Evidence map›Paper›PMID 31031187›Full record

ArticleStem cell reports2019

Ibrutinib Displays Atrial-Specific Toxicity in Human Stem Cell-Derived Cardiomyocytes.

Sanam Shafaattalab, Eric Lin, Effimia Christidi, Haojun Huang, Yulia Nartiss, Analucia Garcia, Jeehon Lee, Stephanie Protze, Gordon Keller, Liam Brunham and 2 more

Open access · goldAbstract read
In one paragraph

Article in Stem cell reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Beyond Atrial Fibrillation and Heart Failure: Ibrutinib-induced Pericardial Effusion.Journal of community hospital internal medicine perspectives · 2025
    Article
  6. Review
  7. Review
  8. A New Scoring System for the Evaluation of Ibrutinib-Associated Arrhythmias in Chronic Lymphocytic Leukemia: The ACEF ScoreTurkish journal of haematology : official journal of Turkish Society of Haematology · 2024
    Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Generation of cardiomyocytes from human-induced pluripotent stem cells resembling atrial cells with ability to respond to adrenoceptor agonists.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2023
    Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
  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

12 authors at 5 institutions in 1 country.

Sanam ShafaattalabSimon Fraser University, 8888 University Drive, Burnaby, BC V5A 1A6, Canada; British Columbia Children's Hospital Research Institute, 950 West 28th Avenue, Vancouver, BC V5Z 4H4, Canada.
Eric LinSimon Fraser University, 8888 University Drive, Burnaby, BC V5A 1A6, Canada.
Effimia ChristidiUniversity of British Columbia, 170-6371 Crescent Road, Vancouver, BC V6T 1Z2, Canada.
Haojun HuangUniversity of British Columbia, 170-6371 Crescent Road, Vancouver, BC V6T 1Z2, Canada.
Yulia NartissMcEwen Stem Cell Institute, University Health Network, Toronto, ON M5G 1L7, Canada.
Analucia GarciaMcEwen Stem Cell Institute, University Health Network, Toronto, ON M5G 1L7, Canada.
Jeehon LeeMcEwen Stem Cell Institute, University Health Network, Toronto, ON M5G 1L7, Canada.
Stephanie ProtzeMcEwen Stem Cell Institute, University Health Network, Toronto, ON M5G 1L7, Canada; Department of Molecular Genetics, University of Toronto, Toronto, ON M5S 1A8, Canada.
Gordon KellerMcEwen Stem Cell Institute, University Health Network, Toronto, ON M5G 1L7, Canada; Department of Medical Biophysics, University of Toronto, Toronto, ON M5G 1L7, Canada.
Liam BrunhamUniversity of British Columbia, 170-6371 Crescent Road, Vancouver, BC V6T 1Z2, Canada.
Glen F TibbitsSimon Fraser University, 8888 University Drive, Burnaby, BC V5A 1A6, Canada; British Columbia Children's Hospital Research Institute, 950 West 28th Avenue, Vancouver, BC V5Z 4H4, Canada.
Zachary LaksmanSimon Fraser University, 8888 University Drive, Burnaby, BC V5A 1A6, Canada; University of British Columbia, 170-6371 Crescent Road, Vancouver, BC V6T 1Z2, Canada. Electronic address: zlaksman@mail.ubc.ca.
University Health Network · CAUniversity of British Columbia · CABC Children's Hospital · CASimon Fraser University · CAUniversity of Toronto · CA

Funding

CIHR PJT153118
6 · The paper itself

Abstract

Ibrutinib (IB) is an oral Bruton's tyrosine kinase (BTK) inhibitor that has demonstrated benefit in B cell cancers, but is associated with a dramatic increase in atrial fibrillation (AF). We employed cell-specific differentiation protocols and optical mapping to investigate the effects of IB and other tyrosine kinase inhibitors (TKIs) on the voltage and calcium transients of atrial and ventricular human pluripotent stem cell-derived cardiomyocytes (hPSC-CMs). IB demonstrated direct cell-specific effects on atrial hPSC-CMs that would be predicted to predispose to AF. Second-generation BTK inhibitors did not have the same effect. Furthermore, IB exposure was associated with differential chamber-specific regulation of a number of regulatory pathways including the receptor tyrosine kinase pathway, which may be implicated in the pathogenesis of AF. Our study is the first to demonstrate cell-type-specific toxicity in hPSC-derived atrial and ventricular cardiomyocytes, which reliably reproduces the clinical cardiotoxicity observed.

Indexed as

AdenineAtrial FibrillationCardiotoxicityCell DifferentiationCells, CulturedHeartHeart AtriaHeart VentriclesHumansMyocardiumMyocytes, CardiacOrgan SpecificityPiperidinesPluripotent Stem CellsProtein Kinase InhibitorsPyrazolesAdenineibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesatrial fibrillationcardiac electrophysiologydrug screeningoptical mappingRNA-seqtyrosine kinase inhibitors

Identifiers

PMID31031187
PMCPMC6524928
OpenAlexW2941130110

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.