Evidence map›Paper›PMID 34369384›Full record

ArticleJCI insight2021

In vivo grafting of large engineered heart tissue patches for cardiac repair.

Richard J Jabbour, Thomas J Owen, Pragati Pandey, Marina Reinsch, Brian Wang, Oisín King, Liam Steven Couch, Dafni Pantou, David S Pitcher, Rasheda A Chowdhury and 15 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
8.4field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Article
  6. Refining the Guinea Pig (Cavia porcellus) Cryo-Injury Model for Cardiac Regeneration and Functional Characterization.Journal of the American Association for Laboratory Animal Science : JAALAS · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Toward Origami-Inspired In Vitro Cardiac Tissue Models.ACS biomaterials science & engineering · 2025
    Article
  11. Article
  12. Review
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  15. Article
  16. Article
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  18. 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

25 authors at 5 institutions in 2 countries.

Richard J JabbourNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Thomas J OwenNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Pragati PandeyNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Marina ReinschDepartment of Cardiovascular Science, Hamburg University, Hamburg, Germany.
Brian WangNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Oisín KingNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Liam Steven CouchNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Dafni PantouNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
David S PitcherNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Rasheda A ChowdhuryNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Fotios G PitoulisNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Balvinder S HandaNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Worrapong Kit-AnanNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Filippo PerbelliniInstitute of Molecular and Translational Therapeutic Strategies, Hannover Medical School, Hannover, Germany.
Rachel C MylesDepartment of Cardiovascular Science, University of Glasgow, Glasgow, Scotland, United Kingdom.
Daniel J StuckeyCentre for Advanced Biomedical Imaging, University College London, London, United Kingdom.
Michael DunneDepartment of Cardiovascular Science, University of Glasgow, Glasgow, Scotland, United Kingdom.
Mayooran ShanmuganathanNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Nicholas S PetersNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Fu Siong NgNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Florian WeinbergerDepartment of Cardiovascular Science, Hamburg University, Hamburg, Germany.
Cesare M TerraccianoNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Godfrey L SmithDepartment of Cardiovascular Science, University of Glasgow, Glasgow, Scotland, United Kingdom.
Thomas EschenhagenDepartment of Cardiovascular Science, Hamburg University, Hamburg, Germany.
Sian E HardingNational Heart & Lung Institute, Imperial College London, London, United Kingdom.
Imperial College London · GBUniversität Hamburg · DEUniversity of Glasgow · GBMedizinische Hochschule Hannover · DEUniversity College London · GB

Funding

British Heart Foundation FS/15/33/31608British Heart Foundation FS/16/17/31663British Heart Foundation RM/17/1/33377Medical Research Council MR/R026416/1
6 · The paper itself

Abstract

Engineered heart tissue (EHT) strategies, by combining cells within a hydrogel matrix, may be a novel therapy for heart failure. EHTs restore cardiac function in rodent injury models, but more data are needed in clinically relevant settings. Accordingly, an upscaled EHT patch (2.5 cm × 1.5 cm × 1.5 mm) consisting of up to 20 million human induced pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) embedded in a fibrin-based hydrogel was developed. A rabbit myocardial infarction model was then established to test for feasibility and efficacy. Our data showed that hPSC-CMs in EHTs became more aligned over 28 days and had improved contraction kinetics and faster calcium transients. Blinded echocardiographic analysis revealed a significant improvement in function in infarcted hearts that received EHTs, along with reduction in infarct scar size by 35%. Vascularization from the host to the patch was observed at week 1 and stable to week 4, but electrical coupling between patch and host heart was not observed. In vivo telemetry recordings and ex vivo arrhythmia provocation protocols showed that the patch was not pro-arrhythmic. In summary, EHTs improved function and reduced scar size without causing arrhythmia, which may be due to the lack of electrical coupling between patch and host heart.

Indexed as

Heart FailureMyocardial InfarctionAnimalsArrhythmias, CardiacCardiac Surgical ProceduresGuided Tissue RegenerationHumansHydrogelsInduced Pluripotent Stem CellsMyocardial ContractionMyocardiumRabbitsTissue EngineeringHydrogelsArrhythmiasCardiologyCardiovascular diseaseHuman stem cellsStem cells

Identifiers

PMID34369384
PMCPMC8410032
OpenAlexW3190928756

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.