Evidence map›Paper›PMID 36052698›Full record

ArticleCirculation research2022

Fibroblast GSK-3α Promotes Fibrosis via RAF-MEK-ERK Pathway in the Injured Heart.

Prachi Umbarkar, Sultan Tousif, Anand P Singh, Joshua C Anderson, Qinkun Zhang, Michelle D Tallquist, James Woodgett, Hind Lal

Open access · greenAbstract read
In one paragraph

Article in Circulation research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
10.5field-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

46 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
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  5. S100A4 Orchestrates Fibroblast Fate to Drive Fibrotic Remodeling.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  12. Article
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  15. Cardiac fibrosis: from mechanisms and models to medicines.Trends in pharmacological sciences · 2025
    Review
  16. Review
  17. Article
  18. Article
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  20. Review
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

8 authors at 4 institutions in 3 countries.

Prachi UmbarkarDivision of Cardiovascular Disease (P.U., S.T., A.P.S., Q.Z., H.L.), The University of Alabama at Birmingham.ORCID 0000-0002-7989-577X
Sultan TousifDivision of Cardiovascular Disease (P.U., S.T., A.P.S., Q.Z., H.L.), The University of Alabama at Birmingham.
Anand P SinghDivision of Cardiovascular Disease (P.U., S.T., A.P.S., Q.Z., H.L.), The University of Alabama at Birmingham.ORCID 0000-0002-9409-1366
Joshua C AndersonDepartment of Radiation Oncology (J.C.A.), The University of Alabama at Birmingham.
Qinkun ZhangDivision of Cardiovascular Disease (P.U., S.T., A.P.S., Q.Z., H.L.), The University of Alabama at Birmingham.
Michelle D TallquistCenter for Cardiovascular Research, University of Hawaii, Honolulu (M.D.T.).ORCID 0000-0002-1383-144X
James WoodgettLunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, Canada (J.W.).
Hind LalDivision of Cardiovascular Disease (P.U., S.T., A.P.S., Q.Z., H.L.), The University of Alabama at Birmingham.ORCID 0000-0001-8980-9874
University of Alabama at Birmingham · USTwitter (United States) · USLunenfeld-Tanenbaum Research Institute · CAUniversity of Hawaii System · US

Funding

Signaling Mechanisms Governing Myocardial Fibrosis in Diseased HeartR01HL133290 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Hind Lal · 2017 to 2026
$3.6M
Project-002R01HL143074 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Hind Lal · 2019 to 2026
$3.4M
Regulation of cardiac inflammation by fibroblastsR01HL144067 · NHLBI · UNIVERSITY OF HAWAII AT MANOA · PI TALLQUIST, MICHELLE D · 2018 to 2021
$2.3M
NHLBI NIH HHS R01 HL133290NHLBI NIH HHS R01 HL143074NHLBI NIH HHS R01 HL144067
6 · The paper itself

Abstract

backgroundHeart failure is the leading cause of mortality, morbidity, and health care expenditures worldwide. Numerous studies have implicated GSK-3 (glycogen synthase kinase-3) as a promising therapeutic target for cardiovascular diseases. GSK-3 isoforms seem to play overlapping, unique and even opposing functions in the heart. Previously, we have shown that of the 2 isoforms of GSK-3, cardiac fibroblast GSK-3β acts as a negative regulator of myocardial fibrosis in the ischemic heart. However, the role of cardiac fibroblast-GSK-3α in the pathogenesis of cardiac diseases is completely unknown.

methodsTo define the role of cardiac fibroblast-GSK-3α in myocardial fibrosis and heart failure, GSK-3α was deleted from fibroblasts or myofibroblasts with tamoxifen-inducible Tcf21- or Postn-promoter-driven Cre recombinase. Control and GSK-3α KO mice were subjected to cardiac injury and heart parameters were evaluated. The fibroblast kinome mapping was carried out to delineate molecular mechanism followed by in vivo and in vitro analysis.

resultsFibroblast-specific GSK-3α deletion restricted fibrotic remodeling and preserved function of the injured heart. We observed reductions in cell migration, collagen gel contraction, α-SMA protein levels, and expression of ECM genes in TGFβ1-treated KO fibroblasts, indicating that GSK-3α is required for myofibroblast transformation. Surprisingly, GSK-3α deletion did not affect SMAD3 activation, suggesting the profibrotic role of GSK-3α is SMAD3 independent. The molecular studies confirmed decreased ERK signaling in GSK-3α-KO CFs. Conversely, adenovirus-mediated expression of a constitutively active form of GSK-3α (Ad-GSK-3α

conclusionsGSK-3α-mediated MEK-ERK activation is a critical profibrotic signaling circuit in the injured heart, which operates independently of the canonical TGF-β1-SMAD3 pathway. Therefore, strategies to inhibit the GSK-3α-MEK-ERK signaling circuit could prevent adverse fibrosis in diseased hearts.

Indexed as

CardiomyopathiesHeart FailureAnimalsCollagenExtracellular Signal-Regulated MAP KinasesFibroblastsFibrosisGlycogen Synthase Kinase 3Glycogen Synthase Kinase 3 betaMAP Kinase Signaling SystemMiceMitogen-Activated Protein Kinase KinasesMyofibroblastsraf KinasesTamoxifenTransforming Growth Factor beta1CollagenExtracellular Signal-Regulated MAP KinasesGlycogen Synthase Kinase 3glycogen synthase kinase 3 alphaGlycogen Synthase Kinase 3 betaMitogen-Activated Protein Kinase Kinasesraf KinasesTamoxifenTransforming Growth Factor beta1cardiovascular diseasesfibroblastsfibrosisheart failuremyofibroblasts

Identifiers

PMID36052698
PMCPMC9481711
OpenAlexW4294219222

What OpenQuestion holds

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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.