Evidence map›Paper›PMID 28623907›Full record

ArticleBMC cardiovascular disorders2017

DNA methylation dysregulations in rheumatic heart valve disease.

Kangjun Shen, Hui Liu, Ran Jing, Jiangfeng Yi, Xinmin Zhou

Open access · goldAbstract read
In one paragraph

Article in BMC cardiovascular disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Mechanisms of mitral valve development and disease.Frontiers in cardiovascular medicine · 2026
    Review
  2. Epigenetic advances in rheumatic heart disease.Journal of translational autoimmunity · 2025
    Review
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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

5 authors at 1 institution in 1 country.

Kangjun ShenDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, 139. Renmin Road, Changsha, Hunan, 410011, People's Republic of China.ORCID 0000-0002-4156-9979
Hui LiuDepartment of Hemodialysis Center, The Third Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China.
Ran JingDepartment of Cardiology, The Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China.
Jiangfeng YiDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, 139. Renmin Road, Changsha, Hunan, 410011, People's Republic of China.
Xinmin ZhouDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, 139. Renmin Road, Changsha, Hunan, 410011, People's Republic of China. xmzhou@xysm.net.
Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe epigenetic changes underlying the development of rheumatic heart valve disease (RHVD) remain incompletely understood. Limited evidence suggests that abnormal DNA methylation might be involved in the pathogenesis of RHVD. In the present study, we evaluated the DNA methylation dysregulations from myocardial tissue in RHVD patients systematically.

methodsRight atrial myocardial tissue obtained from rheumatic valvular patients who had undergone valve replacements surgery (n = 73) and were compared to healthy controls (n = 4). the promoter methylation level of Intercellular adhesion molecule-1 (ICAM-1) gene and its correlation with ICAM-1 mRNA expression level, the global DNA methylation level and its correlation with age and mRNA expression level of DNA methyltransferase (DNMT) genes were detected.

resultsThe ICAM-1 mRNA expression was increased (healthy control vs. NHYA III, 0.70 ± 0.19 vs. 4.38 ± 3.19, p = 0.011; NYHA IIvs. NHYA III, 2.60 ± 1.99 vs. 4.38 ± 3.19, p = 0.008) and the ICAM-1 gene was hypomethylated in RHVD patients (healthy controls vs. NYHA II, 0.120 ± 0.011 vs. 0.076 ± 0.057, p = 0.039; healthy control vs. NHYA III, 0.120 ± 0.011 vs. 0.041 ± 0.022, p < 0.001; NYHA IIvs. NHYA III, 0.076 ± 0.057 vs. 0.041 ± 0.022, p < 0.001). Meanwhile, The ICAM-1 mRNA expression level has negative correlation with the mean methylation level in the promoter region of ICAM-1 gene (r = -0.459, p < 0.001). The global DNA methylation levels was significantly increased in RHVD patients than in healthy controls (healthy control vs. NHYA III, 0.77 ± 0.28 vs. 2.09 ± 1.20, p = 0.017; NYHA IIvs. NHYA III, 1.57 ± 0.78 vs. 2.09 ± 1.20, p = 0.040) and had positive correlation with age (r = 0.326, p = 0.005), especially for older age group (≥ 60 years). DNMT1 likely plays an essential role in the DNA dysregulations in RHVD patients.

conclusionsOur analysis revealed that DNA methylation dysregulations may be relevant in the pathogenesis of RHVD.

Indexed as

DNA MethylationEpigenesis, GeneticAdultAgedAortic ValveAortic Valve StenosisCase-Control StudiesDNA Modification MethylasesFemaleHeart Valve Prosthesis ImplantationHumansIntercellular Adhesion Molecule-1MaleMiddle AgedMitral ValveMitral Valve StenosisDNA Modification MethylasesICAM1 protein, humanIntercellular Adhesion Molecule-1RNA, MessengerDNA methylationDysregulationRheumatic heart valve disease

Identifiers

PMID28623907
PMCPMC5474061
OpenAlexW2625378047

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Registered trials

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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.