Evidence map›Paper›PMID 31665913›Full record

ArticleCirculation. Arrhythmia and electrophysiology2019

Dietary Saturated Fat Promotes Arrhythmia by Activating NOX2 (NADPH Oxidase 2).

Leroy C Joseph, Uma Mahesh R Avula, Elaine Y Wan, Michael V Reyes, Kundanika R Lakkadi, Prakash Subramanyam, Koki Nakanishi, Shunichi Homma, Antoine Muchir, Utpal B Pajvani and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Arrhythmia and electrophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Immune cells and arrhythmias.Cardiovascular research · 2025
    Review
  6. Modulation of NOX2 causes obesity-mediated atrial fibrillation.The Journal of clinical investigation · 2024
    Article
  7. Eicosapentaenoic Acid Rescues Cav1.2-L-Type CaInternational journal of molecular sciences · 2024
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Regular Exercise inInternational journal of molecular sciences · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Phospho-ablation of cardiac sodium channel NaInternational journal of obesity (2005) · 2021
    Article
  18. Observational
  19. Article
  20. Mechanisms of Chronic Metabolic Stress in Arrhythmias.Antioxidants (Basel, Switzerland) · 2020
    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

15 authors at 3 institutions in 3 countries.

Leroy C JosephDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Uma Mahesh R AvulaDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Elaine Y WanDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Michael V ReyesDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Kundanika R LakkadiDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Prakash SubramanyamDepartment of Physiology and Cellular Biophysics, College of Physicians and Surgeons of Columbia University, New York (P.S., S.R.R., A.R.M., H.M.C.).
Koki NakanishiDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Shunichi HommaDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Antoine MuchirCenter of Research in Myology, UPMC-Inserm UMR974, CNRS FRE3617, Institut de Myologie, G.H. Pitie Salpetriere, Paris, France (A.M.).
Utpal B PajvaniDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Edward B ThorpDepartment of Pathology, Feinberg Cardiovascular Research Institute, Feinberg School of Medicine, Northwestern University, Chicago, IL (E.D.T.).
Steven R ReikenDepartment of Physiology and Cellular Biophysics, College of Physicians and Surgeons of Columbia University, New York (P.S., S.R.R., A.R.M., H.M.C.).
Andrew R MarksDepartment of Physiology and Cellular Biophysics, College of Physicians and Surgeons of Columbia University, New York (P.S., S.R.R., A.R.M., H.M.C.).
Henry M ColecraftDepartment of Physiology and Cellular Biophysics, College of Physicians and Surgeons of Columbia University, New York (P.S., S.R.R., A.R.M., H.M.C.).
John P MorrowDepartment of Medicine (L.C.J., U.M.R.A., E.Y.W., M.V.R., K.R.L., K.N., S.H., U.B.P., J.P.M.).
Lerøy (Norway) · NOManipal Hospital · INNakanishi (Japan) · JP

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
POSTDOCTORAL TRAINING IN ARTERIOSCLEROSIS RESEARCHT32HL007343 · NHLBI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI HENRY N GINSBERG, Muredach P Reilly · 1985 to 2026
$12.7M
Molecular mechanisms of arrhythmia caused by high-fat dietR01HL136758 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MORROW, JOHN PEARCE · 2018 to 2022
$2.0M
NCATS NIH HHS UL1 TR001873NCI NIH HHS P30 CA013696NHLBI NIH HHS R01 HL136758NHLBI NIH HHS T32 HL007343
6 · The paper itself

Abstract

backgroundObesity and diets high in saturated fat increase the risk of arrhythmias and sudden cardiac death. However, the molecular mechanisms are not well understood. We hypothesized that an increase in dietary saturated fat could lead to abnormalities of calcium homeostasis and heart rhythm by a NOX2 (NADPH oxidase 2)-dependent mechanism.

methodsWe investigated this hypothesis by feeding mice high-fat diets. In vivo heart rhythm telemetry, optical mapping, and isolated cardiac myocyte imaging were used to quantify arrhythmias, repolarization, calcium transients, and intracellular calcium sparks.

resultsWe found that saturated fat activates NOX (NADPH oxidase), whereas polyunsaturated fat does not. The high saturated fat diet increased repolarization heterogeneity and ventricular tachycardia inducibility in perfused hearts. Pharmacological inhibition or genetic deletion of NOX2 prevented arrhythmogenic abnormalities in vivo during high statured fat diet and resulted in less inducible ventricular tachycardia. High saturated fat diet activates CaMK (Ca

conclusionsWe conclude that NOX2 deletion or pharmacological inhibition prevents the arrhythmogenic effects of a high saturated fat diet, in part mediated by activation of CaMK. This work reveals a molecular mechanism linking cardiac metabolism to arrhythmia and suggests that NOX2 inhibitors could be a novel therapy for heart rhythm abnormalities caused by cardiac lipid overload.

Indexed as

Oxidative StressAnimalsArrhythmias, CardiacCalciumCalcium SignalingDiet, High-FatDisease Models, AnimalEchocardiographyElectrocardiographyMiceMyocytes, CardiacNADPH Oxidase 2Oxidation-ReductionCalciumCybb protein, mouseNADPH Oxidase 2homeostasisNADPH oxidaseobesityreactive oxygen speciestelemetry

Identifiers

PMID31665913
PMCPMC7004280
OpenAlexW2982640060

What OpenQuestion holds

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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.