Evidence map›Paper›PMID 33757590›Full record

ArticleClinical epigenetics2021

Multi-omics integration identifies key upstream regulators of pathomechanisms in hypertrophic cardiomyopathy due to truncating MYBPC3 mutations.

J Pei, M Schuldt, E Nagyova, Z Gu, S El Bouhaddani, L Yiangou, M Jansen, J J A Calis, L M Dorsch, C Snijders Blok and 18 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Clinical epigenetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

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  10. Using Omics to Identify Novel Therapeutic Targets in Heart Failure.Circulation. Genomic and precision medicine · 2024
    Review
  11. Review
  12. Article
  13. Hypertrophic cardiomyopathy inThe journal of cardiovascular aging · 2024
    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

28 authors at 7 institutions in 3 countries.

J Pei *Division Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
M Schuldt *Department of Physiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
E Nagyova *Laboratory of Clinical Chemistry and Hematology, UMC Utrecht, Utrecht, The Netherlands.
Z GuDepartment of Biostatistics and Research Support, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
S El BouhaddaniDepartment of Biostatistics and Research Support, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
L YiangouDepartment of Anatomy and Embryology, LUMC, Leiden, The Netherlands.
M JansenDepartment of Genetics, Division of Laboratories, Pharmacy and Biomedical Genetics, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
J J A CalisDivision Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
L M DorschDepartment of Physiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
C Snijders BlokDivision Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
N A M van den DungenLaboratory of Clinical Chemistry and Hematology, UMC Utrecht, Utrecht, The Netherlands.
N LansuLaboratory of Clinical Chemistry and Hematology, UMC Utrecht, Utrecht, The Netherlands.
B J BoukensDepartment of Medical Biology, AMC, Amsterdam, The Netherlands.
I R EfimovDepartment of Biomedical Engineering, GWU, Washington, DC, USA.
M MichelsDepartment of Cardiology, Thoraxcentre, Erasmus Medical Centre, Rotterdam, The Netherlands.
M C VerhaarRegenerative Medicine Utrecht (RMU), University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
R de WegerDepartment of Pathology, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
A VinkDepartment of Pathology, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
F G van SteenbeekDivision Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
A F BaasDepartment of Genetics, Division of Laboratories, Pharmacy and Biomedical Genetics, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
R P DavisDepartment of Anatomy and Embryology, LUMC, Leiden, The Netherlands.
H W UhDepartment of Biostatistics and Research Support, UMC Utrecht, University of Utrecht, Utrecht, The Netherlands.
D W D KusterDepartment of Physiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
C ChengRegenerative Medicine Utrecht (RMU), University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
M MokryDivision Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands.
J van der Velden *Department of Physiology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
F W Asselbergs *Division Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands. f.w.asselbergs@umcutrecht.nl.
M Harakalova *Division Heart and Lungs, Department of Cardiology, University Medical Center Utrecht, University of Utrecht, 3584 CT, Utrecht, The Netherlands. m.harakalova@umcutrecht.nl.ORCID 0000-0002-7293-1029
Utrecht University · NLAmsterdam University Medical Centers · NLLeiden University Medical Center · NLAmsterdam UMC Location University of Amsterdam · NLErasmus University Rotterdam · NLGW Medical Faculty Associates · USUniversity of Applied Sciences Utrecht · NL

Funding

H2020 European Research Council grant agreement 638030Netherlands Cardiovascular Research Initiative: An initiative with the support of the Dutch Heart Foundation CVON2014-11 RECONNECTNetherlands Cardiovascular Research Initiative: An initiative with the support of the Dutch Heart Foundation CVON2014-40 DOSISNetherlands Cardiovascular Research Initiative: An initiative with the support of the Dutch Heart Foundation Dekker 2015T041Netherlands Cardiovascular Research Initiative: An initiative with the support of the Dutch Heart Foundation Queen of HeartNWO VENI grant no. 016.176.136NWO VIDI grant no. 016096359NWO VIDI grant no. 91714302NWO VIDI grant no. 91715303Wilhelmina Children's Hospital research funding no. OZF/14ZonMW-NWO VICI grant 91818902
6 · The paper itself

Abstract

backgroundHypertrophic cardiomyopathy (HCM) is the most common genetic disease of the cardiac muscle, frequently caused by mutations in MYBPC3. However, little is known about the upstream pathways and key regulators causing the disease. Therefore, we employed a multi-omics approach to study the pathomechanisms underlying HCM comparing patient hearts harboring MYBPC3 mutations to control hearts.

resultsUsing H3K27ac ChIP-seq and RNA-seq we obtained 9310 differentially acetylated regions and 2033 differentially expressed genes, respectively, between 13 HCM and 10 control hearts. We obtained 441 differentially expressed proteins between 11 HCM and 8 control hearts using proteomics. By integrating multi-omics datasets, we identified a set of DNA regions and genes that differentiate HCM from control hearts and 53 protein-coding genes as the major contributors. This comprehensive analysis consistently points toward altered extracellular matrix formation, muscle contraction, and metabolism. Therefore, we studied enriched transcription factor (TF) binding motifs and identified 9 motif-encoded TFs, including KLF15, ETV4, AR, CLOCK, ETS2, GATA5, MEIS1, RXRA, and ZFX. Selected candidates were examined in stem cell-derived cardiomyocytes with and without mutated MYBPC3. Furthermore, we observed an abundance of acetylation signals and transcripts derived from cardiomyocytes compared to non-myocyte populations.

conclusionsBy integrating histone acetylome, transcriptome, and proteome profiles, we identified major effector genes and protein networks that drive the pathological changes in HCM with mutated MYBPC3. Our work identifies 38 highly affected protein-coding genes as potential plasma HCM biomarkers and 9 TFs as potential upstream regulators of these pathomechanisms that may serve as possible therapeutic targets.

Indexed as

DNA MethylationGene ExpressionGenes, HomeoboxCardiomyopathy, HypertrophicCarrier ProteinsHistonesHumansMutationTranscriptomeCarrier ProteinsHistonesHCMHistone acetylomeMYBPC3ProteomeTranscription factorsTranscriptome

Identifiers

PMID33757590
PMCPMC7989210
OpenAlexW3137182980

What OpenQuestion holds

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LicenceCC BY
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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.