Evidence map›Paper›PMID 36776621›Full record

ArticleNature cardiovascular research2022

Integrated landscape of cardiac metabolism in end-stage human nonischemic dilated cardiomyopathy.

Emily Flam, Cholsoon Jang, Danielle Murashige, Yifan Yang, Michael P Morley, Sunhee Jung, Daniel S Kantner, Hannah Pepper, Kenneth C Bedi, Jeff Brandimarto and 6 more

Open access · greenAbstract read
In one paragraph

Article in Nature cardiovascular research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed
14.4field-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

84 citing papers in PubMed, 90 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Choice of cardioplegia influences metabolomics of human cardiac tissue.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Sarco/Endoplasmic Reticulum CaJournal of the American Heart Association · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. [Overwork damages myocardial energy metabolism homeostasis in mice].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2025
    Article

24 more citing papers are in PubMed but not listed here.

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

16 authors at 4 institutions in 1 country.

Emily FlamPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Cholsoon JangDepartment of Chemistry and Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA.ORCID 0000-0001-6651-4213
Danielle MurashigePerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Yifan YangPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Michael P MorleyPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Sunhee JungDepartment of Biological Chemistry, University of California Irvine, Irvine, CA, USA.
Daniel S KantnerCenter for Metabolic Disease Research, Department of Cardiovascular Science, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Hannah PepperCenter for Metabolic Disease Research, Department of Cardiovascular Science, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Kenneth C BediPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Jeff BrandimartoPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Benjamin L ProsserPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-3696-9131
Thomas CappolaPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Nathaniel W SnyderCenter for Metabolic Disease Research, Department of Cardiovascular Science, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
Joshua D RabinowitzDepartment of Chemistry and Lewis-Sigler Institute for Integrative Genomics, Princeton University, Princeton, NJ, USA.
Kenneth B MarguliesPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.
Zolt AranyPerelman School of Medicine, Cardiovascular Institute, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-1368-2453
University of Pennsylvania · USTemple University · USPrinceton University · USUniversity of California, Irvine · US

Funding

VIRAL VECTOR COREP30DK019525 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI MITCHELL A. LAZAR · 1986 to 2026
$48.3M
Multidisciplinary Training in Cardiovascular BiologyT32HL007954 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DAVIES, PETER FRANCIS · 2000 to 2019
$9.9M
Integrative genomics of human heart failureR01HL105993 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI ASHLEY, EUAN A, CAPPOLA, THOMAS P. · 2011 to 2014
$8.9M
Branched chain amino acids in heart failureR01HL152446 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Zoltan P Arany · 2020 to 2026
$3.7M
MECHANISMS OF IMPROVED DIASTOLIC FUNCTION IN HUMAN HEARTR01AG017022 · NIA · UNIVERSITY OF PENNSYLVANIA · PI MARGULIES, KENNETH BER · 1998 to 2007
$2.9M
Endogenous Cardiac Repair in HumansR01HL089847 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MARGULIES, KENNETH BER · 2009 to 2012
$1.9M
Quantification of compartmentalized metabolism in eukaryotic systemsR01GM132261 · NIGMS · TEMPLE UNIV OF THE COMMONWEALTH · PI SNYDER, NATHANIEL W. · 2019 to 2023
$1.8M
Branched Chain Amino Acids and Heart FailureF30HL142186 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI MURASHIGE, DANIELLE · 2019 to 2022
$116k
NHLBI NIH HHS F30 HL142186NHLBI NIH HHS R01 HL089847NHLBI NIH HHS R01 HL105993NHLBI NIH HHS R01 HL152446NHLBI NIH HHS T32 HL007954NIA NIH HHS R01 AG017022NIDDK NIH HHS P30 DK019525NIGMS NIH HHS R01 GM132261
6 · The paper itself

Abstract

Heart failure (HF) is a leading cause of mortality. Failing hearts undergo profound metabolic changes, but a comprehensive evaluation in humans is lacking. We integrate plasma and cardiac tissue metabolomics of 678 metabolites, genome-wide RNA-sequencing, and proteomic studies to examine metabolic status in 87 explanted human hearts from 39 patients with end-stage HF compared with 48 nonfailing donors. We confirm bioenergetic defects in human HF and reveal selective depletion of adenylate purines required for maintaining ATP levels. We observe substantial reductions in fatty acids and acylcarnitines in failing tissue, despite plasma elevations, suggesting defective import of fatty acids into cardiomyocytes. Glucose levels, in contrast, are elevated. Pyruvate dehydrogenase, which gates carbohydrate oxidation, is de-repressed, allowing increased lactate and pyruvate burning. Tricarboxylic acid cycle intermediates are significantly reduced. Finally, bioactive lipids are profoundly reprogrammed, with marked reductions in ceramides and elevations in lysoglycerophospholipids. These data unveil profound metabolic abnormalities in human failing hearts.

Identifiers

PMID36776621
PMCPMC9910091
OpenAlexW4293475790

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.