Evidence map›Paper›PMID 33463362›Full record

ArticleCirculation2021

Isolevuglandin-Modified Cardiac Proteins Drive CD4+ T-Cell Activation in the Heart and Promote Cardiac Dysfunction.

Njabulo Ngwenyama, Annet Kirabo, Mark Aronovitz, Francisco Velázquez, Francisco Carrillo-Salinas, Ane M Salvador, Tania Nevers, Venkataraman Amarnath, Albert Tai, Robert M Blanton and 2 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Circulation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 66 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. IL-22 Attenuates Pressure Overload-Induced Heart Failure and Inflammation.Journal of cardiovascular translational research · 2025
    Article
  11. Article
  12. Review
  13. T cells in cardiac health and disease.The Journal of clinical investigation · 2025
    Review
  14. Article
  15. Reactive oxygen species in hypertension.Nature reviews. Cardiology · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Immune Mechanisms in Hypertension.Hypertension (Dallas, Tex. : 1979) · 2024
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Njabulo NgwenyamaDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Annet KiraboDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (A.K., D.G.H.).
Mark AronovitzMolecular Cardiology Research Institute, Tufts Medical Center, Boston, MA (M.A., R.M.B.).
Francisco VelázquezDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Francisco Carrillo-SalinasDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Ane M SalvadorDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Tania NeversDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Venkataraman AmarnathDepartment of Pathology, Microbiology and Immunology, Vanderbilt University, Nashville, TN (V.A.).
Albert TaiDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Robert M BlantonMolecular Cardiology Research Institute, Tufts Medical Center, Boston, MA (M.A., R.M.B.).
David G HarrisonDivision of Clinical Pharmacology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN (A.K., D.G.H.).
Pilar AlcaideDepartment of Immunology, Tufts University, Boston, MA (N.N., F.V., F.C.-S., A.M.S., T.N., A.T., P.A.).
Tufts University · USTufts Medical Center · USVanderbilt University Medical Center · USVanderbilt University · US

Funding

Training Program in Cardiovascular ResearchT32HL069770 · NHLBI · TUFTS MEDICAL CENTER · PI KARAS, RICHARD H · 2003 to 2013
$4.7M
IMMUNOLOGIC ASPECTS OF DISEASET32AI007077 · NIAID · TUFTS UNIVERSITY BOSTON · PI WORTIS, HENRY H. · 1985 to 2017
$3.5M
Mechanisms of T cell activation in cardiac fibrosis and non-ischemic heart failureR01HL144477 · NHLBI · TUFTS UNIVERSITY BOSTON · PI ALCAIDE ALONSO, MARIA PILAR · 2019 to 2023
$3.2M
T Cell Mediated Immune Responses as a Regulator of Heart FailureR01HL123658 · NHLBI · TUFTS UNIVERSITY BOSTON · PI ALCAIDE ALONSO, MARIA PILAR · 2014 to 2018
$2.2M
Novel Protein Kinase GI Substrates in Cardiac Remodeling and Blood Pressure ControlR01HL131831 · NHLBI · TUFTS MEDICAL CENTER · PI BLANTON, ROBERT MORRIS · 2016 to 2020
$2.1M
Role of Salt, Isoketal-modified Proteins and Dendritic Cells in HypertensionK01HL130497 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KIRABO, ANNET · 2016 to 2020
$803k
How Trypanosoma cruzi Transmigrates Through the Vascular EndotheliumR21AI142037 · NIAID · TUFTS UNIVERSITY BOSTON · PI ALCAIDE ALONSO, MARIA PILAR, PERRIN, MERCIO A · 2019 to 2020
$450k
Deciphering the mechanisms of CD4 T cell activation in nonischemic heart failureF31HL140883 · NHLBI · TUFTS UNIVERSITY BOSTON · PI NGWENYAMA, NJABULO · 2018 to 2019
$70k
NHLBI NIH HHS F31 HL140883NHLBI NIH HHS K01 HL130497NHLBI NIH HHS R01 HL123658NHLBI NIH HHS R01 HL131831NHLBI NIH HHS R01 HL144477NHLBI NIH HHS T32 HL069770NIAID NIH HHS R21 AI142037NIAID NIH HHS T32 AI007077
6 · The paper itself

Abstract

backgroundDespite the well-established association between T-cell-mediated inflammation and nonischemic heart failure, the specific mechanisms triggering T-cell activation during the progression of heart failure and the antigens involved are poorly understood. We hypothesized that myocardial oxidative stress induces the formation of isolevuglandin (IsoLG)-modified proteins that function as cardiac neoantigens to elicit CD4+ T-cell receptor (TCR) activation and promote heart failure.

methodsWe used transverse aortic constriction in mice to trigger myocardial oxidative stress and T-cell infiltration. We profiled the TCR repertoire by mRNA sequencing of intramyocardial activated CD4+ T cells in Nur77

resultsWe discovered that TCR antigen recognition increases in the left ventricle as cardiac dysfunction progresses and identified a limited repertoire of activated CD4+ T-cell clonotypes in the left ventricle. Antigen presentation of endogenous antigens was required to develop cardiac dysfunction because

conclusionsOur study demonstrates an important role of reactive oxygen species-induced formation of IsoLG-modified cardiac neoantigens that lead to TCR-dependent CD4+ T-cell activation within the heart.

Indexed as

AnimalsCD4-Positive T-LymphocytesHeart DiseasesHumansLipidsMiceisolevuglandinLipidsheart failureinflammationisolevuglandinoxidative stress

Identifiers

PMID33463362
PMCPMC7987774
OpenAlexW3123974768

What OpenQuestion holds

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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.