Evidence map›Paper›PMID 28676183›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2017

Preclinical efficacy and safety of KCNH2-G628S gene therapy for postoperative atrial fibrillation.

Zhao Liu, Julie A Hutt, Barur Rajeshkumar, Yoshihiro Azuma, Kailai L Duan, J Kevin Donahue

Registry-linked trialOpen access · bronzeAbstract readComment
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05223725 (AdKCNH2-G628S Gene Therapy for Post-Operative Atrial Fibrillation), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 17% 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.

NCT05223725 phase1withdrawnnot on this mapstarted 2023, after this paper: background citation

AdKCNH2-G628S Gene Therapy for Post-Operative Atrial Fibrillation

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2023 to 2026Enrolled0ConditionsAtrial Fibrillation, Post-operative Atrial FibrillationArmsAdKCNH2-G628S
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Gene Therapies in Atrial Fibrillation.Journal of cardiovascular translational research · 2025
    Review
  4. Review
  5. Gene therapy then and now: A look back at changes in the field over the past 25 years.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  6. Review
  7. Gene therapy for atrial fibrillation.Journal of molecular and cellular cardiology · 2024
    Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Zhao LiuDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.
Julie A HuttThe Lovelace Respiratory Research Institute, Albuquerque, NM.
Barur RajeshkumarDepartment of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass.
Yoshihiro AzumaDepartment of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass.
Kailai L DuanDepartment of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass.
J Kevin DonahueDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio; Department of Cardiovascular Medicine, University of Massachusetts Medical School, Worcester, Mass. Electronic address: donahuelab@gmail.com.
University of Massachusetts Chan Medical School · USCase Western Reserve University · USLovelace Respiratory Research Institute · US

Funding

Focal Modification of Electrical Conduction in the HeartR01HL067148 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI DONAHUE, J KEVIN · 2002 to 2011
$3.7M
Final preclinical development of AAV gene therapy for atrial fibrillationR01HL130376 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN · 2016 to 2019
$2.9M
GENE TRANSFER APPROACHES TO ATRIAL FIBRILATIONR01HL093486 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN · 2008 to 2012
$2.0M
Preclinical gene therapy development for post-operative atrial fibrillationR21AG042701 · NIA · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN · 2013 to 2014
$442k
NHLBI NIH HHS R01 HL067148NHLBI NIH HHS R01 HL093486NHLBI NIH HHS R01 HL130376NIA NIH HHS R21 AG042701
6 · The paper itself

Abstract

backgroundPostoperative atrial fibrillation (POAF) is the most common complication occurring after cardiac surgery. Multiple studies have shown significantly increased risks of stroke, myocardial infarction, and death associated with POAF. Current prophylaxis strategies are inadequate to eliminate this problem. We examined the preclinical efficacy and safety of KCNH2-G628S gene transfer to prevent POAF.

methodsDomestic pigs received AdKCNH2-G628S by epicardial atrial gene painting and atrial pacemaker implantation for continuous-burst pacing to induce atrial fibrillation. In an initial dose-ranging evaluation, 3 pigs received 5 × 10

resultsIn the primary efficacy analysis, the G628S animals exhibited a significant increase in the average time in sinus rhythm compared with the Pluronic control group (59 ± 7% vs 14 ± 6%; P = .009). There was no significant difference between the Pluronic and saline controls (14 ± 6% vs 32 ± 12%; P = .16). Safety assessment showed improved left ventricular function in the G628S animals; otherwise there were no significant differences among the groups in any safety measure.

conclusionsThese data indicate that KCNH2-G628S gene therapy can successfully and safely reduce the risk of AF.

Indexed as

Atrial FibrillationCardiac Surgical ProceduresAnimalsERG1 Potassium ChannelGenetic TherapyHeart AtriaHumansPostoperative PeriodSwineERG1 Potassium ChannelKCNH2 protein, humanatrial fibrillationgene therapyoperative complicationspotassium channel

Identifiers

PMID28676183
PMCPMC6450389
OpenAlexW2617159482

What OpenQuestion holds

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Registered trials

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.