Evidence map›Paper›PMID 31347708›Full record

ArticleJournal of anatomy2019

Myoarchitectural disarray of hypertrophic cardiomyopathy begins pre-birth.

Patricia Garcia-Canadilla, Andrew C Cook, Timothy J Mohun, Onyedikachi Oji, Saskia Schlossarek, Lucie Carrier, William J McKenna, James C Moon, Gabriella Captur

Abstract read
In one paragraph

Article in Journal of anatomy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

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  13. Cardiac structure discontinuities revealed by ex-vivo microstructural characterization. A focus on the basal inferoseptal left ventricle region.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2023
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  20. Myocardial mesostructure and mesofunction.American journal of physiology. Heart and circulatory physiology · 2022
    Review
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

9 authors.

Patricia Garcia-CanadillaInstitute of Cardiovascular Science, University College London, London, UK.ORCID 0000-0002-0223-1617
Andrew C CookInstitute of Cardiovascular Science, University College London, London, UK.
Timothy J MohunThe Francis Crick Institute, London, UK.
Onyedikachi OjiInstitute of Cardiovascular Science, University College London, London, UK.
Saskia SchlossarekCardiovascular Research Centre, Institute of Experimental Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Lucie CarrierCardiovascular Research Centre, Institute of Experimental Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
William J McKennaInstitute of Cardiovascular Science, University College London, London, UK.
James C MoonInstitute of Cardiovascular Science, University College London, London, UK.
Gabriella CapturInstitute of Cardiovascular Science, University College London, London, UK.

Funding

British Heart Foundation FS/10/40/28260DZHK (German Center for Cardiovascular Research)Fundació Privada Daniel Bravo i AndreuGerman Ministry of Research and Education (BMBF)Medical Research Council FC001117Seventh Framework Programme 241577University College London Hospitals NIHR Biomedical Research Centre and Biomedical Research Unit at Barts HospitalWellcome Trust FC001117Wellcome Trust WT100160
6 · The paper itself

Abstract

Myoarchitectural disarray - the multiscalar disorganisation of myocytes, is a recognised histopathological hallmark of adult human hypertrophic cardiomyopathy (HCM). It occurs before the establishment of left ventricular hypertrophy (LVH) but its early origins and evolution around the time of birth are unknown. Our aim is to investigate whether myoarchitectural abnormalities in HCM are present in the fetal heart. We used wild-type, heterozygous and homozygous hearts (n = 56) from a Mybpc3-targeted knock-out HCM mouse model and imaged the 3D micro-structure by high-resolution episcopic microscopy. We developed a novel structure tensor approach to extract, display and quantify myocyte orientation and its local angular uniformity by helical angle, angle of intrusion and myoarchitectural disarray index, respectively, immediately before and after birth. In wild-type, we demonstrate uniformity of orientation of cardiomyocytes with smooth transitions of helical angle transmurally both before and after birth but with traces of disarray at the septal insertion points of the right ventricle. In comparison, heterozygous mice free of LVH, and homozygous mice showed not only loss of the normal linear helical angulation transmural profiles observed in wild-type but also fewer circumferentially arranged myocytes at birth. Heterozygous and homozygous showed more disarray with a wider distribution than in wild-type before birth. In heterozygous mice, disarray was seen in the anterior, septal and inferior walls irrespective of stage, whereas in homozygous mice it extended to the whole LV circumference including the lateral wall. In conclusion, myoarchitectural disarray is detectable in the fetal heart of an HCM mouse model before the development of LVH.

Indexed as

AnimalsCardiomyopathy, HypertrophicCarrier ProteinsFetal HeartHeartMiceMice, KnockoutMyocardiumMyocytes, CardiacMyosin Binding Protein CCarrier ProteinsMyosin Binding Protein Ccardiac embryologydevelopmental biologyhypertrophic cardiomyopathymyocardial disarray

Identifiers

PMID31347708
PMCPMC6794206

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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.