Evidence map›Paper›PMID 26839394›Full record

ArticleCirculation. Heart failure2016

Chronic Therapy With Elamipretide (MTP-131), a Novel Mitochondria-Targeting Peptide, Improves Left Ventricular and Mitochondrial Function in Dogs With Advanced Heart Failure.

Hani N Sabbah, Ramesh C Gupta, Smita Kohli, Mengjun Wang, Souheila Hachem, Kefei Zhang

Abstract read
In one paragraph

Article in Circulation. Heart failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 132 papers.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed
16.0field-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

132 citing papers in PubMed, 202 citations in OpenAlex.

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  17. Mechano-energetic uncoupling in heart failure.Nature reviews. Cardiology · 2025
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72 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

6 authors at 1 institution in 1 country.

Hani N SabbahFrom the Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI. hsabbah1@hfhs.org.
Ramesh C GuptaFrom the Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Smita KohliFrom the Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Mengjun WangFrom the Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Souheila HachemFrom the Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Kefei ZhangFrom the Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
Henry Ford Hospital · US

Funding

Substrate Selection and Oxidative Stress in Heart FailureP01HL074237 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI RECCHIA, FABIO A · 2003 to 2013
$19.9M
NHLBI NIH HHS P01 HL074237NHLBI NIH HHS P01 HL074237-10
6 · The paper itself

Abstract

backgroundElamipretide (MTP-131), a novel mitochondria-targeting peptide, was shown to reduce infarct size in animals with myocardial infarction and improve renal function in pigs with acute and chronic kidney injury. This study examined the effects of chronic therapy with elamipretide on left ventricular (LV) and mitochondrial function in dogs with heart failure (HF). METHODS AND

resultsFourteen dogs with microembolization-induced HF were randomized to 3 months monotherapy with subcutaneous injections of elamipretide (0.5 mg/kg once daily, HF+ELA, n=7) or saline (control, HF-CON, n=7). LV ejection fraction, plasma n-terminal pro-brain natriuretic peptide, tumor necrosis factor-α, and C-reactive protein were measured before (pretreatment) and 3 months after initiating therapy (post-treatment). Mitochondrial respiration, membrane potential (Δψm), maximum rate of ATP synthesis, and ATP/ADP ratio were measured in isolated LV cardiomyocytes obtained at post-treatment. In HF-CON dogs, ejection fraction decreased at post-treatment compared with pretreatment (29 ± 1% versus 31 ± 2%), whereas in HF+ELA dogs, ejection fraction significantly increased at post-treatment compared with pretreatment (36 ± 2% versus 30 ± 2%; P<0.05). In HF-CON, n-terminal pro-brain natriuretic peptide increased by 88 ± 120 pg/mL during follow-up but decreased significantly by 774 ± 85 pg/mL in HF+ELA dogs (P<0.001). Treatment with elamipretide also normalized plasma tumor necrosis factor-α and C-reactive protein and restored mitochondrial state-3 respiration, Δψm, rate of ATP synthesis, and ATP/ADP ratio (ATP/ADP: 0.38 ± 0.04 HF-CON versus 1.16 ± 0.15 HF+ELA; P<0.001).

conclusionsLong-term therapy with elamipretide improves LV systolic function, normalizes plasma biomarkers, and reverses mitochondrial abnormalities in LV myocardium of dogs with advanced HF. The results support the development of elamipretide for the treatment of HF.

Indexed as

AnimalsBiomarkersC-Reactive ProteinDisease Models, AnimalDogsEnergy MetabolismHeart FailureInfusions, IntravenousInjections, SubcutaneousMembrane Potential, MitochondrialMitochondria, HeartMyocytes, CardiacNatriuretic Peptide, BrainOligopeptidesPeptide FragmentsReactive Oxygen Speciesarginyl-2,'6'-dimethyltyrosyl-lysyl-phenylalaninamideBiomarkersC-Reactive ProteinNatriuretic Peptide, BrainOligopeptidesPeptide Fragmentspro-brain natriuretic peptide (1-76)Reactive Oxygen SpeciesTumor Necrosis Factor-alphacardiolipinheart failuremitochondriamyocardial energeticsventricular function

Identifiers

PMID26839394
PMCPMC4743543
OpenAlexW2267116535

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.