Evidence map›Paper›PMID 29691397›Full record

ArticleNature communications2018

Non-invasive detection of human cardiomyocyte death using methylation patterns of circulating DNA.

Hai Zemmour, David Planer, Judith Magenheim, Joshua Moss, Daniel Neiman, Dan Gilon, Amit Korach, Benjamin Glaser, Ruth Shemer, Giora Landesberg and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07647549 (Pulmonary Hypertension), which is not on this map. Cited by 132 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
132citing papers in PubMed, 2 pooled it
6.6field-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.

NCT07647549 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Pulmonary Hypertension (PH) Biorepository for Translational Research

TypeobservationalSponsorNational Institutes of Health Clinical Center (CC)Ran2026 to 2036Enrolled1,000ConditionsPulmonary Hypertension
3 · Its place in the literature

Who cites it

132 citing papers in PubMed, 2 syntheses or guidelines pooled it, 226 citations in OpenAlex.

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  4. A multi-analyte blood test for acute spinal cord injury.The Journal of clinical investigation · 2025
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72 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

11 authors at 2 institutions in 1 country.

Hai ZemmourDepartment of Developmental Biology and Cancer Research, The Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 91120, Israel.ORCID http://orcid.org/0000-0003-3477-0604
David PlanerDepartment of Cardiology, Hadassah-Hebrew University Medical Center, Jerusalem, 91120, Israel.
Judith MagenheimDepartment of Developmental Biology and Cancer Research, The Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 91120, Israel.
Joshua MossDepartment of Developmental Biology and Cancer Research, The Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 91120, Israel.
Daniel NeimanDepartment of Developmental Biology and Cancer Research, The Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 91120, Israel.
Dan GilonDepartment of Cardiology, Hadassah-Hebrew University Medical Center, Jerusalem, 91120, Israel.
Amit KorachDepartment of Cardio-Thoracic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, 91120, Israel.
Benjamin GlaserEndocrinology and Metabolism Service, Hadassah-Hebrew University Medical Center, Jerusalem, 91120, Israel.ORCID http://orcid.org/0000-0003-4711-5000
Ruth ShemerDepartment of Developmental Biology and Cancer Research, The Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 91120, Israel.
Giora LandesbergDepartment of Anesthesiology and Critical Care Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, 91120, Israel. giora.lan@mail.huji.ac.il.
Yuval DorDepartment of Developmental Biology and Cancer Research, The Institute for Medical Research Israel-Canada, The Hebrew University-Hadassah Medical School, Jerusalem, 91120, Israel. yuvald@ekmd.huji.ac.il.
Hadassah Medical Center · ILHebrew University of Jerusalem · IL

Funding

Non-Invasive Diagnosis of Human Beta Cell Damage and DeathUC4DK104216 · NIDDK · UNIVERSITY OF FLORIDA · PI SCHATZ, DESMOND ARTHUR · 2014 to 2014
$1.4M
NIDDK NIH HHS UC4 DK104216
6 · The paper itself

Abstract

Detection of cardiomyocyte death is crucial for the diagnosis and treatment of heart disease. Here we use comparative methylome analysis to identify genomic loci that are unmethylated specifically in cardiomyocytes, and develop these as biomarkers to quantify cardiomyocyte DNA in circulating cell-free DNA (cfDNA) derived from dying cells. Plasma of healthy individuals contains essentially no cardiomyocyte cfDNA, consistent with minimal cardiac turnover. Patients with acute ST-elevation myocardial infarction show a robust cardiac cfDNA signal that correlates with levels of troponin and creatine phosphokinase (CPK), including the expected elevation-decay dynamics following coronary angioplasty. Patients with sepsis have high cardiac cfDNA concentrations that strongly predict mortality, suggesting a major role of cardiomyocyte death in mortality from sepsis. A cfDNA biomarker for cardiomyocyte death may find utility in diagnosis and monitoring of cardiac pathologies and in the study of normal human cardiac physiology and development.

Indexed as

DNA MethylationAdultBiomarkersCase-Control StudiesCell DeathCell-Free Nucleic AcidsCreatine KinaseHeart DiseasesHumansMyocytes, CardiacPolymerase Chain ReactionReference ValuesST Elevation Myocardial InfarctionTroponinBiomarkersCell-Free Nucleic AcidsCreatine KinaseTroponin

Identifiers

PMID29691397
PMCPMC5915384
OpenAlexW2800646946

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.