Evidence map›Paper›PMID 30312106›Full record

ArticleAmerican journal of respiratory and critical care medicine2019

Bone Morphogenetic Protein 9 Is a Mechanistic Biomarker of Portopulmonary Hypertension.

Ivana Nikolic, Lai-Ming Yung, Peiran Yang, Rajeev Malhotra, Samuel D Paskin-Flerlage, Teresa Dinter, Geoffrey A Bocobo, Kathleen E Tumelty, Anthony J Faugno, Luca Troncone and 17 more

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
7.3field-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

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.

  1. International Liver Transplantation Society practice guideline update on portopulmonary hypertension.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Guideline
  2. Review
  3. Review
  4. Journal of preventive medicine and hygiene · 2026
    Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. BMP9 regulates the endothelial secretome to drive pulmonary hypertension.bioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Article
  12. Bone morphogenetic protein-9 controls pulmonary vascular growth and remodeling.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  13. Review
  14. Observational
  15. Review
  16. Review
  17. Review
  18. Hepatopulmonary Syndrome, Another Face of Dysregulated BMP9 Signaling.American journal of respiratory and critical care medicine · 2024
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

27 authors at 10 institutions in 3 countries.

Ivana Nikolic1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2823-897X
Lai-Ming Yung1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-3650-2980
Peiran Yang1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-4635-1215
Rajeev Malhotra2 Division of Cardiology.ORCID 0000-0003-0120-4630
Samuel D Paskin-Flerlage1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Teresa Dinter1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-4764-501X
Geoffrey A Bocobo1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Kathleen E Tumelty3 Pfizer Centers for Therapeutic Innovation, Cambridge, Massachusetts.
Anthony J Faugno4 Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
Luca Troncone1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Megan E McNeil1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Xiuli Huang5 Therapy for Rare and Neglected Diseases Program, National Center for Advancing Translational Sciences, Rockville, Maryland.
Kathryn R Coser3 Pfizer Centers for Therapeutic Innovation, Cambridge, Massachusetts.
Carol S C Lai1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.
Paul D Upton6 Division of Respiratory Medicine, Department of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's and Papworth Hospitals, Cambridge, United Kingdom.ORCID 0000-0003-2716-4921
Marie Jose Goumans7 Department of Molecular Cell Biology and Cancer Genomics Centre Netherlands, Leiden University Medical Centre, Leiden, the Netherlands.ORCID 0000-0001-9344-6746
Roham T Zamanian8 Division of Pulmonary and Critical Care Medicine, Department of Medicine, Stanford University Medical Center, Stanford, California; and.ORCID 0000-0002-0734-0994
C Gregory Elliott9 Department of Medicine, Intermountain Medical Center and University of Utah, Salt Lake City, Utah.
Arthur Lee5 Therapy for Rare and Neglected Diseases Program, National Center for Advancing Translational Sciences, Rockville, Maryland.
Wei Zheng5 Therapy for Rare and Neglected Diseases Program, National Center for Advancing Translational Sciences, Rockville, Maryland.
Stephen P Berasi3 Pfizer Centers for Therapeutic Innovation, Cambridge, Massachusetts.
Christine Huard3 Pfizer Centers for Therapeutic Innovation, Cambridge, Massachusetts.
Nicholas W Morrell6 Division of Respiratory Medicine, Department of Medicine, University of Cambridge School of Clinical Medicine, Addenbrooke's and Papworth Hospitals, Cambridge, United Kingdom.ORCID 0000-0001-5700-9792
Raymond T Chung10 Gastrointestinal Unit and Liver Center, and.
Richard W Channick11 Division of Pulmonary and Critical Care Medicine, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.
Kari E Roberts4 Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
Paul B Yu1 Division of Cardiovascular Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2145-4944
Brigham and Women's Hospital · USPfizer (United States) · USNational Center for Advancing Translational Sciences · USTufts Medical Center · USUniversity of Cambridge · GBCenter for Digestive and Liver Diseases · USHarvard University · USLeiden University · NLStanford Medicine · USUniversity of Utah · US

Funding

Drug Repurposing Screening for Rare and Neglected DiseasesZIATR000018 · NCATS · NATIONAL CENTER FOR ADVANCING TRANSLATIONAL SCIENCES · PI ZHENG, WEI · 2015 to 2025
$24.6M
TRAINING PROGRAM IN CARDIOVASCULAR RESEARCHT32HL007604 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARK W FEINBERG · 1985 to 2026
$19.0M
Novel probes of BMP and TGF-beta signaling and functionR01AR057374 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI YU, PAUL B · 2010 to 2023
$4.5M
The Role of Histone Deacetylase 9 in Vascular CalcificationR01HL142809 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MALHOTRA, RAJEEV · 2018 to 2022
$4.0M
HIV-Hepatitis C Virus Cooperative Interactions and Liver Disease ProgressionR01DK098079 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T · 2013 to 2016
$2.7M
HLS- Cyclic CAR peptide: a targeted therapy for pulmonary hypertensionR42HL132742 · NHLBI · VASCULAR BIOSCIENCES · PI YU, PAUL B · 2017 to 2019
$2.3M
Molecular imaging of angiogenic activity in pulmonary arterial hypertensionR01HL131910 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI YU, PAUL B · 2016 to 2018
$2.3M
HIV-Associated Macrophage Alterations and Progressive Liver DiseaseR01DK108370 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T · 2015 to 2019
$1.6M
The Role of Bone Morphogenetic Proteins in Vascular CalcificationK08HL111210 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MALHOTRA, RAJEEV · 2014 to 2018
$796k
The role of the BMP type II receptor in vascular functionK08HL079943 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI YU, PAUL B · 2006 to 2010
$672k
HIV-Hepatitis C Virus Cooperative Interactions and Liver Disease ProgressionR56DK098079 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI CHUNG, RAYMOND T · 2012 to 2012
$506k
British Heart Foundation CH/09/001/25945British Heart Foundation RG/13/4/30107British Heart Foundation SP/12/12/29836Howard Hughes Medical InstituteMedical Research Council MR/K020919/1NHLBI NIH HHS K08 HL079943NHLBI NIH HHS K08 HL111210NHLBI NIH HHS R01 HL131910NHLBI NIH HHS R01 HL142809NHLBI NIH HHS R42 HL132742NHLBI NIH HHS T32 HL007604NIAMS NIH HHS R01 AR057374NIDDK NIH HHS R01 DK098079NIDDK NIH HHS R01 DK108370NIDDK NIH HHS R56 DK098079
6 · The paper itself

Abstract

rationaleBMP9 (bone morphogenetic protein 9) is a circulating endothelial quiescence factor with protective effects in pulmonary arterial hypertension (PAH). Loss-of-function mutations in BMP9, its receptors, and downstream effectors have been reported in heritable PAH.

objectivesTo determine how an acquired deficiency of BMP9 signaling might contribute to PAH.

methodsPlasma levels of BMP9 and antagonist soluble endoglin were measured in group 1 PAH, group 2 and 3 pulmonary hypertension (PH), and in patients with severe liver disease without PAH. MEASUREMENTS AND MAIN

resultsBMP9 levels were markedly lower in portopulmonary hypertension (PoPH) versus healthy control subjects, or other etiologies of PAH or PH; distinguished PoPH from patients with liver disease without PAH; and were an independent predictor of transplant-free survival. BMP9 levels were decreased in mice with PH associated with CCl

conclusionsBMP9 is a sensitive and specific biomarker of PoPH, predicting transplant-free survival and the presence of PAH in liver disease. In rodent models, acquired deficiency of BMP9 signaling can predispose to or exacerbate PH, providing a possible mechanistic link between PoPH and heritable PAH. These findings describe a novel experimental model of severe PH that provides insight into the synergy between pulmonary vascular injury and diminished BMP9 signaling in the pathogenesis of PAH.

Indexed as

AdultBiomarkersBone Morphogenetic ProteinsFemaleHumansHypertension, PortalHypertension, PulmonaryLiver DiseasesMaleMiddle AgedBiomarkersBone Morphogenetic Proteinsbone morphogenetic proteinportal hypertensionportopulmonary hypertensionpulmonary arterial hypertensionsignaling

Identifiers

PMID30312106
PMCPMC6444661
OpenAlexW2897274766

What OpenQuestion holds

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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.