Evidence map›Paper›PMID 30582444›Full record

ArticleCirculation research2019

CLIC4/Arf6 Pathway.

Vahitha B Abdul-Salam, Giusy Russomanno, Chen Chien-Nien, Abdul S Mahomed, Luke A Yates, Martin R Wilkins, Lan Zhao, Magdalena Gierula, Oliver Dubois, Ute Schaeper and 2 more

Open access · greenAbstract read
In one paragraph

Article in Circulation research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

37 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Article
  3. Genetic determinants of insufficiency of the collateral circulation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. ARF6 as a Novel Activator of HIF-2α in Pulmonary Arterial Hypertension.American journal of respiratory cell and molecular biology · 2025
    Article
  11. Review
  12. The causal effect of natural killer cells on COVID-19 infection, hospitalization and severity.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Article
  13. Intracellular Chloride Channels: A Rising Target in Lung Disease Research.Journal of respiratory biology and translational medicine · 2025
    Article
  14. Review
  15. Article
  16. Review
  17. Chloride ions in health and disease.Bioscience reports · 2024
    Review
  18. Article
  19. CLIC4 Regulates Endothelial Barrier Control by Mediating PAR1 Signaling via RhoA.Arteriosclerosis, thrombosis, and vascular biology · 2023
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 2 countries.

Vahitha B Abdul-SalamFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Giusy RussomannoFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Chen Chien-NienFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Abdul S MahomedFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Luke A YatesSection of Structural Biology (L.A.Y.), Department of Medicine, Imperial College London, United Kingdom.
Martin R WilkinsFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Lan ZhaoFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Magdalena GierulaFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Oliver DuboisFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Ute SchaeperSilence Therapeutics GmbH, Berlin, Germany (U.S., J.E.).
Jens EndruschatSilence Therapeutics GmbH, Berlin, Germany (U.S., J.E.).
Beata Wojciak-StothardFrom the Centre for Pharmacology and Therapeutics (V.B.A.-S., G.R., C.C.-N., A.S.M., M.R.W., L.Z., M.G., O.D., B.W.-S.), Department of Medicine, Imperial College London, United Kingdom.
Imperial College London · GB

Funding

British Heart Foundation PG/12/61/29818British Heart Foundation PG/14/88/31183British Heart Foundation PG/15/69/31719British Heart Foundation PG/16/4/31849British Heart Foundation PG/18/2/33446
6 · The paper itself

Abstract

rationaleIncreased expression of CLIC4 (chloride intracellular channel 4) is a feature of endothelial dysfunction in pulmonary arterial hypertension, but its role in disease pathology is not fully understood.

objectiveTo identify CLIC4 effectors and evaluate strategies targeting CLIC4 signaling in pulmonary hypertension. METHODS AND

resultsProteomic analysis of CLIC4-interacting proteins in human pulmonary artery endothelial cells identified regulators of endosomal trafficking, including Arf6 (ADP ribosylation factor 6) GTPase activating proteins and clathrin, while CLIC4 overexpression affected protein regulators of vesicular trafficking, lysosomal function, and inflammation. CLIC4 reduced BMPRII (bone morphogenetic protein receptor II) expression and signaling as a result of Arf6-mediated reduction in gyrating clathrin and increased lysosomal targeting of the receptor. BMPRII expression was restored by Arf6 siRNA, Arf inhibitor Sec7 inhibitor H3 (SecinH3), and inhibitors of clathrin-mediated endocytosis but was unaffected by chloride channel inhibitor, indanyloxyacetic acid 94 or Arf1 siRNA. The effects of CLIC4 on NF-κB (nuclear factor-kappa B), HIF (hypoxia-inducible factor), and angiogenic response were prevented by Arf6 siRNA and SecinH3. Sugen/hypoxia mice and monocrotaline rats showed elevated expression of CLIC4, activation of Arf6 and NF-κB, and reduced expression of BMPRII in the lung. These changes were established early during disease development. Lung endothelium-targeted delivery of CLIC4 siRNA or treatment with SecinH3 attenuated the disease, reduced CLIC4/Arf activation, and restored BMPRII expression in the lung. Endothelial colony-forming cells from idiopathic pulmonary hypertensive patients showed upregulation of CLIC4 expression and Arf6 activity, suggesting potential importance of this pathway in the human condition.

conclusionsArf6 is a novel effector of CLIC4 and a new therapeutic target in pulmonary hypertension.

Indexed as

RNAi TherapeuticsADP-Ribosylation Factor 6ADP-Ribosylation FactorsAnimalsAntihypertensive AgentsBone Morphogenetic Protein Receptors, Type IICells, CulturedChloride ChannelsDisease Models, AnimalEndothelial CellsHumansHypertension, PulmonaryHypoxiaInflammation MediatorsMice, Inbred C57BLMitochondrial ProteinsADP-Ribosylation Factor 6ADP-Ribosylation FactorsAntihypertensive AgentsARF6 protein, humanArf6 protein, mouseArf6 protein, ratBMPR2 protein, humanBmpr2 protein, mouseBone Morphogenetic Protein Receptors, Type IIChloride ChannelsCLIC4 protein, humanCLIC protein, mouseInflammation MediatorsMitochondrial ProteinsMonocrotalineRNA, Small InterferingSecinH3Triazoleschloride channelsendocytosisendothelial cellsendothelial progenitor cellshypertension, pulmonary

Identifiers

PMID30582444
PMCPMC6325770
OpenAlexW2901522911

What OpenQuestion holds

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LicenceCC BY
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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.