Evidence map›Paper›PMID 29227474›Full record

ArticleNature medicine2018

A proteolytic fragment of histone deacetylase 4 protects the heart from failure by regulating the hexosamine biosynthetic pathway.

Lorenz H Lehmann, Zegeye H Jebessa, Michael M Kreusser, Axel Horsch, Tao He, Mariya Kronlage, Matthias Dewenter, Viviana Sramek, Ulrike Oehl, Jutta Krebs-Haupenthal and 28 more

Abstract read
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In one paragraph

Article in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
5.1field-weighted citation impact, top 3% 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

76 citing papers in PubMed, 136 citations in OpenAlex.

  1. Article
  2. The histone deacetylase family in health and disease.Signal transduction and targeted therapy · 2026
    Review
  3. Article
  4. Review
  5. Cardiac epigenome in heart development and disease.Nature reviews. Cardiology · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
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  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Epigenetics in Heart Failure.International journal of molecular sciences · 2024
    Review
  20. Review

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

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

38 authors at 6 institutions in 2 countries.

Lorenz H LehmannDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Zegeye H JebessaDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Michael M KreusserDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Axel HorschDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Tao HeDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Mariya KronlageDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Matthias DewenterDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Viviana SramekDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Ulrike OehlDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Jutta Krebs-HaupenthalDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Albert H von der LiethDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Andrea SchmidtDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Qiang SunDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Julia RitterhoffGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Daniel FinkeDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.
Mirko VölkersGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Andreas JungmannGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Sven W SauerCenter for Child and Adolescent Medicine, Department I, Heidelberg University, Heidelberg, Germany.
Christian ThielCenter for Child and Adolescent Medicine, Department I, Heidelberg University, Heidelberg, Germany.
Alexander NickelDepartment of Internal Medicine, Saarland University Hospital, Homburg Saar, Germany.
Michael KohlhaasDepartment of Internal Medicine, Saarland University Hospital, Homburg Saar, Germany.
Michaela SchäferGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Carsten StichtMedical Research Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Christoph MaackDepartment of Internal Medicine, Saarland University Hospital, Homburg Saar, Germany.
Norbert GretzMedical Research Center, Medical Faculty Mannheim, Heidelberg University, Mannheim, Germany.
Michael WagnerDepartment of Pharmacology and Toxicology, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Ali El-ArmoucheDepartment of Pharmacology and Toxicology, Faculty of Medicine Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Lars S MaierDepartment of Internal Medicine II, University Hospital Regensburg, Regensburg, Germany.
Juan E Camacho LondoñoGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Benjamin MederGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Marc FreichelGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Hermann-Josef GröneDepartment of Cellular and Molecular Pathology, German Cancer Research Center, Heidelberg, Germany.
Patrick MostGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Oliver J MüllerGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.ORCID 0000-0001-8223-2638
Stephan HerzigGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Eileen E M FurlongGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.ORCID 0000-0002-9544-8339
Hugo A KatusGerman Centre for Cardiovascular Research (DZHK), partner site Heidelberg/Mannheim, Heidelberg, Germany.
Johannes BacksDepartment of Molecular Cardiology and Epigenetics, Heidelberg University, Heidelberg, Germany.ORCID 0000-0002-2322-2699
Heidelberg University · DESaarland University · DEUniversity Hospital Carl Gustav Carus · DEGerman Cancer Research Center · DEGerman Centre for Cardiovascular Research · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The stress-responsive epigenetic repressor histone deacetylase 4 (HDAC4) regulates cardiac gene expression. Here we show that the levels of an N-terminal proteolytically derived fragment of HDAC4, termed HDAC4-NT, are lower in failing mouse hearts than in healthy control hearts. Virus-mediated transfer of the portion of the Hdac4 gene encoding HDAC4-NT into the mouse myocardium protected the heart from remodeling and failure; this was associated with decreased expression of Nr4a1, which encodes a nuclear orphan receptor, and decreased NR4A1-dependent activation of the hexosamine biosynthetic pathway (HBP). Conversely, exercise enhanced HDAC4-NT levels, and mice with a cardiomyocyte-specific deletion of Hdac4 show reduced exercise capacity, which was characterized by cardiac fatigue and increased expression of Nr4a1. Mechanistically, we found that NR4A1 negatively regulated contractile function in a manner that depended on the HBP and the calcium sensor STIM1. Our work describes a new regulatory axis in which epigenetic regulation of a metabolic pathway affects calcium handling. Activation of this axis during intermittent physiological stress promotes cardiac function, whereas its impairment in sustained pathological cardiac stress leads to heart failure.

Indexed as

Myocardial ContractionAnimalsEpigenesis, GeneticGene Transfer TechniquesHeart FailureHexosaminesHistone DeacetylasesMiceMice, KnockoutMyocardiumNuclear Receptor Subfamily 4, Group A, Member 1Physical Conditioning, AnimalProteolysisStromal Interaction Molecule 1Hdac5 protein, mouseHexosaminesHistone DeacetylasesNr4a1 protein, mouseNuclear Receptor Subfamily 4, Group A, Member 1Stim1 protein, mouseStromal Interaction Molecule 1

Identifiers

PMID29227474
OpenAlexW2774777951

What OpenQuestion holds

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Read underepoch 390

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.