Evidence map›Paper›PMID 26786475›Full record

ArticleScientific reports2016

Irx3 is required for postnatal maturation of the mouse ventricular conduction system.

Kyoung-Han Kim, Anna Rosen, Samer M I Hussein, Vijitha Puviindran, Adam S Korogyi, Carmelina Chiarello, Andras Nagy, Chi-Chung Hui, Peter H Backx

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. SHP2 genetic variants in NSML-associated RASopathies disrupt the PZR-IRX transcription factor signaling axis.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Article
  9. Immune-mediated cardiac development and regeneration.Seminars in cell & developmental biology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Improving iPSC Differentiation Using a Nanodot Platform.ACS applied materials & interfaces · 2024
    Article
  15. Complementary and Inducible creERStem cell reviews and reports · 2024
    Article
  16. Development of the Cardiac Conduction System.Advances in experimental medicine and biology · 2024
    Article
  17. 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

9 authors at 5 institutions in 1 country.

Kyoung-Han KimProgram in Developmental &Stem Cell Biology, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada.
Anna RosenThe Heart and Stroke Richard Lewar Centre of Excellence, University of Toronto, Toronto, ON M5S 3E2, Canada.
Samer M I HusseinLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada.
Vijitha PuviindranProgram in Developmental &Stem Cell Biology, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada.
Adam S KorogyiThe Heart and Stroke Richard Lewar Centre of Excellence, University of Toronto, Toronto, ON M5S 3E2, Canada.
Carmelina ChiarelloThe Heart and Stroke Richard Lewar Centre of Excellence, University of Toronto, Toronto, ON M5S 3E2, Canada.
Andras NagyLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada.
Chi-Chung HuiProgram in Developmental &Stem Cell Biology, The Hospital for Sick Children, Toronto, ON M5G 0A4, Canada.
Peter H BackxThe Heart and Stroke Richard Lewar Centre of Excellence, University of Toronto, Toronto, ON M5S 3E2, Canada.
Hospital for Sick Children · CAUniversity of Toronto · CACentre hospitalier universitaire de Québec · CAHeart and Stroke Foundation · CALunenfeld-Tanenbaum Research Institute · CA

Funding

Canadian Institutes of Health Research MOP119339Canadian Institutes of Health Research MOP43940
6 · The paper itself

Abstract

The ventricular conduction system (VCS) orchestrates the harmonious contraction in every heartbeat. Defects in the VCS are often associated with life-threatening arrhythmias and also promote adverse remodeling in heart disease. We have previously established that the Irx3 homeobox gene regulates rapid electrical propagation in the VCS by modulating the transcription of gap junction proteins Cx40 and Cx43. However, it is unknown whether other factors contribute to the conduction defects observed in Irx3 knockout (Irx3(-/-)) mice. In this study, we show that during the early postnatal period, Irx3(-/-) mice develop morphological defects in the VCS which are temporally dissociated from changes in gap junction expression. These morphological defects were accompanied with progressive changes in the cardiac electrocardiogram including right bundle branch block. Hypoplastic VCS was not associated with increased apoptosis of VCS cardiomyocytes but with a lack of recruitment and maturation of ventricular cardiomyocytes into the VCS. Computational analysis followed by functional verification revealed that Irx3 promotes VCS-enriched transcripts targeted by Nkx2.5 and/or Tbx5. Altogether, these results indicate that, in addition to ensuring the appropriate expression of gap junctional channels in the VCS, Irx3 is necessary for the postnatal maturation of the VCS, possibly via its interactions with Tbx5 and Nkx2.5.

Indexed as

AnimalsBrugada SyndromeCardiac Conduction System DiseaseConnexinsElectrocardiographyGap Junction alpha-5 ProteinGene ExpressionGene Expression RegulationHeart Conduction SystemHeart VentriclesHomeobox Protein Nkx-2.5Homeodomain ProteinsMiceMice, KnockoutModels, MolecularProtein BindingConnexinsGap Junction alpha-5 ProteinHomeobox Protein Nkx-2.5Homeodomain ProteinsIrx3 protein, mouseNkx2-5 protein, mouseT-Box Domain ProteinsT-box transcription factor 5Transcription Factors

Identifiers

PMID26786475
PMCPMC4726432
OpenAlexW2276161304

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.