Evidence map›Paper›PMID 35737129›Full record

ArticleBasic research in cardiology2022

Reduction of A-to-I RNA editing in the failing human heart regulates formation of circular RNAs.

Karoline E Kokot, Jasmin M Kneuer, David John, Sabine Rebs, Maximilian N Möbius-Winkler, Stephan Erbe, Marion Müller, Michael Andritschke, Susanne Gaul, Bilal N Sheikh and 10 more

Open access · hybridAbstract read
In one paragraph

Article in Basic research in cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
4.7field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 45 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Advances in RNA modification in myocardial fibrosis (Review).International journal of molecular medicine · 2025
    Review
  7. Review
  8. Targeting RNA adenosine editing and modification enzymes for RNA therapeutics.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Methylations in dilated cardiomyopathy and heart failure.Frontiers in cardiovascular medicine · 2025
    Review
  13. Formation of Circular RNAs.Advances in experimental medicine and biology · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Circular RNAs: a small piece in the heart failure puzzle.Functional & integrative genomics · 2024
    Review
  18. Epitranscriptomic Regulations in the Heart.Physiological research · 2024
    Review
  19. Review
  20. Article
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

20 authors at 9 institutions in 1 country.

Karoline E KokotKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
Jasmin M KneuerKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
David JohnInstitute for Cardiovascular Regeneration, Goethe-University Hospital, Theodor Stern Kai 7, Frankfurt, Germany.
Sabine RebsInstitute of Pharmacology and Toxicology, Versbacher-Str. 9, Würzburg, Germany.
Maximilian N Möbius-WinklerKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
Stephan ErbeKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
Marion MüllerDepartment of General and Interventional Cardiology/Angiology, Ruhr University of Bochum, Heart-and Diabetes Center North Rhine-Westphalia, Bad Oeynhausen, Germany.
Michael AndritschkeKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
Susanne GaulKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
Bilal N SheikhHelmholtz Institute for Metabolic, Obesity and Vascular Research (HI-MAG) of the Helmholtz Zentrum München at the University of Leipzig and University Hospital Leipzig, Leipzig, Germany.
Jan HaasDepartment of Internal Medicine III, University of Heidelberg, Heidelberg, Germany.
Holger ThieleHeart Center Leipzig at University of Leipzig and Leipzig Heart Institute, Leipzig, Germany.
Oliver J MüllerDepartment of Internal Medicine III, University of Kiel, Kiel, Germany.
Susanne HilleDepartment of Internal Medicine III, University of Kiel, Kiel, Germany.
Florian LeuschnerDepartment of Internal Medicine III, University of Heidelberg, Heidelberg, Germany.
Stefanie DimmelerInstitute for Cardiovascular Regeneration, Goethe-University Hospital, Theodor Stern Kai 7, Frankfurt, Germany.
Katrin Streckfuss-BömekeInstitute of Pharmacology and Toxicology, Versbacher-Str. 9, Würzburg, Germany.
Benjamin MederDepartment of Internal Medicine III, University of Heidelberg, Heidelberg, Germany.
Ulrich LaufsKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany.
Jes-Niels BoeckelKlinik und Poliklinik für Kardiologie, Universitätsklinikum Leipzig, Liebigstrasse 20, Leipzig, Germany. Boeckel@medizin.uni-leipzig.de.
German Centre for Cardiovascular Research · DEUniversity Hospital Leipzig · DEKlinik und Poliklinik für Neurologie · DEHeidelberg University · DEGoethe University Frankfurt · DEHeart and Diabetes Center North Rhine-Westphalia · DEHelmholtz Zentrum München · DELeipzig Heart Institute · DEUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Alterations of RNA editing that affect the secondary structure of RNAs can cause human diseases. We therefore studied RNA editing in failing human hearts. Transcriptome sequencing showed that adenosine-to-inosine (A-to-I) RNA editing was responsible for 80% of the editing events in the myocardium. Failing human hearts were characterized by reduced RNA editing. This was primarily attributable to Alu elements in introns of protein-coding genes. In the failing left ventricle, 166 circRNAs were upregulated and 7 circRNAs were downregulated compared to non-failing controls. Most of the upregulated circRNAs were associated with reduced RNA editing in the host gene. ADAR2, which binds to RNA regions that are edited from A-to-I, was decreased in failing human hearts. In vitro, reduction of ADAR2 increased circRNA levels suggesting a causal effect of reduced ADAR2 levels on increased circRNAs in the failing human heart. To gain mechanistic insight, one of the identified upregulated circRNAs with a high reduction of editing in heart failure, AKAP13, was further characterized. ADAR2 reduced the formation of double-stranded structures in AKAP13 pre-mRNA, thereby reducing the stability of Alu elements and the circularization of the resulting circRNA. Overexpression of circAKAP13 impaired the sarcomere regularity of human induced pluripotent stem cell-derived cardiomyocytes. These data show that ADAR2 mediates A-to-I RNA editing in the human heart. A-to-I RNA editing represses the formation of dsRNA structures of Alu elements favoring canonical linear mRNA splicing and inhibiting the formation of circRNAs. The findings are relevant to diseases with reduced RNA editing and increased circRNA levels and provide insights into the human-specific regulation of circRNA formation.

Indexed as

Induced Pluripotent Stem CellsRNA EditingHumansRNARNA-Binding ProteinsRNA, CircularRNARNA-Binding ProteinsRNA, CircularAdenosine-to-inosine RNA editingCircular RNAHeart failureSplicing

Identifiers

PMID35737129
PMCPMC9226085
OpenAlexW4283365719

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.