Evidence map›Paper›PMID 33055420›Full record

ArticleJCI insight2020

C-type natriuretic peptide moderates titin-based cardiomyocyte stiffness.

Konstanze Michel, Melissa Herwig, Franziska Werner, Katarina Špiranec Spes, Marco Abeßer, Kai Schuh, Swati Dabral, Andreas Mügge, Hideo A Baba, Boris V Skryabin and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.7field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 36 citations in OpenAlex.

  1. Biomarkers of Cardiac Metabolic Flexibility in Health, HFrEF and HFpEF.International journal of molecular sciences · 2026
    Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Titin: roles in cardiac function and diseases.Frontiers in physiology · 2024
    Review
  9. New Therapeutics for Heart Failure: Focusing on cGMP Signaling.International journal of molecular sciences · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
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  15. Article
  16. Review
  17. Article
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  20. 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

12 authors at 4 institutions in 2 countries.

Konstanze MichelInstitute of Physiology, University of Würzburg, Würzburg, Germany.
Melissa HerwigInstitute of Physiology and.
Franziska WernerInstitute of Physiology, University of Würzburg, Würzburg, Germany.
Katarina Špiranec SpesInstitute of Physiology, University of Würzburg, Würzburg, Germany.
Marco AbeßerInstitute of Physiology, University of Würzburg, Würzburg, Germany.
Kai SchuhInstitute of Physiology, University of Würzburg, Würzburg, Germany.
Swati DabralInstitute of Physiology, University of Würzburg, Würzburg, Germany.
Andreas MüggeDepartment of Cardiology, St-Josef Hospital, Ruhr University Bochum, Bochum, Germany.
Hideo A BabaInstitute of Pathology, University Hospital Essen, University Duisburg-Essen, Essen, Germany.
Boris V SkryabinMedical Faculty, Core Facility TRAnsgenic animal and genetic engineering Models (TRAM), University of Münster, Münster, Germany.
Nazha HamdaniInstitute of Physiology and.
Michaela KuhnInstitute of Physiology, University of Würzburg, Würzburg, Germany.
University of Würzburg · DESt. Josef-Hospital · DEUniversity of Duisburg-Essen · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is often accompanied by titin-dependent myocardial stiffness. Phosphorylation of titin by cGMP-dependent protein kinase I (PKGI) increases cardiomyocyte distensibility. The upstream pathways stimulating PKGI-mediated titin phosphorylation are unclear. We studied whether C-type natriuretic peptide (CNP), via its guanylyl cyclase-B (GC-B) receptor and cGMP/PKGI signaling, modulates titin-based ventricular compliance. To dissect GC-B-mediated effects of endogenous CNP in cardiomyocytes, we generated mice with cardiomyocyte-restricted GC-B deletion (CM GC-B-KO mice). The impact on heart morphology and function, myocyte passive tension, and titin isoform expression and phosphorylation was studied at baseline and after increased afterload induced by transverse aortic constriction (TAC). Pressure overload increased left ventricular endothelial CNP expression, with an early peak after 3 days. Concomitantly, titin phosphorylation at Ser4080, the site phosphorylated by PKGI, was augmented. Notably, in CM GC-B-KO mice this titin response was abolished. TAC-induced hypertrophy and fibrosis were not different between genotypes. However, the KO mice presented mild systolic and diastolic dysfunction together with myocyte stiffness, which were not observed in control littermates. In vitro, recombinant PKGI rescued reduced titin-Ser4080 phosphorylation and reverted passive stiffness of GC-B-deficient cardiomyocytes. CNP-induced activation of GC-B/cGMP/PKGI signaling in cardiomyocytes provides a protecting regulatory circuit preventing titin-based myocyte stiffening during early phases of pressure overload.

Indexed as

AnimalsAtrial Natriuretic Factor Receptor BCyclic GMPHeart FailureMaleMiceMice, Inbred C57BLMice, KnockoutMyocardiumMyocytes, CardiacNatriuretic AgentsNatriuretic Peptide, C-TypePhosphorylationProtein KinasesReceptors, Atrial Natriuretic FactorAtrial Natriuretic Factor Receptor BCyclic GMPNatriuretic AgentsNatriuretic Peptide, C-TypeProtein KinasesReceptors, Atrial Natriuretic Factortitin protein, mouseCardiologyCyclic nucleotidesGuanylate cyclaseHeart failure

Identifiers

PMID33055420
PMCPMC7710274
OpenAlexW3093213489

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.