Evidence map›Paper›PMID 34163071›Full record

ArticleNature2021

A transcriptional switch governs fibroblast activation in heart disease.

Michael Alexanian, Pawel F Przytycki, Rudi Micheletti, Arun Padmanabhan, Lin Ye, Joshua G Travers, Barbara Gonzalez-Teran, Ana Catarina Silva, Qiming Duan, Sanjeev S Ranade and 15 more

Open access · greenAbstract read
In one paragraph

Article in Nature, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 140 papers.

0numbers the graph read from it
0cells of the map it votes in
140citing papers in PubMed
12.5field-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

140 citing papers in PubMed, 216 citations in OpenAlex.

  1. Mechanical stretch reduces fibroblast activation in heart failure with reduced ejection fraction.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Article
  2. Review
  3. Cell Type-Specific Roles for BRD4 in Heart Failure.Current cardiology reports · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Next-generation molecular imaging of cardiac fibrosis.The international journal of cardiovascular imaging · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Cardiac epigenome in heart development and disease.Nature reviews. Cardiology · 2026
    Review
  18. Article
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 5 institutions in 1 country.

Michael AlexanianGladstone Institutes, San Francisco, CA, USA.
Pawel F PrzytyckiGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-3360-6936
Rudi MichelettiHoward Hughes Medical Institute, Department and School of Medicine, University of California, San Diego, La Jolla, CA, USA.
Arun PadmanabhanGladstone Institutes, San Francisco, CA, USA.
Lin YeGladstone Institutes, San Francisco, CA, USA.
Joshua G TraversDepartment of Medicine, Division of Cardiology and Consortium for Fibrosis Research & Translation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID http://orcid.org/0000-0002-5660-2620
Barbara Gonzalez-TeranGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-4336-8644
Ana Catarina SilvaGladstone Institutes, San Francisco, CA, USA.
Qiming DuanGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-6204-3028
Sanjeev S RanadeGladstone Institutes, San Francisco, CA, USA.
Franco FelixGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-4297-7149
Ricardo Linares-SaldanaCardiovascular Institute and Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-2657-825X
Li LiCardiovascular Institute and Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Clara Youngna LeeGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-9402-4155
Nandhini SadagopanGladstone Institutes, San Francisco, CA, USA.
Angelo PeloneroGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-7684-3771
Yu HuangGladstone Institutes, San Francisco, CA, USA.
Gaia AndreolettiInstitute for Computational Health Sciences, University of California, San Francisco, CA, USA.
Rajan JainCardiovascular Institute and Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Timothy A McKinseyDepartment of Medicine, Division of Cardiology and Consortium for Fibrosis Research & Translation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Michael G RosenfeldHoward Hughes Medical Institute, Department and School of Medicine, University of California, San Diego, La Jolla, CA, USA.
Casey A GiffordGladstone Institutes, San Francisco, CA, USA.
Katherine S PollardGladstone Institutes, San Francisco, CA, USA.ORCID http://orcid.org/0000-0002-9870-6196
Saptarsi M HaldarGladstone Institutes, San Francisco, CA, USA. saptarsi.haldar@gladstone.ucsf.edu.ORCID http://orcid.org/0000-0001-7968-9696
Deepak SrivastavaGladstone Institutes, San Francisco, CA, USA. deepak.srivastava@gladstone.ucsf.edu.ORCID http://orcid.org/0000-0002-3480-5953
Gladstone Institutes · USCardiovascular Institute of the South · USHoward Hughes Medical Institute · USUniversity of Colorado Anschutz Medical Campus · USUniversity of California, San Francisco · US

Funding

Transcriptional Networks During Cardiac DifferentiationP01HL089707 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI SRIVASTAVA, DEEPAK · 2008 to 2017
$20.4M
CARDIOGENESIS--MOLECULAR MECHANISMSR01HL057181 · NHLBI · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI DEEPAK SRIVASTAVA · 1997 to 2026
$14.0M
Project 3: Control of cardiac transcription by MEF2 and myocardinP01HL146366 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI SRIVASTAVA, DEEPAK · 2019 to 2023
$13.7M
The Epigenetic Landscape of Heart DevelopmentU01HL098179 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI BOYER, LAURIE A, BRUNEAU, BENOIT GAETAN · 2009 to 2014
$10.0M
Regulation of Chromatin Signaling in Heart Failure by the BRD4 Bromodomain Protein.R01HL127240 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY, SRIVASTAVA, DEEPAK · 2015 to 2022
$6.4M
The Epigenetic Landscape of Heart DevelopmentUM1HL098179 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI BRUNEAU, BENOIT GAETAN, POLLARD, KATHERINE S. · 2015 to 2019
$4.7M
Deacetylase-Dependent Control of Diastolic Dysfunction and HFpEFR01HL147558 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI HOUSER, STEVEN R, MCKINSEY, TIMOTHY · 2019 to 2022
$3.1M
Regulation of Cardiac Signaling by Class I Histone DeacetylasesR01HL116848 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MCKINSEY, TIMOTHY · 2013 to 2021
$3.1M
Small molecule therapies targeting chromatin architecture in heart failureR01HL150225 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MCKINSEY, TIMOTHY, VONDRISKA, THOMAS M. · 2020 to 2023
$2.9M
A stress-induced promoter pause release program in cardiomyocytes protecting against myocardial infarctionR01HL150521 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ROSENFELD, MICHAEL G · 2020 to 2023
$2.7M
Aortic Valve Disease: Mechanisms and Therapeutic ApproachesR01HL150100 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI SRIVASTAVA, DEEPAK · 2020 to 2023
$2.7M
Resolving single-cell brain regulatory elements with bulk data supervised modelsR01MH123178 · NIMH · J. DAVID GLADSTONE INSTITUTES · PI POLLARD, KATHERINE S. · 2020 to 2023
$2.4M
AHRQ HHS R01 HS015100NCRR NIH HHS C06 RR018928NHLBI NIH HHS F32 HL147463NHLBI NIH HHS K08 HL157700NHLBI NIH HHS P01 HL089707NHLBI NIH HHS P01 HL146366NHLBI NIH HHS R01 HL057181NHLBI NIH HHS R01 HL116848NHLBI NIH HHS R01 HL127240NHLBI NIH HHS R01 HL139783NHLBI NIH HHS R01 HL147558NHLBI NIH HHS R01 HL150100NHLBI NIH HHS R01 HL150225NHLBI NIH HHS R01 HL150521NHLBI NIH HHS U01 HL098179NHLBI NIH HHS UM1 HL098179NIDDK NIH HHS R01 DK119594NIMH NIH HHS R01 MH123178
6 · The paper itself

Abstract

In diseased organs, stress-activated signalling cascades alter chromatin, thereby triggering maladaptive cell state transitions. Fibroblast activation is a common stress response in tissues that worsens lung, liver, kidney and heart disease, yet its mechanistic basis remains unclear

Indexed as

Enhancer Elements, GeneticAnimalsBromodomain Containing ProteinsChromatinEpigenomicsFibroblastsGene Expression RegulationHeart DiseasesHomeodomain ProteinsHumansMiceProteinsSingle-Cell AnalysisTranscription FactorsTranscriptomeTransforming Growth Factor betabromodomain and extra-terminal domain protein, humanBromodomain Containing ProteinsChromatinHomeodomain ProteinsMEOX1 protein, humanMeox1 protein, mouseProteinsTranscription FactorsTransforming Growth Factor beta

Identifiers

PMID34163071
PMCPMC8341289
OpenAlexW3176137376

What OpenQuestion holds

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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.