Evidence map›Paper›PMID 33811809›Full record

ArticleCell2021

BET inhibition blocks inflammation-induced cardiac dysfunction and SARS-CoV-2 infection.

Richard J Mills, Sean J Humphrey, Patrick R J Fortuna, Mary Lor, Simon R Foster, Gregory A Quaife-Ryan, Rebecca L Johnston, Troy Dumenil, Cameron Bishop, Rajeev Rudraraju and 36 more

Open access · bronzeAbstract read
In one paragraph

Article in Cell, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed
13.8field-weighted citation impact, top 1% 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

133 citing papers in PubMed, 213 citations in OpenAlex.

  1. Human cardiovascular organoids: Biomedical applications and ethical challenges.American heart journal plus : cardiology research and practice · 2026
    Review
  2. Cell Type-Specific Roles for BRD4 in Heart Failure.Current cardiology reports · 2026
    Review
  3. BRD4 inhibition mitigates acute and chronic corneal injury following topical nitrogen mustard exposure.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Parabiosis, Assembloids, Organoids (PAO).Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Organoids: physiologically relevantJournal of virology · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Review

73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

46 authors at 10 institutions in 4 countries.

Richard J MillsQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Sean J HumphreyCharles Perkins Centre, School of Life and Environmental Science, The University of Sydney, Sydney 2006, NSW, Australia.
Patrick R J FortunaQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Mary LorQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Simon R FosterQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Gregory A Quaife-RyanQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Rebecca L JohnstonQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Troy DumenilQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Cameron BishopQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Rajeev RudrarajuThe WHO Collaborating Centre for Reference and Research on Influenza, The Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia; Department of Microbiology and Immunology, The University of Melbourne, Melbourne 3052, VIC, Australia; The Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia.
Daniel J RawleQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Thuy LeQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Wei ZhaoThe Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia.
Leo LeeThe Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia.
Charley Mackenzie-KludasThe Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia.
Neda R MehdiabadiMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne 3052, VIC, Australia.
Christopher HallidayResverlogix Corp., Calgary T3E 6L1, AB, Canada.
Dean GilhamResverlogix Corp., Calgary T3E 6L1, AB, Canada.
Li FuResverlogix Corp., Calgary T3E 6L1, AB, Canada.
Stephen J NichollsVictorian Heart Hospital, Monash University, Clayton 3168, VIC, Australia.
Jan JohanssonResverlogix Corp., San Francisco, CA 94104, USA.
Michael SweeneyResverlogix Corp., San Francisco, CA 94104, USA.
Norman C W WongResverlogix Corp., Calgary T3E 6L1, AB, Canada.
Ewelina KulikowskiResverlogix Corp., Calgary T3E 6L1, AB, Canada.
Kamil A SokolowskiPreclinical Imaging Facility, Translational Research Institute, Brisbane, QLD, Australia.
Brian W C TsePreclinical Imaging Facility, Translational Research Institute, Brisbane, QLD, Australia.
Lynn DeviléeQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Holly K VogesQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Liam T ReynoldsQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Sophie KrumeichQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Ellen MathiesonQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Dad Abu-BonsrahMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne 3052, VIC, Australia; Department of Paediatrics, The University of Melbourne, Melbourne 3052, VIC, Australia.
Kathy KaravendzasMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne 3052, VIC, Australia.
Brendan GriffenDynomics Inc., San Mateo, CA 94401, USA; Dynomics Pty Ltd, Brisbane 4000, QLD, Australia.
Drew TitmarshDynomics Inc., San Mateo, CA 94401, USA; Dynomics Pty Ltd, Brisbane 4000, QLD, Australia.
David A ElliottMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne 3052, VIC, Australia.
James McMahonDepartment of Infectious Diseases, Alfred Hospital and Monash University, Melbourne 3004, VIC, Australia; Department of Infectious Diseases, Monash Medical Centre, Clayton 3168, VIC, Australia.
Andreas SuhrbierQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia; GVN Center of Excellence, Australian Infectious Diseases Research Centre, Brisbane, QLD, Australia.
Kanta SubbaraoThe WHO Collaborating Centre for Reference and Research on Influenza, The Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia; The Peter Doherty Institute for Infection and Immunity, Melbourne 3000, VIC, Australia.
Enzo R PorrelloMurdoch Children's Research Institute, The Royal Children's Hospital, Melbourne 3052, VIC, Australia; Department of Physiology, School of Biomedical Sciences, The University of Melbourne, Melbourne 3052, VIC, Australia.
Mark J SmythQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Christian R EngwerdaQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Kelli P A MacDonaldQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia.
Tobias BaldQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia; Institute of Experimental Oncology, University Hospital Bonn, Bonn 53127, Germany.
David E JamesCharles Perkins Centre, School of Life and Environmental Science, The University of Sydney, Sydney 2006, NSW, Australia; Faculty of Medicine and Health, The University of Sydney, Sydney 2006, NSW, Australia.
James E HudsonQIMR Berghofer Medical Research Institute, Brisbane 4006, QLD, Australia. Electronic address: james.hudson@qimrberghofer.edu.au.
QIMR Berghofer Medical Research Institute · AUResverlogix (Canada) · CARoyal Children's Hospital · AUPeter Doherty Institute · AUEcogenomics (Japan) · JPThe University of Sydney · AUTranslational Research Institute · AUMonash Medical Centre · AUMonash University · AUThe University of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cardiac injury and dysfunction occur in COVID-19 patients and increase the risk of mortality. Causes are ill defined but could be through direct cardiac infection and/or inflammation-induced dysfunction. To identify mechanisms and cardio-protective drugs, we use a state-of-the-art pipeline combining human cardiac organoids with phosphoproteomics and single nuclei RNA sequencing. We identify an inflammatory "cytokine-storm", a cocktail of interferon gamma, interleukin 1β, and poly(I:C), induced diastolic dysfunction. Bromodomain-containing protein 4 is activated along with a viral response that is consistent in both human cardiac organoids (hCOs) and hearts of SARS-CoV-2-infected K18-hACE2 mice. Bromodomain and extraterminal family inhibitors (BETi) recover dysfunction in hCOs and completely prevent cardiac dysfunction and death in a mouse cytokine-storm model. Additionally, BETi decreases transcription of genes in the viral response, decreases ACE2 expression, and reduces SARS-CoV-2 infection of cardiomyocytes. Together, BETi, including the Food and Drug Administration (FDA) breakthrough designated drug, apabetalone, are promising candidates to prevent COVID-19 mediated cardiac damage.

Indexed as

Angiotensin-Converting Enzyme 2AnimalsBromodomain Containing ProteinsCardiotonic AgentsCell Cycle ProteinsCell LineCOVID-19COVID-19 Drug TreatmentCytokinesFemaleHeart DiseasesHuman Embryonic Stem CellsHumansInflammationMiceMice, Inbred C57BLACE2 protein, humanAngiotensin-Converting Enzyme 2apabetaloneBRD4 protein, humanBromodomain Containing ProteinsCardiotonic AgentsCell Cycle ProteinsCytokinesQuinazolinonesTranscription FactorsBromodomain and extraterminal family inhibitorsCOVID-19drug discoveryheartinflammationorganoids

Identifiers

PMID33811809
PMCPMC7962543
OpenAlexW3136508589

What OpenQuestion holds

Textmetadata
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.