Evidence map›Paper›PMID 29454929›Full record

ArticleHeart rhythm2018

HuR-mediated SCN5A messenger RNA stability reduces arrhythmic risk in heart failure.

Anyu Zhou, An Xie, Tae Yun Kim, Hong Liu, Guangbin Shi, Gyeoung-Jin Kang, Ning Jiang, Man Liu, Euy-Myoung Jeong, Bum-Rak Choi and 1 more

Abstract read
In one paragraph

Article in Heart rhythm, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Article
  2. Sodium Channel mRNA Binding Proteins.JACC. Basic to translational science · 2026
    Article
  3. Article
  4. Review
  5. YTHDF1 is pivotal for maintenance of cardiac homeostasis.Journal of molecular and cellular cardiology · 2024
    Article
  6. Review
  7. Article
  8. RNA binding proteins as mediators of pathological cardiac remodeling.Frontiers in cell and developmental biology · 2024
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Cardiovascular inflammation: RNA takes the lead.Journal of molecular and cellular cardiology · 2019
    Review
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

11 authors.

Anyu ZhouDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
An XieDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; The Lillehei Heart Institute, University of Minnesota, Minneapolis, Minnesota.
Tae Yun KimDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Hong LiuDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; The Lillehei Heart Institute, University of Minnesota, Minneapolis, Minnesota.
Guangbin ShiDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Gyeoung-Jin KangThe Lillehei Heart Institute, University of Minnesota, Minneapolis, Minnesota.
Ning JiangDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Man LiuDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; The Lillehei Heart Institute, University of Minnesota, Minneapolis, Minnesota.
Euy-Myoung JeongDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Bum-Rak ChoiDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Samuel C DudleyDepartment of Cardiology, The Warren Alpert Medical School of Brown University, Providence, Rhode Island; The Lillehei Heart Institute, University of Minnesota, Minneapolis, Minnesota. Electronic address: samuel_dudley@brown.edu.

Funding

Na+ channel mRNA splicing in heart failureR01HL104025 · NHLBI · UNIVERSITY OF MINNESOTA · PI DUDLEY, SAMUEL C · 2011 to 2019
$3.3M
NHLBI NIH HHS R01 HL104025
6 · The paper itself

Abstract

backgroundDownregulated sodium currents in heart failure (HF) have been linked to increased arrhythmic risk. Reduced expression of the messenger RNA (mRNA)-stabilizing protein HuR (also known as ELAVL1) may be responsible for the downregulation of sodium channel gene SCN5A mRNA.

objectiveThe purpose of this article was to investigate whether HuR regulates SCN5A mRNA expression and whether manipulation of HuR benefits arrhythmia control in HF.

methodsQuantitative real-time reverse-transcriptase polymerase chain reaction was used to investigate the expression of SCN5A. Optical mapping of the intact heart was adopted to study the effects of HuR on the conduction velocity and action potential upstroke in mice with myocardial infarct and HF after injection of AAV9 viral particles carrying HuR.

resultsHuR was associated with SCN5A mRNA in cardiomyocytes, and expression of HuR was downregulated in failing hearts. The association of HuR and SCN5A mRNA protected SCN5A mRNA from decay. Injection of AAV9 viral particles carrying HuR increased SCN5A expression in mouse heart tissues after MI. Optical mapping of the intact heart demonstrated that overexpression of HuR improved action potential upstroke and conduction velocity in the infarct border zone, which reduced the risk of reentrant arrhythmia after MI.

conclusionOur data indicate that HuR is an important RNA-binding protein in maintaining SCN5A mRNA abundance in cardiomyocytes. Reduced expression of HuR may be at least partially responsible for the downregulation of SCN5A mRNA expression in ischemic HF. Overexpression of HuR may rescue decreased SCN5A expression and reduce arrhythmic risk in HF. Increasing mRNA stability to increase ion channel currents may correct a fundamental defect in HF and represent a new paradigm in antiarrhythmic therapy.

Indexed as

Gene Expression RegulationAnimalsArrhythmias, CardiacCells, CulturedELAV-Like Protein 1Heart FailureHumansMaleMiceMice, Inbred C57BLMyocardiumNAV1.5 Voltage-Gated Sodium ChannelReverse Transcriptase Polymerase Chain ReactionRNA, MessengerELAVL1 protein, humanELAV-Like Protein 1NAV1.5 Voltage-Gated Sodium ChannelRNA, MessengerSCN5A protein, humanArrhythmiaCardiac sodium channelHeart failuremRNA decayRNA-binding protein

Identifiers

PMID29454929
PMCPMC6026071

What OpenQuestion holds

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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.