Evidence map›Paper›PMID 29362483›Full record

ArticleCell death & disease2018

Inhibition of p53 prevents diabetic cardiomyopathy by preventing early-stage apoptosis and cell senescence, reduced glycolysis, and impaired angiogenesis.

Junlian Gu, Shudong Wang, Hua Guo, Yi Tan, Yaqin Liang, Anyun Feng, Qiuju Liu, Chendil Damodaran, Zhiguo Zhang, Bradley B Keller and 2 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
6.8field-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

64 citing papers in PubMed, 107 citations in OpenAlex.

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  13. Novel impact of metal ion-induced cell death on diabetic cardiomyopathy pathogenesis and therapy.Apoptosis : an international journal on programmed cell death · 2025
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4 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

12 authors at 5 institutions in 2 countries.

Junlian GuRuian Center of Chinese-American Research Institute for Diabetic Complications, the Third Affiliated Hospital of the Wenzhou Medical University, Ruian, China.
Shudong WangDepartment of Cardiology, the First Hospital of Jilin University, Changchun, 130021, China.
Hua Guothe Department of Pediatrics of the University of Louisville, Pediatrics Research Institute, Louisville, KY, 40202, USA.
Yi TanRuian Center of Chinese-American Research Institute for Diabetic Complications, the Third Affiliated Hospital of the Wenzhou Medical University, Ruian, China.
Yaqin LiangDepartment of Pediatrics, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Anyun FengRuian Center of Chinese-American Research Institute for Diabetic Complications, the Third Affiliated Hospital of the Wenzhou Medical University, Ruian, China.
Qiuju LiuDepartment of Hematology, the First Hospital of Jilin University, Changchun, 130021, China.
Chendil DamodaranDepartment of Urology, the University of Louisville, Louisville, KY, USA.
Zhiguo ZhangDepartment of Cardiology, the First Hospital of Jilin University, Changchun, 130021, China.
Bradley B Kellerthe Department of Pediatrics of the University of Louisville, Pediatrics Research Institute, Louisville, KY, 40202, USA.
Chi ZhangRuian Center of Chinese-American Research Institute for Diabetic Complications, the Third Affiliated Hospital of the Wenzhou Medical University, Ruian, China. zhangchi515@126.com.
Lu CaiRuian Center of Chinese-American Research Institute for Diabetic Complications, the Third Affiliated Hospital of the Wenzhou Medical University, Ruian, China.
First Hospital of Jilin University · CNRuian People's Hospital · CNUniversity of Louisville · USWenzhou Medical University · CNKosair Charities · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Elevated tumor suppressor p53 expression has been associated with heart diseases, including the diabetic heart. However, its precise role in the pathogenesis of diabetic cardiomyopathy (DCM) remains unclear. We hypothesized that the development of DCM is attributed to up-regulated p53-mediated both early cardiac cell death and persistent cell senescence, glycolytic and angiogenetic dysfunctions. The present study investigated the effect of p53 inhibition with its specific inhibitor pifithrin-α (PFT-α) on the pathogenesis of DCM and its associated mechanisms. Type 1 diabetes was induced with multiple low doses of streptozotocin. Both hyperglycemic and age-matched control mice were treated with and without PFT-α five times a week for 2 months and then sacrificed at 3 and 6 months post-diabetes. Treatment with PFT-α significantly prevented the progression of diabetes-induced cardiac remodeling and dysfunction (i.e., DCM). Mechanistically, the inhibition of p53 prevented the cardiac apoptosis during early-stage diabetes (0.5 month), attenuated diabetes-induced cell senescence (3 and 6 months), and improved both glycolytic and angiogenic defects by increasing hypoxia-induced factor (HIF)-1α protein stability and upregulating HIF-1α transcription of specific target genes at 3 and 6 months after diabetes. Therefore, the targeted inhibition of p53 in diabetic individuals may provide a novel approach for the prevention of DCM.

Indexed as

ApoptosisCellular SenescenceGlycolysisNeovascularization, PhysiologicAnimalsBenzothiazolesCardiotonic AgentsDiabetic CardiomyopathiesGlucoseHeartHypoxia-Inducible Factor 1, alpha SubunitInflammationMaleMiceMitochondriaOxidative StressBenzothiazolesCardiotonic AgentsGlucoseHypoxia-Inducible Factor 1, alpha SubunitpifithrinProteasome Endopeptidase ComplexProto-Oncogene Proteins c-mdm2TolueneTumor Suppressor Protein p53

Identifiers

PMID29362483
PMCPMC5833384
OpenAlexW2785545010

What OpenQuestion holds

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LicenceCC BY
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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.