Evidence map›Paper›PMID 32993371›Full record

ArticleCirculation. Heart failure2020

Altered Enhancer and Promoter Usage Leads to Differential Gene Expression in the Normal and Failed Human Heart.

Anthony M Gacita, Lisa Dellefave-Castillo, Patrick G T Page, David Y Barefield, J Andrew Wasserstrom, Megan J Puckelwartz, Marcelo A Nobrega, Elizabeth M McNally

Open access · bronzeAbstract read
In one paragraph

Article in Circulation. Heart failure, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. The dark genome in cardiovascular medicine.European heart journal · 2026
    Review
  3. Article
  4. Article
  5. SnakeAltPromoter Facilitates Differential Alternative Promoter Analysis.Computational and structural biotechnology journal · 2026
    Article
  6. Article
  7. Article
  8. Gene therapy for atrial fibrillation.Journal of molecular and cellular cardiology · 2024
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Anthony M GacitaCenter for Genetic Medicine (A.M.G., L.D.-C., P.G.T.P., D.Y.B., M.J.P., E.M.M.), Northwestern University Feinberg School of Medicine, Chicago IL.
Lisa Dellefave-CastilloCenter for Genetic Medicine (A.M.G., L.D.-C., P.G.T.P., D.Y.B., M.J.P., E.M.M.), Northwestern University Feinberg School of Medicine, Chicago IL.
Patrick G T PageCenter for Genetic Medicine (A.M.G., L.D.-C., P.G.T.P., D.Y.B., M.J.P., E.M.M.), Northwestern University Feinberg School of Medicine, Chicago IL.
David Y BarefieldCenter for Genetic Medicine (A.M.G., L.D.-C., P.G.T.P., D.Y.B., M.J.P., E.M.M.), Northwestern University Feinberg School of Medicine, Chicago IL.
J Andrew WasserstromDepartment of Medicine (Cardiology) (J.A.W.), Northwestern University Feinberg School of Medicine, Chicago IL.
Megan J PuckelwartzCenter for Genetic Medicine (A.M.G., L.D.-C., P.G.T.P., D.Y.B., M.J.P., E.M.M.), Northwestern University Feinberg School of Medicine, Chicago IL.
Marcelo A NobregaDepartment of Human Genetics, University of Chicago, IL (M.A.N.).
Elizabeth M McNallyCenter for Genetic Medicine (A.M.G., L.D.-C., P.G.T.P., D.Y.B., M.J.P., E.M.M.), Northwestern University Feinberg School of Medicine, Chicago IL.
Northwestern University · USUniversity of Chicago · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008152 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ARDEHALI, HOSSEIN · 1987 to 2021
$24.0M
Medical Scientist Training ProgramT32GM144295 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ALAN R HAUSER · 2022 to 2026
$9.1M
Northwestern Genomic Risk Assessment and Management ProgramU01HG011169 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI REX L CHISHOLM, Elizabeth M McNally · 2020 to 2026
$7.4M
Cardiomyopathy Genomes ProjectR01HL128075 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MCNALLY, ELIZABETH M, NOBREGA, MARCELO A. · 2015 to 2023
$5.3M
Channelopathies and Cardiomyopathies Among Sudden Deaths in the YoungU01HL131914 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GEORGE, ALFRED L., MCNALLY, ELIZABETH M · 2016 to 2019
$3.3M
Myofilament proteins in cardiomyopathy and arrhythmiasR00HL141698 · NHLBI · LOYOLA UNIVERSITY CHICAGO · PI BAREFIELD, DAVID Y · 2020 to 2022
$747k
Myofilament proteins in cardiomyopathy and arrhythmiasK99HL141698 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BAREFIELD, DAVID Y · 2019 to 2020
$196k
Defining regulatory regions for cardiomyopathy genesF30HL142187 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GACITA, ANTHONY MARTIN · 2018 to 2021
$192k
NCATS NIH HHS UL1 TR001422NHGRI NIH HHS U01 HG011169NHLBI NIH HHS F30 HL142187NHLBI NIH HHS K99 HL141698NHLBI NIH HHS R00 HL141698NHLBI NIH HHS R01 HL128075NHLBI NIH HHS U01 HL131914NIGMS NIH HHS T32 GM008152NIGMS NIH HHS T32 GM144295
6 · The paper itself

Abstract

backgroundThe failing heart is characterized by changes in gene expression. However, the regulatory regions of the genome that drive these gene expression changes have not been well defined in human hearts.

methodsTo define genome-wide enhancer and promoter use in heart failure, cap analysis of gene expression sequencing was applied to 3 healthy and 4 failed human hearts to identify promoter and enhancer regions used in left ventricles. Healthy hearts were derived from donors unused for transplantation and failed hearts were obtained as discarded tissue after transplantation.

resultsCap analysis of gene expression sequencing identified a combined potential for ≈23 000 promoters and ≈5000 enhancers active in human left ventricles. Of these, 17 000 promoters and 1800 enhancers had additional support for their regulatory function. Comparing promoter usage between healthy and failed hearts highlighted promoter shifts which altered aminoterminal protein sequences. Enhancer usage between healthy and failed hearts identified a majority of differentially used heart failure enhancers were intronic and primarily localized within the first intron, revealing this position as a common feature associated with tissue-specific gene expression changes in the heart.

conclusionsThis data set defines the dynamic genomic regulatory landscape underlying heart failure and serves as an important resource for understanding genetic contributions to cardiac dysfunction. Additionally, regulatory changes contributing to heart failure are attractive therapeutic targets for controlling ventricular remodeling and clinical progression.

Indexed as

Enhancer Elements, GeneticPromoter Regions, GeneticAdolescentAdultAgedCase-Control StudiesFemaleGene Expression RegulationGenome-Wide Association StudyHeart FailureHumansMaleMiddle AgedRNA-SeqTranscription, GeneticTranscriptomecardiomyopathiesgene expressiongenomeheart failuretransplantation

Identifiers

PMID32993371
PMCPMC7577963
OpenAlexW3089514013

What OpenQuestion holds

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Read underepoch 390

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.