Evidence map›Paper›PMID 27457951›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Mechanical signaling coordinates the embryonic heartbeat.

Kevin K Chiou, Jason W Rocks, Christina Yingxian Chen, Sangkyun Cho, Koen E Merkus, Anjali Rajaratnam, Patrick Robison, Manorama Tewari, Kenneth Vogel, Stephanie F Majkut and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

34 citing papers in PubMed, 56 citations in OpenAlex.

  1. Article
  2. Coordination of cardiogenesis in vivo and in vitro.Nature reviews. Molecular cell biology · 2026
    Review
  3. Fiber recruitment drives a phase transition of cell polarization at a critical cell spacing in matrix-mediated tissue remodeling.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  4. Water-Soluble Molecular Wires for Membrane Potential Imaging.Angewandte Chemie (International ed. in English) · 2025
    Article
  5. Application of human cardiac organoids in cardiovascular disease research.Frontiers in cell and developmental biology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. TheFrontiers in physiology · 2023
    Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Reconstructing the heart using iPSCs: Engineering strategies and applications.Journal of molecular and cellular cardiology · 2021
    Review
  19. Review
  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

13 authors at 2 institutions in 2 countries.

Kevin K ChiouDepartment of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104;
Jason W RocksDepartment of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104;
Christina Yingxian ChenDepartment of Physiology, Pennsylvania Muscle Institute, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104;
Sangkyun ChoMolecular and Cell Biophysics Laboratory, University of Pennsylvania, Philadelphia, PA 19104;
Koen E MerkusApplied Physics, Eindhoven University of Technology, 5600 MB Eindhoven, The Netherlands.
Anjali RajaratnamDepartment of Physiology, Pennsylvania Muscle Institute, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104;
Patrick RobisonMolecular and Cell Biophysics Laboratory, University of Pennsylvania, Philadelphia, PA 19104;
Manorama TewariMolecular and Cell Biophysics Laboratory, University of Pennsylvania, Philadelphia, PA 19104;
Kenneth VogelMolecular and Cell Biophysics Laboratory, University of Pennsylvania, Philadelphia, PA 19104;
Stephanie F MajkutMolecular and Cell Biophysics Laboratory, University of Pennsylvania, Philadelphia, PA 19104;
Benjamin L ProsserDepartment of Physiology, Pennsylvania Muscle Institute, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104;
Dennis E DischerMolecular and Cell Biophysics Laboratory, University of Pennsylvania, Philadelphia, PA 19104;
Andrea J LiuDepartment of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104; ajliu@physics.upenn.edu.
University of Pennsylvania · USEindhoven University of Technology · NL

Funding

Phenotypic Diversity in COVID-19UL1TR001878 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2016 to 2025
$102.4M
Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
PSOC@Penn Education and OutreachU54CA193417 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DISCHER, DENNIS E. · 2015 to 2020
$10.5M
Training in Muscle Biology and Muscle DiseaseT32AR053461 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI OSTAP, E. MICHAEL · 2006 to 2025
$4.9M
Nanoscience of 'Self' - reductionist approaches to hCD47 inhibition of phagocytesR01HL124106 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DISCHER, DENNIS E. · 2014 to 2022
$3.1M
Stretch-dependent X-ROS signaling: implications for cardiomyopathyR00HL114879 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PROSSER, BENJAMIN LEARS · 2014 to 2016
$728k
Nuclear Mechanics varies with Tissue Mechanics & Regulates CytoskeletonR21HL128187 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DISCHER, DENNIS E. · 2015 to 2016
$426k
NCATS NIH HHS UL1 TR000003NCATS NIH HHS UL1 TR001878NCI NIH HHS U54 CA193417NHLBI NIH HHS R00 HL114879NHLBI NIH HHS R01 HL124106NHLBI NIH HHS R21 HL128187NIAMS NIH HHS T32 AR053461
6 · The paper itself

Abstract

In the beating heart, cardiac myocytes (CMs) contract in a coordinated fashion, generating contractile wave fronts that propagate through the heart with each beat. Coordinating this wave front requires fast and robust signaling mechanisms between CMs. The primary signaling mechanism has long been identified as electrical: gap junctions conduct ions between CMs, triggering membrane depolarization, intracellular calcium release, and actomyosin contraction. In contrast, we propose here that, in the early embryonic heart tube, the signaling mechanism coordinating beats is mechanical rather than electrical. We present a simple biophysical model in which CMs are mechanically excitable inclusions embedded within the extracellular matrix (ECM), modeled as an elastic-fluid biphasic material. Our model predicts strong stiffness dependence in both the heartbeat velocity and strain in isolated hearts, as well as the strain for a hydrogel-cultured CM, in quantitative agreement with recent experiments. We challenge our model with experiments disrupting electrical conduction by perfusing intact adult and embryonic hearts with a gap junction blocker, β-glycyrrhetinic acid (BGA). We find this treatment causes rapid failure in adult hearts but not embryonic hearts-consistent with our hypothesis. Last, our model predicts a minimum matrix stiffness necessary to propagate a mechanically coordinated wave front. The predicted value is in accord with our stiffness measurements at the onset of beating, suggesting that mechanical signaling may initiate the very first heartbeats.

Indexed as

Heart RateAnimalsChick EmbryoGap JunctionsHeartModels, BiologicalMyocardial ContractionMyocytes, Cardiaccardiac developmentexcitable mediaheartbeatmechanotransductionreaction–diffusion

Identifiers

PMID27457951
PMCPMC4987837
OpenAlexW2490612307

What OpenQuestion holds

Textmetadata
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.