Evidence map›Paper›PMID 33554387›Full record

ArticleFASEB journal : official publication of the Federation of American Societies for Experimental Biology2021

Tumor necrosis factor-α promotes and exacerbates calcification in heart valve myofibroblast populations.

Andrea Gonzalez Rodriguez, Megan E Schroeder, Joseph C Grim, Cierra J Walker, Kelly F Speckl, Robert M Weiss, Kristi S Anseth

Open access · greenAbstract read
In one paragraph

Article in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

26 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
  2. Effects of TNF-Journal of clinical medicine · 2026
    Article
  3. Review
  4. Article
  5. Review
  6. Lipoprotein(a) and panvascular disease.Lipids in health and disease · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Macrophages as key modulators of calcific aortic valve disease.Frontiers in cardiovascular medicine · 2025
    Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. 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

7 authors at 2 institutions in 1 country.

Andrea Gonzalez RodriguezDepartment of Chemical and Biological Engineering, University of Colorado Boulder, Boulder, CO, USA.
Megan E SchroederBioFrontiers Institute, University of Colorado Boulder, Boulder, CO, USA.
Joseph C GrimDepartment of Chemical and Biological Engineering, University of Colorado Boulder, Boulder, CO, USA.
Cierra J WalkerBioFrontiers Institute, University of Colorado Boulder, Boulder, CO, USA.
Kelly F SpecklDepartment of Chemical and Biological Engineering, University of Colorado Boulder, Boulder, CO, USA.
Robert M WeissDepartment of Internal Medicine, University of Iowa, Iowa City, IA, USA.
Kristi S AnsethDepartment of Chemical and Biological Engineering, University of Colorado Boulder, Boulder, CO, USA.
University of Colorado Boulder · USUniversity of Iowa · US

Funding

POSTGRADUATE TRAINING IN CARDIOVASCULAR RESEARCHT32HL007822 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BUTTRICK, PETER N., LEINWAND, LESLIE ANNE · 1996 to 2023
$6.2M
Propagation and Resolution of Injury in Calcific Aortic Valve DiseaseR01HL142935 · NHLBI · UNIVERSITY OF IOWA · PI WEISS, ROBERT M · 2018 to 2022
$2.3M
Hydrogels to Study Synergistic Effects of Signaling Factors and Matrix Mechanics on Valve Disease ProgressionR01HL132353 · NHLBI · UNIVERSITY OF COLORADO · PI ANSETH, KRISTI S. · 2017 to 2020
$1.4M
Understanding valvular fibroblast mechanical memory using photo-tunable PEG hydrogelsF31HL142223 · NHLBI · UNIVERSITY OF COLORADO · PI WALKER, CIERRA · 2018 to 2020
$107k
NHLBI NIH HHS F31 HL142223NHLBI NIH HHS R01 HL132353NHLBI NIH HHS R01 HL142935NHLBI NIH HHS T32 HL007822
6 · The paper itself

Abstract

Pro-inflammatory cytokines play critical roles in regulating valvular interstitial cell (VIC) phenotypic changes that can cause heart valve fibrosis and calcification. Tumor necrosis factor alpha (TNF-α) is a cytokine known to influence VIC behavior and has been reported at high levels in calcified valves ex vivo. We sought to understand the specific effects of TNF-α on VIC phenotypes (eg, fibroblast, profibrotic activated myofibroblasts) and its link with heart valve disorders. We characterize human aortic valve tissue from patients with valve disorders and identify a high variability of fibrotic and calcific markers between tissues. These results motivated in vitro studies to explore the effects of TNF-α on defined VIC fibroblasts and profibrotic activated myofibroblasts, induced via FGF-2 and TGF-β1 treatment. Using 3D hydrogels to culture VICs, we measure the effect of TNF-α (0.1-10 ng/mL) on key markers of fibrosis (eg, αSMA, COL1A1) and calcification (eg, RUNX2, BMP2, and calcium deposits). We observe calcification in TNF-α-treated VIC activated myofibroblasts and identify the MAPK/ERK signaling cascade as a potential pathway for TNF-α mediated calcification. Conversely, VIC fibroblasts respond to TNF-α with decreased calcification. Treatment of VIC profibrotic activated myofibroblast populations with TNF-α leads to increased calcification. Our in vitro findings correlate with findings in diseased human valves and highlight the importance of understanding the effect of cytokines and signaling pathways on specific VIC phenotypes. Finally, we reveal MAPK/ERK as a potential pathway involved in VIC-mediated matrix calcification with TNF-α treatment, suggesting this pathway as a potential pharmaceutical target for aortic valve disease.

Indexed as

AnimalsAortic ValveAortic Valve StenosisCalcinosisFibrosisHumansMaleMAP Kinase Signaling SystemMyofibroblastsSwineTumor Necrosis Factor-alphaTumor Necrosis Factor-alpha3D hydrogelaortic valve diseasecalcificationfibrosisTNF-aVIC

Identifiers

PMID33554387
PMCPMC7875331
OpenAlexW3128464844

What OpenQuestion holds

Textmetadata
LicenceTDM
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.