Evidence map›Paper›PMID 36111531›Full record

ArticleCirculation research2022

Transcriptional and Immune Landscape of Cardiac Sarcoidosis.

Jing Liu, Pan Ma, Lulu Lai, Ana Villanueva, Andrew Koenig, Gregory R Bean, Dawn E Bowles, Carolyn Glass, Michael Watson, Kory J Lavine and 1 more

Open access · bronzeAbstract 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 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
7.2field-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

43 citing papers in PubMed, 65 citations in OpenAlex.

  1. Article
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  7. Review
  8. Cardiovascular Manifestations and Immunobiology of Sarcoidosis.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  9. Review
  10. Article
  11. Article
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  13. Article
  14. Article
  15. Article
  16. Multifaceted roles of neutrophils in cardiac disease.Journal of leukocyte biology · 2025
    Review
  17. Review
  18. Review
  19. Review
  20. Pathogenetic Mechanisms Linking Sarcoidosis to Lymphoma.International journal of molecular sciences · 2025
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Jing Liu *Cardiovascular Division, Department of Medicine (J.L., P.M., A.K., K.J.L.), Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-9666-9133
Pan Ma *Cardiovascular Division, Department of Medicine (J.L., P.M., A.K., K.J.L.), Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-0815-849X
Lulu LaiDepartment of Pathology and Immunology (A.V., L.L., C.-Y.L.), Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-3352-9467
Ana VillanuevaDepartment of Pathology and Immunology (A.V., L.L., C.-Y.L.), Washington University School of Medicine, St. Louis, MO.
Andrew KoenigCardiovascular Division, Department of Medicine (J.L., P.M., A.K., K.J.L.), Washington University School of Medicine, St. Louis, MO.ORCID 0000-0003-4384-1267
Gregory R BeanDepartment of Pathology, Stanford University School of Medicine, CA (G.R.B.).ORCID 0000-0003-2866-8283
Dawn E BowlesDepartment of Surgery (D.E.B., M.W.), Duke University, Durham, NC.
Carolyn GlassDepartment of Pathology (C.G.), Duke University, Durham, NC.
Michael WatsonDepartment of Surgery (D.E.B., M.W.), Duke University, Durham, NC.ORCID 0000-0002-3715-3153
Kory J LavineCardiovascular Division, Department of Medicine (J.L., P.M., A.K., K.J.L.), Washington University School of Medicine, St. Louis, MO.ORCID 0000-0003-1948-9945
Chieh-Yu LinDepartment of Pathology and Immunology (A.V., L.L., C.-Y.L.), Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-4269-3234
Washington University in St. Louis · USDuke University · USStanford University · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Rheumatic DiseasesResearch Resource-based CenterP30AR073752 · NIAMS · WASHINGTON UNIVERSITY · PI Alfred Hyoungju Kim · 2018 to 2026
$7.6M
Specification and Function of Tissue Resident and Recruited Macrophages in Cardiac Remodeling and Heart FailureR35HL161185 · NHLBI · WASHINGTON UNIVERSITY · PI Kory J. Lavine · 2022 to 2026
$4.3M
Pediatric Cardiovascular and Pulmonary Research Training Program.T32HL125241 · NHLBI · WASHINGTON UNIVERSITY · PI Juliane Bubeck Wardenburg, Kory J. Lavine · 2015 to 2026
$4.1M
The Role of Donor Innate Immune Responses in Regulating Alloimmunity after Heart TransplantationR01HL151078 · NHLBI · WASHINGTON UNIVERSITY · PI KREISEL, DANIEL, LAVINE, KORY J. · 2020 to 2023
$2.6M
MACROPHAGE HETEROGENEITY IN HEART FAILURE PROGRESSION AND CARDIAC RECOVERYR01HL138466 · NHLBI · WASHINGTON UNIVERSITY · PI LAVINE, KORY J. · 2017 to 2021
$1.9M
MACROPHAGE ONTOGENY SHIFTS IN ISCHEMIC HEART DISEASER01HL139714 · NHLBI · WASHINGTON UNIVERSITY · PI LAVINE, KORY J. · 2018 to 2021
$1.5M
NCATS NIH HHS UL1 TR002345NHLBI NIH HHS R01 HL138466NHLBI NIH HHS R01 HL139714NHLBI NIH HHS R01 HL151078NHLBI NIH HHS R35 HL161185NHLBI NIH HHS T32 HL125241NIAMS NIH HHS P30 AR073752
6 · The paper itself

Abstract

backgroundCardiac involvement is an important determinant of mortality among sarcoidosis patients. Although granulomatous inflammation is a hallmark finding in cardiac sarcoidosis, the precise immune cell populations that comprise the granuloma remain unresolved. Furthermore, it is unclear how the cellular and transcriptomic landscape of cardiac sarcoidosis differs from other inflammatory heart diseases.

methodsWe leveraged spatial transcriptomics (GeoMx digital spatial profiler) and single-nucleus RNA sequencing to elucidate the cellular and transcriptional landscape of cardiac sarcoidosis. Using GeoMX digital spatial profiler technology, we compared the transcriptomal profile of CD68

resultsDespite overlapping histological features, spatial transcriptomics identified transcriptional signatures and associated pathways that robustly differentiated cardiac sarcoidosis from giant cell myocarditis and lymphocytic myocarditis. Single-nucleus RNA sequencing revealed the presence of diverse populations of myeloid cells in cardiac sarcoidosis with distinct molecular features. We identified GPNMB (transmembrane glycoprotein NMB) as a novel marker of multinucleated giant cells and predicted that the MITF (microphthalmia-associated transcription factor) family of transcription factors regulated this cell type. We also detected additional macrophage populations in cardiac sarcoidosis including HLA-DR (human leukocyte antigen-DR)

conclusionsIn this study, we identified diverse populations of immune cells with distinct molecular signatures that comprise the sarcoid granuloma. These findings provide new insights into the pathology of cardiac sarcoidosis and highlight opportunities to improve diagnostic testing.

Indexed as

MyocarditisSarcoidosisGranulomaHLA AntigensHumansMembrane GlycoproteinsMicrophthalmia-Associated Transcription FactorSynaptotagminsTOR Serine-Threonine KinasesGPNMB protein, humanHLA AntigensMembrane GlycoproteinsMicrophthalmia-Associated Transcription FactorSynaptotagminsTOR Serine-Threonine Kinasesgiant cellsgranulomainflammationmacrophagesmyocarditissarcoidosis

Identifiers

PMID36111531
PMCPMC9514756
OpenAlexW4296029945

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.