Evidence map›Paper›PMID 30371322›Full record

ArticleJournal of the American Heart Association2018

Disparate Remodeling of the Extracellular Matrix and Proteoglycans in Failing Pediatric Versus Adult Hearts.

Sayantan Jana, Hao Zhang, Gary D Lopaschuk, Darren H Freed, Consolato Sergi, Paul F Kantor, Gavin Y Oudit, Zamaneh Kassiri

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

25 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  3. [Aloe-emodin inhibits scar tissue fibrosis through thrombospondin-1-PI3k-Akt pathway].Hua xi kou qiang yi xue za zhi = Huaxi kouqiang yixue zazhi = West China journal of stomatology · 2025
    Article
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  10. Tissue mechanics coevolves with fibrillar matrisomes in healthy and fibrotic tissues.Matrix biology : journal of the International Society for Matrix Biology · 2022
    Review
  11. Article
  12. Fulminant myocarditis in adults: a narrative review.Journal of geriatric cardiology : JGC · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. The Human Explanted Heart Program: A translational bridge for cardiovascular medicine.Biochimica et biophysica acta. Molecular basis of disease · 2021
    Review
  17. Thrombospondin 1 in Metabolic Diseases.Frontiers in endocrinology · 2021
    Review
  18. Review
  19. Article
  20. Article
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

8 authors at 2 institutions in 1 country.

Sayantan Jana1 Department of Physiology Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Hao Zhang2 Department of Medicine Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Gary D Lopaschuk3 Department of Pediatrics Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Darren H Freed1 Department of Physiology Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Consolato Sergi4 Department of Laboratory Medicine and Pathology Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Paul F Kantor3 Department of Pediatrics Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Gavin Y Oudit2 Department of Medicine Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
Zamaneh Kassiri1 Department of Physiology Faculty of Medicine and Dentistry University of Alberta Edmonton AB.
University of Alberta · CACanadian VIGOUR Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Dilated cardiomyopathy (DCM) is a common cause of heart failure in adult and pediatric patients, but the underlying mechanism may vary in adults and children, with few studies conducted to date. The objective of the present study was to determine whether differential remodeling of the extracellular matrix contributes to the differences between pediatric and adult DCM hearts. Methods and Results Explanted hearts were procured from adult (age, 46-61 years) and pediatric (age, 2-8) patients with DCM-related heart failure and nonfailing control hearts. Fibrillar and nonfibrillar extracellular matrix (proteoglycans, glycosaminoglycans, glycoprotein), their regulatory enzymes (matrix metalloproteinases, disintegrin and metalloproteinases, and disintegrin and metalloproteinases with a thrombospondin domain), and their inhibitors (tissue inhibitor of metalloproteinases) were assessed. Pediatric DCM hearts exhibited less fibrosis compared with adult DCMs. Total glycosaminoglycans increased similarly in both DCM groups but exhibited a significantly lower affinity for transforming growth factor-β in adult DCMs versus pediatric DCMs, resulting in increased bioavailability of transforming growth factor-β1 and a significantly higher activity of the Smad2/3 pathway in adult DCMs. Glycosylated biglycan and versican, and cleaved thrombospondin-1 increased in both DCMs. Protein expression of disintegrin and metalloproteinases with thrombospondin domains (-1, -2, -4, -7) and disintegrin and metalloproteinases (-12, -15, -17, -19) were altered differently in pediatric and adult control and failing hearts. Total matrix metalloproteinase activity increased in both DCMs. Tissue inhibitor of metalloproteinase levels were altered similarly with heart failure in both age groups, and only tissue inhibitor of metalloproteinase 3 decreased in both DCM groups. Conclusions Differential remodeling of glycosaminoglycans in pediatric DCMs versus adult DCMs could underlie the enhanced activation of the transforming growth factor-β pathway, leading to more fibrosis in adult DCM hearts. The distinct remodeling of the fibrillar and nonfibrillar extracellular matrix between pediatric and adult DCM hearts highlights a distinct pathophysiological basis for these cohorts.

Indexed as

Up-RegulationAdultBiomarkersCardiomyopathy, DilatedChildChild, PreschoolDisease ProgressionExtracellular MatrixFemaleHeart FailureHeart VentriclesHumansMaleMiddle AgedMyocytes, CardiacProteoglycansBiomarkersProteoglycanscardiomyopathyheart failureremodeling

Identifiers

PMID30371322
PMCPMC6404896
OpenAlexW2894425411

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.