Evidence map›Paper›PMID 33571402›Full record

ArticleCPT: pharmacometrics & systems pharmacology2021

Network model-based screen for FDA-approved drugs affecting cardiac fibrosis.

Angela C Zeigler, Anirudha S Chandrabhatla, Steven L Christiansen, Anders R Nelson, Jeffrey W Holmes, Jeffrey J Saucerman

Open access · goldAbstract read
In one paragraph

Article in CPT: pharmacometrics & systems pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Review
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  6. Logic-based machine learning predicts how escitalopram attenuates cardiomyocyte hypertrophy.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
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  10. Logic-based mechanistic machine learning on high-content images reveals how drugs differentially regulate cardiac fibroblasts.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  11. Article
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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

6 authors at 1 institution in 1 country.

Angela C ZeiglerDepartment of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
Anirudha S ChandrabhatlaDepartment of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
Steven L ChristiansenDepartment of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
Anders R NelsonDepartment of Pharmacology, University of Virginia, Charlottesville, Virginia, USA.
Jeffrey W HolmesDepartment of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
Jeffrey J SaucermanDepartment of Biomedical Engineering, University of Virginia, Charlottesville, Virginia, USA.
University of Virginia · US

Funding

BASIC CARDIOVASCULAR RESEARCH TRAINING GRANTT32HL007284 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Brant E Isakson, Gary K Owens · 1985 to 2026
$19.6M
Systems Biology of Hypertrophic Heart Disease from Molecular Pathways to Organ SystemR01HL137100 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCCULLOCH, ANDREW D. · 2017 to 2020
$2.0M
Systems Pharmacology Model for Spatial Control of Cardiac FibrosisR01HL137755 · NHLBI · UNIVERSITY OF VIRGINIA · PI HOLMES, JEFFREY W, SAUCERMAN, JEFFREY J. · 2017 to 2020
$1.9M
Operetta CLS High-content Imaging SystemS10OD021723 · OD · UNIVERSITY OF VIRGINIA · PI LAZO, JOHN S. · 2017 to 2017
$516k
Modeling Cardiac Fibroblast Signaling to Predict Context-Dependent Modulators of Cardiac FibrosisF30HL127944 · NHLBI · UNIVERSITY OF VIRGINIA · PI ZEIGLER, ANGELA COURTNEY · 2016 to 2019
$158k
NHLBI NIH HHS F30 HL127944NHLBI NIH HHS R01 HL137100NHLBI NIH HHS R01 HL137755NHLBI NIH HHS T32 HL007284NIH HHS S10 OD021723
6 · The paper itself

Abstract

Cardiac fibrosis is a significant component of pathological heart remodeling, yet it is not directly targeted by existing drugs. Systems pharmacology approaches have the potential to provide mechanistic frameworks with which to predict and understand how drugs modulate biological systems. Here, we combine network modeling of the fibroblast signaling network with 36 unique drug-target interactions from DrugBank to predict drugs that modulate fibroblast phenotype and fibrosis. Galunisertib was predicted to decrease collagen and α-SMA expression, which we validated in human cardiac fibroblasts. In vivo fibrosis data from the literature validated predictions for 10 drugs. Further, the model was used to identify network mechanisms by which these drugs work. Arsenic trioxide was predicted to induce fibrosis by AP1-driven TGFβ expression and MMP2-driven TGFβ activation. Entresto (valsartan/sacubitril) was predicted to suppress fibrosis by valsartan suppression of ERK signaling and sacubitril enhancement of PKG activity, both of which decreased Smad3 activity. Overall, this study provides a framework for integrating drug-target mechanisms with logic-based network models, which can drive further studies both in cardiac fibrosis and other conditions.

Indexed as

AminobutyratesAngiotensin Receptor AntagonistsAnimalsArsenic TrioxideBiphenyl CompoundsComputer SimulationDrug CombinationsFibroblastsFibrosisHeart DiseasesHumansMAP Kinase Signaling SystemMatrix Metalloproteinase 2Models, AnimalNetwork PharmacologyPyrazolesAminobutyratesAngiotensin Receptor AntagonistsAP1 compoundArsenic TrioxideBiphenyl CompoundsDrug CombinationsLY-2157299Matrix Metalloproteinase 2PyrazolesQuaternary Ammonium CompoundsQuinolinesReceptors, Transforming Growth Factor betasacubitril and valsartan sodium hydrate drug combinationSmad3 ProteinSMAD3 protein, humanThioctic AcidValsartan

Identifiers

PMID33571402
PMCPMC8099443
OpenAlexW3127848956

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.