Evidence map›Paper›PMID 34618683›Full record

ArticleThe Journal of clinical investigation2021

Inhibition of phosphodiesterase type 9 reduces obesity and cardiometabolic syndrome in mice.

Sumita Mishra, Nandhini Sadagopan, Brittany Dunkerly-Eyring, Susana Rodriguez, Dylan C Sarver, Ryan P Ceddia, Sean A Murphy, Hildur Knutsdottir, Vivek P Jani, Deepthi Ashok and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  8. Review
  9. Article
  10. Cardiac cGMP Regulation and Therapeutic Applications.Hypertension (Dallas, Tex. : 1979) · 2025
    Review
  11. Phosphodiesterases: Evolving Concepts and Implications for Human Therapeutics.Annual review of pharmacology and toxicology · 2025
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. 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

17 authors at 4 institutions in 1 country.

Sumita MishraDivision of Cardiology, Department of Medicine, and.
Nandhini SadagopanDivision of Cardiology, Department of Medicine, and.
Brittany Dunkerly-EyringDivision of Cardiology, Department of Medicine, and.
Susana RodriguezDepartment of Physiology, Johns Hopkins University, Baltimore, Maryland, USA.
Dylan C SarverDepartment of Physiology, Johns Hopkins University, Baltimore, Maryland, USA.
Ryan P CeddiaDivision of Cardiovascular Medicine, Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
Sean A MurphyDivision of Cardiology, Department of Medicine, and.
Hildur KnutsdottirDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland, USA.
Vivek P JaniDivision of Cardiology, Department of Medicine, and.
Deepthi AshokDivision of Cardiology, Department of Medicine, and.
Christian U OeingDivision of Cardiology, Department of Medicine, and.
Brian O'RourkeDivision of Cardiology, Department of Medicine, and.
Jon A GangoitiUCSD Biochemical Genetics and Metabolomics Laboratory and.
Dorothy D SearsDepartment of Medicine, UCSD, La Jolla, California, USA.
G William WongDepartment of Physiology, Johns Hopkins University, Baltimore, Maryland, USA.
Sheila CollinsDivision of Cardiovascular Medicine, Department of Medicine, Vanderbilt University, Nashville, Tennessee, USA.
David A KassDivision of Cardiology, Department of Medicine, and.
Emory University Hospital · USJohns Hopkins University · USVanderbilt University · USUniversity of California San Diego · US

Funding

PATHOPHYSIOLOGY OF MYOCARDIAL DISEASEST32HL007227 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Chulan Kwon, WENDY S POST · 1985 to 2026
$21.2M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
CTRP and Metabolic ControlR01DK084171 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Guang William Wong · 2010 to 2026
$8.0M
Leveraging Protein Kinase G-1 Nanodomain Control and Molecular Targeting to Enhance its Therapeutic Use Against Myocardial DiseaseR35HL135827 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KASS, DAVID ALAN · 2017 to 2023
$6.3M
Targeting Metabo-Redox Network Vulnerability in Heart Failure and Sudden DeathR01HL134821 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI FOSTER, D BRIAN, O'ROURKE, BRIAN · 2018 to 2021
$2.1M
Dissecting PKA activation of mTORC1 and its function in adipose tissueR01DK116625 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COLLINS, SHEILA · 2018 to 2021
$1.9M
PKG Redox Modulation of Cardiac Function and DiseaseR01HL119012 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KASS, DAVID ALAN · 2013 to 2016
$1.6M
The role of phosphodiesterase 9 in the regulation of adipocyte thermogenesis and obesity-related diseasesF32DK116520 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CEDDIA, RYAN PATRICK · 2017 to 2020
$190k
NHLBI NIH HHS R01 HL119012NHLBI NIH HHS R01 HL134821NHLBI NIH HHS R35 HL135827NHLBI NIH HHS T32 HL007227NIDDK NIH HHS F32 DK116520NIDDK NIH HHS R01 DK084171NIDDK NIH HHS R01 DK116625NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

Central obesity with cardiometabolic syndrome (CMS) is a major global contributor to human disease, and effective therapies are needed. Here, we show that cyclic GMP-selective phosphodiesterase 9A inhibition (PDE9-I) in both male and ovariectomized female mice suppresses preestablished severe diet-induced obesity/CMS with or without superimposed mild cardiac pressure load. PDE9-I reduces total body, inguinal, hepatic, and myocardial fat; stimulates mitochondrial activity in brown and white fat; and improves CMS, without significantly altering activity or food intake. PDE9 localized at mitochondria, and its inhibition in vitro stimulated lipolysis in a PPARα-dependent manner and increased mitochondrial respiration in both adipocytes and myocytes. PPARα upregulation was required to achieve the lipolytic, antiobesity, and metabolic effects of PDE9-I. All these PDE9-I-induced changes were not observed in obese/CMS nonovariectomized females, indicating a strong sexual dimorphism. We found that PPARα chromatin binding was reoriented away from fat metabolism-regulating genes when stimulated in the presence of coactivated estrogen receptor-α, and this may underlie the dimorphism. These findings have translational relevance given that PDE9-I is already being studied in humans for indications including heart failure, and efficacy against obesity/CMS would enhance its therapeutic utility.

Indexed as

3',5'-Cyclic-AMP PhosphodiesterasesAdipose TissueAnimalsFemaleMaleMetabolic SyndromeMiceMice, TransgenicMitochondriaObesityPPAR alpha3',5'-Cyclic-AMP PhosphodiesterasesPde9a protein, mousePPAR alphaPpara protein, mouseFatty acid oxidationMetabolismObesityPhosphodiesterases

Identifiers

PMID34618683
PMCPMC8553561
OpenAlexW3202024205

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.