Evidence map›Paper›PMID 30654134›Full record

ArticleHeart rhythm2019

Calcium/calmodulin-dependent protein kinase II causes atrial structural remodeling associated with atrial fibrillation and heart failure.

Zhao Liu, J Emanuel Finet, Julie A Wolfram, Mark E Anderson, Xun Ai, J Kevin Donahue

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

38 citing papers in PubMed, 53 citations in OpenAlex.

  1. Hederagenin Attenuates Morphine Addiction via GABAA1-Mediated Modulation of CaAdvanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Article
  3. Review
  4. [Integrating Bioinformatics and Machine Learning Algorithms to Screen Inflammatory Biomarkers for Atrial Fibrillation and Experimental Validation].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Gene Therapies in Atrial Fibrillation.Journal of cardiovascular translational research · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Gene therapy for atrial fibrillation.Journal of molecular and cellular cardiology · 2024
    Review
  15. Oxidative stress and atrial fibrillation.Journal of molecular and cellular cardiology · 2024
    Review
  16. Review
  17. Review
  18. Article
  19. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Zhao LiuDivision of Cardiology, University of Massachusetts Medical School, Worcester, Massachusetts.
J Emanuel FinetDivision of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio.
Julie A WolframDivision of Cardiology, University of Massachusetts Medical School, Worcester, Massachusetts.
Mark E AndersonDepartment of Medicine, Johns Hopkins University Medical School, Baltimore, Maryland.
Xun AiDepartment of Physiology & Biophysics, Rush University Medical School, Chicago, Illinois.
J Kevin DonahueDivision of Cardiology, University of Massachusetts Medical School, Worcester, Massachusetts. Electronic address: donahuelab@gmail.com.
University of Massachusetts Chan Medical School · USCleveland Clinic · USJohns Hopkins University · USRush University · US

Funding

CaMKII signaling in physiology, heart failure and arrhythmiasR35HL140034 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI ANDERSON, MARK E · 2018 to 2022
$5.2M
Mitochondrial Calmodulin Kinase II in Physiology and DiseaseR01HL070250 · NHLBI · VANDERBILT UNIVERSITY · PI ANDERSON, MARK E · 2002 to 2017
$5.2M
Methionine sulfoxide reductase A and oxidized CaMKII in structural heart diseaseR01HL079031 · NHLBI · UNIVERSITY OF IOWA · PI ANDERSON, MARK E · 2006 to 2015
$3.3M
The Stress Response Kinase JNK and Alcohol Evoked Atrial FibrillationR01AA024769 · NIAAA · OHIO STATE UNIVERSITY · PI AI, XUN · 2017 to 2021
$3.3M
CaMKII in Sinus Node Physiology and DiseaseR01HL096652 · NHLBI · UNIVERSITY OF IOWA · PI ANDERSON, MARK E · 2009 to 2016
$3.0M
Final preclinical development of AAV gene therapy for atrial fibrillationR01HL130376 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN · 2016 to 2019
$2.9M
Atrial and blood JNK in Postoperative AFR01HL168728 · NHLBI · OHIO STATE UNIVERSITY · PI Xun Ai · 2023 to 2026
$2.7M
GENE TRANSFER APPROACHES TO ATRIAL FIBRILATIONR01HL093486 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI DONAHUE, J KEVIN · 2008 to 2012
$2.0M
Oxidized CaMKII in Atrial FibrillationR01HL113001 · NHLBI · UNIVERSITY OF IOWA · PI ANDERSON, MARK E · 2012 to 2016
$1.9M
JNK Suppression of Connexin43 Enhances Atrial Fibrillation in Aged AtriaR01HL113640 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AI, XUN · 2012 to 2015
$1.5M
NHLBI NIH HHS R01 HL070250NHLBI NIH HHS R01 HL079031NHLBI NIH HHS R01 HL093486NHLBI NIH HHS R01 HL096652NHLBI NIH HHS R01 HL113001NHLBI NIH HHS R01 HL113640NHLBI NIH HHS R01 HL130376NHLBI NIH HHS R01 HL168728NHLBI NIH HHS R35 HL140034NIAAA NIH HHS R01 AA024769
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is sustained by reentrant mechanisms that depend, in part, on atrial structural remodeling. Increased Ca

objectiveThe purpose of this study was to assess the effects of CaMKII on AF-related structural remodeling.

methodsWe evaluated the objective in a porcine AF-heart failure model using atrial gene transfer of the CaMKII inhibitory peptide CaMKIIn. We used conventional methods including in vivo electrophysiological study, telemetry, western blot, echocardiography, and histology to quantify rhythm, function, microstructure, and signaling pathways relevant to CaMKII and structural remodeling.

resultsCaMKII levels and activity increased progressively in the early stages of AF-heart failure. Inhibiting CaMKII preserved atrial contractile function and attenuated atrial hypertrophy, fibrosis, and apoptosis but did not affect inflammation or myolysis. These effects were accompanied by significantly decreased phosphorylation of HDAC4, decreased expression of p38MAP-kinase, and alterations in the phosphorylation pattern and relative ratios of JNK isoforms.

conclusionOur findings suggest that CaMKII mediates signaling pathways related to atrial contractile function and structural remodeling in AF. CaMKII inhibition is potentially a novel therapy for AF. These findings are of importance because no clinically relevant mediators of either atrial contractile function or structural remodeling have yet been identified.

Indexed as

Atrial FibrillationAtrial RemodelingCalcium-Calmodulin-Dependent Protein Kinase Type 2Heart FailureAnimalsDisease Models, AnimalElectrocardiographySignal TransductionSwineTelemetryCalcium-Calmodulin-Dependent Protein Kinase Type 2ApoptosisAtrial fibrillationCa/calmodulin-dependent protein kinaseFibrosisGene therapy

Identifiers

PMID30654134
PMCPMC6800146
OpenAlexW2910469560

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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.