAdaptor Proteins, Signal TransducingApoptosis Regulatory ProteinsEpinephrineFemaleHumansMicroRNAsMyocytes, CardiacTakotsubo CardiomyopathyUp-RegulationAdaptor Proteins, Signal TransducingApoptosis Regulatory ProteinsBAG3 protein, humanEpinephrineMicroRNAsMIRN371 microRNA, human

Identifiers

PMID26512958
PMCPMC4632305
OpenAlexW2412873235

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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.