Evidence map›Paper›PMID 31422771›Full record

ArticleJournal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance2019

Genetic variants of HIF1α are associated with right ventricular fibrotic load in repaired tetralogy of Fallot patients: a cardiovascular magnetic resonance study.

Thanh T Hoang, Paulo Henrique Manso, Sharon Edman, Laura Mercer-Rosa, Laura E Mitchell, Anshuman Sewda, Michael D Swartz, Mark A Fogel, A J Agopian, Elizabeth Goldmuntz

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
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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

10 authors at 4 institutions in 2 countries.

Thanh T HoangDepartment of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health, Houston, TX, USA.
Paulo Henrique MansoDepartment of Pediatrics, Ribeiro Preto Medical School USP, Ribeirao Preto, Brazil.
Sharon EdmanDivision of Cardiology, Children's Hospital of Philadelphia, Abramson Research Center 702A, 3615 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Laura Mercer-RosaDivision of Cardiology, Children's Hospital of Philadelphia, Abramson Research Center 702A, 3615 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
Laura E MitchellDepartment of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health, Houston, TX, USA.
Anshuman SewdaDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Michael D SwartzDepartment of Biostatistics and Data Science, UTHealth School of Public Health, Houston, TX, USA.
Mark A FogelDivision of Cardiology, Children's Hospital of Philadelphia, Abramson Research Center 702A, 3615 Civic Center Boulevard, Philadelphia, PA, 19104, USA.
A J AgopianDepartment of Epidemiology, Human Genetics, and Environmental Sciences, UTHealth School of Public Health, Houston, TX, USA.
Elizabeth GoldmuntzDivision of Cardiology, Children's Hospital of Philadelphia, Abramson Research Center 702A, 3615 Civic Center Boulevard, Philadelphia, PA, 19104, USA. goldmuntz@email.chop.edu.ORCID 0000-0003-2936-4396
Children's Hospital of Philadelphia · USUniversity of Texas Health Science Center at Dallas · USClinics Hospital of Ribeirão Preto · BRIcahn School of Medicine at Mount Sinai · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Molecular Analysis of Human Subtelomeric RearrangementsP50HL074731 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI LEVY, ROBERT J · 2004 to 2008
$19.2M
Training in Molecular Therapeutics for Pediatric CardiologyT32HL007915 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI Robert J Levy, JOSEPH W ROSSANO · 1999 to 2026
$13.4M
NCATS NIH HHS UL1 TR000003NCRR NIH HHS UL1TR000003NHLBI NIH HHS P50 HL074731NHLBI NIH HHS T32 HL007915
6 · The paper itself

Abstract

backgroundStudies suggest that right ventricular (RV) fibrosis is associated with RV remodeling and long-term outcomes in patients with tetralogy of Fallot (TOF). Pre-operative hypoxia may increase expression of hypoxia inducible factor-1-alpha (HIF1α) and promote transforming growth factor β1 (TGFβ1)-mediated fibrosis. We hypothesized that there would be associations between: (1) RV fibrosis and RV function, (2) HIF1α variants and RV fibrosis, and (3) HIF1α variants and RV function among post-surgical TOF cases.

methodsWe retrospectively measured post-surgical fibrotic load (indexed volume and fibrotic score) from 237 TOF cases who had existing cardiovascular magnetic resonance imaging using late gadolinium enhancement (LGE), and indicators of RV remodeling (i.e., ejection fraction [RVEF] and end-diastolic volume indexed [RVEDVI]). Genetic data were available in 125 cases. Analyses were conducted using multivariable linear mixed-effects regression with a random intercept and multivariable generalized Poisson regression with a random intercept.

resultsIndexed fibrotic volume and fibrotic score significantly decreased RVEF by 1.6% (p = 0.04) and 0.9% (p = 0.03), respectively. Indexed fibrotic volume and score were not associated with RVEDVI. After adjusting for multiple comparisons, 6 of the 48 HIF1α polymorphisms (representing two unique signals) were associated with fibrotic score. None of the HIF1α polymorphisms were associated with indexed fibrotic volume, RVEDVI, or RVEF.

conclusionThe association of some HIF1α polymorphisms and fibrotic score suggests that HIF1α may modulate the fibrotic response in TOF.

Indexed as

Magnetic Resonance Imaging, CinePolymorphism, Single NucleotideVentricular Function, RightVentricular RemodelingCardiac Surgical ProceduresContrast MediaFemaleFibrosisGadolinium DTPAGenetic Predisposition to DiseaseHumansHypoxia-Inducible Factor 1, alpha SubunitInfantInfant, NewbornMalePhenotypeContrast MediaGadolinium DTPAHIF1A protein, humanHypoxia-Inducible Factor 1, alpha SubunitCardiovascular magnetic resonance imagingFibrosisHIF1αRight ventricular ejection fractionRight ventricular end-diastolic volumeTetralogy of Fallot

Identifiers

PMID31422771
PMCPMC6699069
OpenAlexW2967643164

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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.