Evidence map›Paper›PMID 31513610›Full record

ArticlePloS one2019

Doxorubicin induces trans-differentiation and MMP1 expression in cardiac fibroblasts via cell death-independent pathways.

Masatoshi Narikawa, Masanari Umemura, Ryo Tanaka, Mayu Hikichi, Akane Nagasako, Takayuki Fujita, Utako Yokoyama, Tomoaki Ishigami, Kazuo Kimura, Kouichi Tamura and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 36 citations in OpenAlex.

  1. Review
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  5. Review
  6. Cancer therapy and cachexia.The Journal of clinical investigation · 2025
    Review
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  10. Review
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  12. Physiological functions of calcium signaling via Orai1 in cancer.The journal of physiological sciences : JPS · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Cardiac fibrosis in oncologic therapies.Current opinion in physiology · 2022
    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

11 authors at 3 institutions in 1 country.

Masatoshi NarikawaCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Masanari UmemuraCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.ORCID 0000-0002-1812-5720
Ryo TanakaCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Mayu HikichiCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Akane NagasakoCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Takayuki FujitaCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Utako YokoyamaCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Tomoaki IshigamiMedical Science and Cardiorenal Medicine, Yokohama City University School of Medicine, Yokohama, Japan.
Kazuo KimuraMedical Science and Cardiorenal Medicine, Yokohama City University School of Medicine, Yokohama, Japan.
Kouichi TamuraMedical Science and Cardiorenal Medicine, Yokohama City University School of Medicine, Yokohama, Japan.
Yoshihiro IshikawaCardiovascular Research Institute, Yokohama City University School of Medicine, Yokohama, Japan.
Cardiovascular Institute Hospital · JPYokohama City University · JPTokyo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although doxorubicin (DOX)-induced cardiomyopathy causes lethal heart failure (HF), no early detection or effective treatment methods are available. The principal mechanisms of cardiotoxicity are considered to involve oxidative stress and apoptosis of cardiomyocytes. However, the effect of DOX on cardiac fibroblasts at non-lethal concentrations remains unknown. The aim of this study was to investigate the direct effect of doxorubicin on the activation of cardiac fibroblasts independent of cell death pathways. We first found that DOX induced α-SMA expression (marker of trans-differentiation) at a low concentration range, which did not inhibit cell viability. DOX also increased MMP1, IL-6, TGF-β and collagen expression in human cardiac fibroblasts (HCFs). In addition, DOX promoted Akt and Smad phosphorylation. A Smad inhibitor prevented DOX-induced α-SMA and IL-6 protein expression. An PI3K inhibitor also prevented MMP1 mRNA expression in HCFs. These findings suggest that DOX directly induces fibrotic changes in HCFs via cell death-independent pathways. Furthermore, we confirmed that these responses are organ- and species-specific for HCFs based on experiments using different types of human and murine fibroblast cell lines. These results suggest potentially new mechanisms of DOX-induced cardiotoxicity from the viewpoint of fibrotic changes in cardiac fibroblasts.

Indexed as

ActinsAnimalsCells, CulturedCell SurvivalCell TransdifferentiationCollagenDoxorubicinFibroblastsGene Expression ProfilingGene Expression RegulationHumansInterleukin-6Matrix Metalloproteinase 1Matrix Metalloproteinase 13MiceMyocytes, CardiacActinsCollagenDoxorubicinInterleukin-6Matrix Metalloproteinase 1Matrix Metalloproteinase 13Mmp13 protein, mouseMMP1 protein, human

Identifiers

PMID31513610
PMCPMC6742217
OpenAlexW2973121798

What OpenQuestion holds

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LicenceCC BY
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.