Evidence map›Paper›PMID 28515341›Full record

ArticleScience translational medicine2017

BET bromodomain inhibition suppresses innate inflammatory and profibrotic transcriptional networks in heart failure.

Qiming Duan, Sarah McMahon, Priti Anand, Hirsh Shah, Sean Thomas, Hazel T Salunga, Yu Huang, Rongli Zhang, Aarathi Sahadevan, Madeleine E Lemieux and 5 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 154 papers.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed
12.4field-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

154 citing papers in PubMed, 265 citations in OpenAlex.

  1. Trial
  2. Cell Type-Specific Roles for BRD4 in Heart Failure.Current cardiology reports · 2026
    Review
  3. Next-generation molecular imaging of cardiac fibrosis.The international journal of cardiovascular imaging · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
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  10. Cardio-Vascular Extracellular Matrix: The Unmet Enigma.International journal of molecular sciences · 2026
    Review
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  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
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  20. Article

94 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 2 countries.

Qiming DuanGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.ORCID 0000-0002-6204-3028
Sarah McMahonGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.ORCID 0000-0002-8614-1415
Priti AnandGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.
Hirsh ShahInstitute for Transformative Molecular Medicine and Department of Medicine, Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
Sean ThomasGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.ORCID 0000-0001-8446-0191
Hazel T SalungaGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.ORCID 0000-0002-0582-7352
Yu HuangGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.
Rongli ZhangInstitute for Transformative Molecular Medicine and Department of Medicine, Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.ORCID 0000-0001-5178-7278
Aarathi SahadevanInstitute for Transformative Molecular Medicine and Department of Medicine, Case Western Reserve University School of Medicine and University Hospitals Cleveland Medical Center, Cleveland, OH 44106, USA.
Madeleine E LemieuxBioInfo, Plantagenet, Ontario K0B 1L0, Canada.
Jonathan D BrownDivision of Cardiovascular Medicine, Department of Medicine, and Department of Molecular Physiology and Biophysics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.ORCID 0000-0002-0359-6167
Deepak SrivastavaGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA.
James E BradnerDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0002-2718-4415
Timothy A McKinseyDivision of Cardiology, Department of Medicine, Consortium for Fibrosis Research & Translation, University of Colorado, Anschutz Medical Campus, Denver, CO 80204, USA.
Saptarsi M HaldarGladstone Institute of Cardiovascular Disease, San Francisco, CA 94158, USA. saptarsi.haldar@gladstone.ucsf.edu.ORCID 0000-0001-7968-9696
Gladstone Institutes · USUniversity Hospitals of Cleveland · USBIO (Canada) · CAHarvard University · USUniversity of Colorado Anschutz Medical Campus · USVanderbilt University · US

Funding

Regulation of Chromatin Signaling in Heart Failure by the BRD4 Bromodomain Protein.R01HL127240 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY, SRIVASTAVA, DEEPAK · 2015 to 2022
$6.4M
Regulation of Cardiac Signaling by Class I Histone DeacetylasesR01HL116848 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY · 2013 to 2021
$3.1M
KLF15 and Transcriptional Control of Muscle MetabolismR01DK093821 · NIDDK · J. DAVID GLADSTONE INSTITUTES · PI HALDAR, SAPTARSI · 2013 to 2017
$1.8M
NHLBI NIH HHS R01 HL116848NHLBI NIH HHS R01 HL127240NIDDK NIH HHS R01 DK093821
6 · The paper itself

Abstract

Despite current standard of care, the average 5-year mortality after an initial diagnosis of heart failure (HF) is about 40%, reflecting an urgent need for new therapeutic approaches. Previous studies demonstrated that the epigenetic reader protein bromodomain-containing protein 4 (BRD4), an emerging therapeutic target in cancer, functions as a critical coactivator of pathologic gene transactivation during cardiomyocyte hypertrophy. However, the therapeutic relevance of these findings to human disease remained unknown. We demonstrate that treatment with the BET bromodomain inhibitor JQ1 has therapeutic effects during severe, preestablished HF from prolonged pressure overload, as well as after a massive anterior myocardial infarction in mice. Furthermore, JQ1 potently blocks agonist-induced hypertrophy in human induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs). Integrated transcriptomic analyses across animal models and human iPSC-CMs reveal that BET inhibition preferentially blocks transactivation of a common pathologic gene regulatory program that is robustly enriched for NFκB and TGF-β signaling networks, typified by innate inflammatory and profibrotic myocardial genes. As predicted by these specific transcriptional mechanisms, we found that JQ1 does not suppress physiological cardiac hypertrophy in a mouse swimming model. These findings establish that pharmacologically targeting innate inflammatory and profibrotic myocardial signaling networks at the level of chromatin is effective in animal models and human cardiomyocytes, providing the critical rationale for further development of BET inhibitors and other epigenomic medicines for HF.

Indexed as

AnimalsAzepinesBromodomain Containing ProteinsCardiomegalyGene Regulatory NetworksHeart FailureHumansInduced Pluripotent Stem CellsInflammationMaleMiceMice, Inbred C57BLMyocytes, CardiacNF-kappa BProteinsSignal TransductionAzepinesbromodomain and extra-terminal domain protein, humanBromodomain Containing Proteins(+)-JQ1 compoundNF-kappa BProteinsTransforming Growth Factor betaTriazoles

Identifiers

PMID28515341
PMCPMC5544253
OpenAlexW2616008841

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.