Evidence map›Paper›PMID 26700661›Full record

ArticleJournal of cardiac failure2016

Methylation of Apoptosis-Associated Speck-Like Protein With a Caspase Recruitment Domain and Outcomes in Heart Failure.

Brittany Butts, Rebecca A Gary, Sandra B Dunbar, Javed Butler

Open access · greenAbstract read
In one paragraph

Article in Journal of cardiac failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Effects of Exercise on ASC Methylation and IL-1 Cytokines in Heart Failure.Medicine and science in sports and exercise · 2018
    Trial
  3. Article
  4. Commentary on "CircMAPK1 induces cell pyroptosis in sepsis-induced lung injury by mediating KDM2B mRNA decay to epigenetically regulate WNK1".Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  5. Nlrc4 Inflammasome Expression After Acute Myocardial Infarction in Rats.International journal of molecular sciences · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. The Bidirectional Association Between Metabolic Syndrome and Long-COVID-19.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. The Role of the Inflammasome in Heart Failure.Frontiers in physiology · 2021
    Review
  18. Article
  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

4 authors at 2 institutions in 1 country.

Brittany ButtsNell Hodgson School of Nursing, Emory University, Atlanta, Georgia.
Rebecca A GaryNell Hodgson School of Nursing, Emory University, Atlanta, Georgia.
Sandra B DunbarNell Hodgson School of Nursing, Emory University, Atlanta, Georgia.
Javed ButlerDivision of Cardiology, Stony Brook University, Stony Brook, New York. Electronic address: javed.butler@stonybrookmedicine.edu.
Emory University · USStony Brook University · US

Funding

Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Heart Failure Clinical Trials NetworkU10HL110302 · NHLBI · EMORY UNIVERSITY · PI SMITH, ANDREW · 2012 to 2018
$2.5M
The Center for Cognition and Affect in Chronic IllnessP30NR014134 · NINR · EMORY UNIVERSITY · PI WALDROP, DRENNA · 2012 to 2016
$2.2M
Effects of exercise on epigenetic pathways in persons with heart failureF31NR015180 · NINR · EMORY UNIVERSITY · PI BUTTS, BRITTANY · 2015 to 2016
$56k
NCATS NIH HHS UL1 TR000454NHLBI NIH HHS U10 HL110302NINR NIH HHS F31 NR015180NINR NIH HHS P30 NR014134NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundHeart failure (HF) is associated with inflammation characterized by the formation of the inflammasome, which triggers maturation of inflammatory cytokines. Apoptosis-associated speck-like protein with a caspase recruitment domain (ASC), a vital component of the inflammasome, is controlled through epigenetic modification, which may be a candidate pathway for worsening HF. This study examined the inflammasome pathway in HF and the relationships between ASC CpG methylation and outcomes in HF. METHODS AND

resultsStored samples from 155 HF outpatients (ejection fraction 29.9 ± 14.9%) were analyzed for percentage methylation of 7 CpG sites in the intron region preceding exon 1 of the ASC gene. ASC methylation was inversely related to ASC mRNA (r = -0.33; P < .001) and protein (r = -0.464; P < .001). ASC methylation had a positive linear relationship with ejection fraction (r = 0.85; P < .001), quality of life (r = 0.83; P < .001), and 6-minute walk test (r = 0.59; P = .023) and a negative linear relationship with depression (r = -0.81; P < .001) and anxiety (r = -0.75; P < .001). Higher ASC methylation was associated with a lower risk for clinical events (hazard ratio [HR] 0.16; P = .025), whereas higher protein (HR = 1.78; P = .045) and mRNA expression (HR = 1.18; P = .05) were associated with a greater risk.

conclusionsIncreased methylation of CpG sites in the intron region of ASC is associated with improved outcomes in HF. The associated decrease in ASC expression implicates this inflammatory mediator as a possible driver of HF outcomes and may represent a therapeutic target.

Indexed as

DNA MethylationAdultAgedAged, 80 and overCARD Signaling Adaptor ProteinsCpG IslandsCytokinesCytoskeletal ProteinsEpigenesis, GeneticExercise TestFemaleGene ExpressionHeart FailureHumansInflammasomesInflammationCARD Signaling Adaptor ProteinsCytokinesCytoskeletal ProteinsInflammasomesPYCARD protein, humanRNA, MessengerepigeneticHeart failureinflammation

Identifiers

PMID26700661
PMCPMC4861674
OpenAlexW2279823054

What OpenQuestion holds

Textmetadata
LicenceTDM
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.