Evidence map›Paper›PMID 27765191›Full record

ArticleJournal of the American College of Cardiology2016

PITX2 Modulates Atrial Membrane Potential and the Antiarrhythmic Effects of Sodium-Channel Blockers.

Fahima Syeda, Andrew P Holmes, Ting Y Yu, Samantha Tull, Stefan Michael Kuhlmann, Davor Pavlovic, Daniel Betney, Genna Riley, Jan P Kucera, Florian Jousset and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Connexin 43-Enriched Vesicles Improve Synchronization in hiPSC-Derived Cardiomyocytes.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  8. Transforming atrial fibrillation management by targeting comorbidities and reducing atrial fibrillation burden: the 10th AFNET/EHRA consensus conference.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  9. Review
  10. Single-Nucleotide Polymorphisms,International journal of molecular sciences · 2025
    Review
  11. Article
  12. Article
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  15. Isolated Perfused Hearts for Cardiovascular Research: An Old Dog with New Tricks.Journal of cardiovascular translational research · 2024
    Review
  16. Review
  17. Optical mapping and optogenetics in cardiac electrophysiology research and therapy: a state-of-the-art review.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Review
  18. Article
  19. Review
  20. Review

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 6 institutions in 4 countries.

Fahima SyedaInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Andrew P HolmesInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Ting Y YuInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Physical Sciences of Imaging in the Biomedical Sciences, School of Chemistry, University of Birmingham, Birmingham, United Kingdom.
Samantha TullInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Stefan Michael KuhlmannInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Davor PavlovicInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Daniel BetneyInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Genna RileyInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom.
Jan P KuceraDepartment of Physiology, University of Bern, Bern, Switzerland.
Florian JoussetDepartment of Physiology, University of Bern, Bern, Switzerland.
Joris R de GrootHeart Center, Department of Cardiology, Academisch Medisch Centrum, Amsterdam, the Netherlands.
Stephan RohrDepartment of Physiology, University of Bern, Bern, Switzerland.
Nigel A BrownSt. George's Hospital Medical School, University of London, London, United Kingdom.
Larissa FabritzInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Department of Cardiovascular Medicine, University Hospital Muenster, Muenster, Germany; Atrial Fibrillation NETwork, Muenster, Germany; University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Paulus KirchhofInstitute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Department of Cardiovascular Medicine, University Hospital Muenster, Muenster, Germany; Atrial Fibrillation NETwork, Muenster, Germany; University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom; Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, United Kingdom. Electronic address: p.kirchhof@bham.ac.uk.
University of Birmingham · GBUniversity of Bern · CHAcademic Medical Center · NLAtrial Fibrillation NETwork · DESt George's, University of London · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

British Heart Foundation FS/13/43/30324Medical Research Council MC_PC_14107Medical Research Council MC_PC_15032
6 · The paper itself

Abstract

backgroundAntiarrhythmic drugs are widely used to treat patients with atrial fibrillation (AF), but the mechanisms conveying their variable effectiveness are not known. Recent data suggested that paired like homeodomain-2 transcription factor (PITX2) might play an important role in regulating gene expression and electrical function of the adult left atrium (LA).

objectivesAfter determining LA PITX2 expression in AF patients requiring rhythm control therapy, the authors assessed the effects of Pitx2c on LA electrophysiology and the effect of antiarrhythmic drugs.

methodsLA PITX2 messenger ribonucleic acid (mRNA) levels were measured in 95 patients undergoing thoracoscopic AF ablation. The effects of flecainide, a sodium (Na

resultsFlecainide 1 μmol/l was more effective in suppressing atrial arrhythmias in atria with reduced Pitx2c mRNA levels (Pitx2c

conclusionsPITX2 mRNA modulates atrial resting membrane potential and thereby alters the effectiveness of Na-channel blockers. PITX2 and ion channels regulating the resting membrane potential may provide novel targets for antiarrhythmic drug development and companion therapeutics in AF.

Indexed as

AdultAgedAnimalsAnti-Arrhythmia AgentsAtrial FibrillationElectrophysiological PhenomenaFemaleFlecainideGene Expression RegulationHeart AtriaHomeobox Protein PITX2Homeodomain ProteinsHumansMaleMembrane PotentialsMiceAnti-Arrhythmia AgentsFlecainideHomeobox Protein PITX2Homeodomain ProteinsTranscription FactorsVoltage-Gated Sodium Channel Blockersantiarrhythmic drugsatrial fibrillationdrug targetselectrophysiologypersonalized medicinerhythm control

Identifiers

PMID27765191
PMCPMC5075046
OpenAlexW2534241748

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.