Evidence map›Paper›PMID 33856419›Full record

ArticleThe Journal of general physiology2021

Mechanical dysfunction of the sarcomere induced by a pathogenic mutation in troponin T drives cellular adaptation.

Sarah R Clippinger, Paige E Cloonan, Wei Wang, Lina Greenberg, W Tom Stump, Paweorn Angsutararux, Jeanne M Nerbonne, Michael J Greenberg

Open access · greenAbstract read
In one paragraph

Article in The Journal of general physiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Missense variants in the myosin binding domains ofbioRxiv : the preprint server for biology · 2025
    Article
  2. Danicamtiv reduces myosin's working stroke but activates the thin filament by accelerating actomyosin attachment.Proceedings of the National Academy of Sciences of the United States of America · 2025
    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

8 authors at 1 institution in 1 country.

Sarah R ClippingerDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO.
Paige E CloonanDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO.
Wei WangCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Lina GreenbergDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO.
W Tom StumpDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO.
Paweorn AngsutararuxDepartment of Biomedical Engineering, Washington University, St. Louis, MO.
Jeanne M NerbonneCardiovascular Division, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Michael J GreenbergDepartment of Biochemistry and Molecular Biophysics, Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · US

Funding

ION CHANNEL REGULATION AND MODULATION IN CARDIAC MUSCLER01HL034161 · NHLBI · WASHINGTON UNIVERSITY · PI NERBONNE, JEANNE M. · 1986 to 2015
$4.6M
Regulation of cardiac power output in health and diseaseR01HL141086 · NHLBI · WASHINGTON UNIVERSITY · PI GREENBERG, MICHAEL J · 2018 to 2022
$2.7M
Molecular Determinants of Regional Differences in Human Ventricular Repolarization and RemodelingR01HL142520 · NHLBI · WASHINGTON UNIVERSITY · PI NERBONNE, JEANNE M. · 2019 to 2022
$1.6M
INTERDISCIPLINARY TRAINING IN MECHANOBIOLOGY FROM NM TO CMT32EB018266 · NIBIB · WASHINGTON UNIVERSITY · PI BAYLY, PHILIP V · 2014 to 2018
$987k
NHLBI NIH HHS R01 HL034161NHLBI NIH HHS R01 HL141086NHLBI NIH HHS R01 HL142520NIBIB NIH HHS T32 EB018266
6 · The paper itself

Abstract

Familial hypertrophic cardiomyopathy (HCM), a leading cause of sudden cardiac death, is primarily caused by mutations in sarcomeric proteins. The pathogenesis of HCM is complex, with functional changes that span scales, from molecules to tissues. This makes it challenging to deconvolve the biophysical molecular defect that drives the disease pathogenesis from downstream changes in cellular function. In this study, we examine an HCM mutation in troponin T, R92Q, for which several models explaining its effects in disease have been put forward. We demonstrate that the primary molecular insult driving disease pathogenesis is mutation-induced alterations in tropomyosin positioning, which causes increased molecular and cellular force generation during calcium-based activation. Computational modeling shows that the increased cellular force is consistent with the molecular mechanism. These changes in cellular contractility cause downstream alterations in gene expression, calcium handling, and electrophysiology. Taken together, our results demonstrate that molecularly driven changes in mechanical tension drive the early disease pathogenesis of familial HCM, leading to activation of adaptive mechanobiological signaling pathways.

Indexed as

Cardiomyopathy, HypertrophicSarcomeresCalciumHumansMutationTropomyosinTroponin TCalciumTropomyosinTroponin T

Identifiers

PMID33856419
PMCPMC8054178
OpenAlexW3153156497

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.