Evidence map›Paper›PMID 35066183›Full record

ArticleHeart rhythm2022

Regional heterogeneity in determinants of atrial matrix remodeling and association with atrial fibrillation vulnerability postmyocardial infarction.

Mitchel R Stacy, Ben A Lin, Stephanie L Thorn, David C Lobb, Mark W Maxfield, Craig Novack, Kia N Zellars, Lisa Freeburg, Joseph G Akar, Albert J Sinusas and 1 more

Open access · greenAbstract read
In one paragraph

Article in Heart rhythm, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Histone Deacetylase 6 Controls Atrial Fibrosis and Remodeling in Postinfarction Mice Through the Modulation of Wnt3a/GSK-3β Signaling.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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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

11 authors at 2 institutions in 1 country.

Mitchel R StacySection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Ben A LinSection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Stephanie L ThornSection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
David C LobbCell Biology & Anatomy, University of South Carolina School of Medicine, Columbia, South Carolina.
Mark W MaxfieldSection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Craig NovackCell Biology & Anatomy, University of South Carolina School of Medicine, Columbia, South Carolina.
Kia N ZellarsCell Biology & Anatomy, University of South Carolina School of Medicine, Columbia, South Carolina.
Lisa FreeburgCell Biology & Anatomy, University of South Carolina School of Medicine, Columbia, South Carolina.
Joseph G AkarSection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Albert J SinusasSection of Cardiovascular Medicine, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut; Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut.
Francis G SpinaleCell Biology & Anatomy, University of South Carolina School of Medicine, Columbia, South Carolina; Columbia VA Health Care System, Columbia, South Carolina. Electronic address: cvctrc@uscmed.sc.edu.
Yale University · USUniversity of South Carolina · US

Funding

Training In Multi-modality Molecular & Translational Cardiovascular ImagingT32HL098069 · NHLBI · YALE UNIVERSITY · PI JAMES S DUNCAN, Georges El Fakhri · 2010 to 2026
$5.2M
Molecular Imaging Predicts Atrial Remodeling and Fibrillation VulnerabilityR01HL113352 · NHLBI · YALE UNIVERSITY · PI AKAR, JOSEPH GABRIEL, SINUSAS, ALBERT J · 2013 to 2016
$2.8M
Maladaptive Remodeling in Aging MyocardiumI01BX000168 · VA · VETERANS HEALTH ADMINISTRATION · PI SPINALE, FRANCIS G · 2009 to 2024
–
BLRD VA I01 BX000168NHLBI NIH HHS R01 HL113352NHLBI NIH HHS T32 HL098069
6 · The paper itself

Abstract

backgroundLeft ventricular (LV) remodeling following a myocardial infarction (MI) is associated with new-onset atrial fibrillation (AF). LV remodeling post-MI is characterized by regional changes in matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs), causing extracellular matrix (ECM) remodeling.

objectiveThe purpose of this study was to test the hypothesis that a shift in regional atrial MMP activity, MMP/TIMP expression, and ECM remodeling occurs post-MI, which cause increased vulnerability to AF.

methodsMI was induced in pigs (weight 25 kg; coronary ligation; n = 9). At approximately 14 days post-MI, an atrial electrical stimulation protocol was performed, after which an MMP radiotracer was infused, MMP/TIMP mRNA profiling performed, and ECM collagen assessed by histochemistry. An additional 7 non-MI pigs served as controls.

resultsAF could be induced in 89% (8/9) of the post-MI pigs but none of the controls. MMP activity (MMP radiotracer uptake) increased by approximately 2-fold in most atrial regions post-MI, whereas fibrillar collagen content was unchanged or actually reduced in right atrial regions and increased in left atrial regions. MMP/TIMP profiles revealed a heterogeneous pattern from the left atrial appendage to right atrial regions.

conclusionAF vulnerability early post-MI was associated with a heterogeneous pattern of atrial ECM remodeling, detectable by noninvasive molecular imaging. Detection of early atrial MMP activation post-MI may help define the myocardial substrate underlying AF.

Indexed as

Atrial FibrillationAtrial RemodelingMyocardial InfarctionAnimalsMatrix MetalloproteinasesMyocardiumSwineVentricular RemodelingMatrix MetalloproteinasesAtrial fibrillationExtracellular matrixHeart failureInflammasomeInflammationMyocardial remodeling

Identifiers

PMID35066183
PMCPMC9064890
OpenAlexW4206089243

What OpenQuestion holds

Textmetadata
LicenceTDM
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.