Evidence map›Paper›PMID 37042252›Full record

ArticleCirculation research2023

Targeting Wnt-ß-Catenin-FOSL Signaling Ameliorates Right Ventricular Remodeling.

Sreenath Reddy Nayakanti, Aleksandra Friedrich, Poonam Sarode, Leili Jafari, Giovanni Maroli, Mario Boehm, Alice Bourgeois, Yann Grobs, Fatemeh Khassafi, Carsten Kuenne and 16 more

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Article in Circulation research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
19.9field-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

34 citing papers in PubMed, 73 citations in OpenAlex.

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  12. Cardiac fibrosis: from mechanisms and models to medicines.Trends in pharmacological sciences · 2025
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  16. Signaling pathways and targeted therapy for pulmonary hypertension.Signal transduction and targeted therapy · 2025
    Review
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 5 institutions in 3 countries.

Sreenath Reddy NayakantiMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Aleksandra FriedrichMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Poonam SarodeMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Leili JafariMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0001-6025-2734
Giovanni MaroliMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0001-8245-5348
Mario BoehmDepartment of Internal Medicine, Member of the DZL, Member of CPI, Justus Liebig University, Giessen, Germany (S.R.N., L.J., G.M., M.B., A. Weiss, B.K., K.T., W.S., R.S., R.T.S., S.S.P.).
Alice BourgeoisPulmonary Hypertension Research Group, CRIUCPQ - Research center of the Quebec Heart and Lung Institute, Department of Medicine, Université Laval, Québec, QC, Canada (A.B., Y.G., S.P., S.B.).
Yann GrobsPulmonary Hypertension Research Group, CRIUCPQ - Research center of the Quebec Heart and Lung Institute, Department of Medicine, Université Laval, Québec, QC, Canada (A.B., Y.G., S.P., S.B.).ORCID 0000-0003-3200-3241
Fatemeh KhassafiMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Carsten KuenneMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0001-8013-5906
Stefan GuentherMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0002-5594-4549
Swati DabralMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Jochen WilhelmInstitute for Lung Health (ILH), Member of the DZL, Justus Liebig University, Giessen, Germany (P.S., J.W., B.K., W.S., R.S., S.S.P).
Astrid WeissDepartment of Internal Medicine, Member of the DZL, Member of CPI, Justus Liebig University, Giessen, Germany (S.R.N., L.J., G.M., M.B., A. Weiss, B.K., K.T., W.S., R.S., R.T.S., S.S.P.).ORCID 0000-0002-1788-2666
Astrid WietelmannScientific Service Group MRI and µ-CT, Max Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (A. Wietelmann).
Baktybek KojonazarovDepartment of Internal Medicine, Member of the DZL, Member of CPI, Justus Liebig University, Giessen, Germany (S.R.N., L.J., G.M., M.B., A. Weiss, B.K., K.T., W.S., R.S., R.T.S., S.S.P.).
Wiebke JanssenMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Mario LoosoMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).
Frances de ManDepartment of Pulmonary Medicine, PHEniX Laboratory, Amsterdam Cardiovascular Sciences, Vrije Universiteit, Amsterdam, the Netherlands (F.d.M.).ORCID 0000-0002-5776-7793
Steeve ProvencherPulmonary Hypertension Research Group, CRIUCPQ - Research center of the Quebec Heart and Lung Institute, Department of Medicine, Université Laval, Québec, QC, Canada (A.B., Y.G., S.P., S.B.).ORCID 0000-0001-7535-9972
Khodr TelloDepartment of Internal Medicine, Member of the DZL, Member of CPI, Justus Liebig University, Giessen, Germany (S.R.N., L.J., G.M., M.B., A. Weiss, B.K., K.T., W.S., R.S., R.T.S., S.S.P.).ORCID 0000-0002-5557-623X
Werner SeegerMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0003-1946-0894
Sebastien BonnetPulmonary Hypertension Research Group, CRIUCPQ - Research center of the Quebec Heart and Lung Institute, Department of Medicine, Université Laval, Québec, QC, Canada (A.B., Y.G., S.P., S.B.).ORCID 0000-0001-5753-1900
Rajkumar SavaiMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0003-1538-2091
Ralph T SchermulyDepartment of Internal Medicine, Member of the DZL, Member of CPI, Justus Liebig University, Giessen, Germany (S.R.N., L.J., G.M., M.B., A. Weiss, B.K., K.T., W.S., R.S., R.T.S., S.S.P.).
Soni Savai PullamsettiMax-Planck Institute for Heart and Lung Research, Bad Nauheim, Germany (S.R.N., A.F., P.S., L.J., G.M., F.K., C.K., S.G., S.D., W.J., M.L., W.S., R.S., S.S.P.).ORCID 0000-0003-0440-8831
Justus-Liebig-Universität Gießen · DEMax Planck Institute for Heart and Lung Research · DELung Institute · USCardio-Pulmonary Institute · DEVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe ability of the right ventricle (RV) to adapt to an increased pressure afterload determines survival in patients with pulmonary arterial hypertension. At present, there are no specific treatments available to prevent RV failure, except for heart/lung transplantation. The wingless/int-1 (Wnt) signaling pathway plays an important role in the development of the RV and may also be implicated in adult cardiac remodeling.

methodsMolecular, biochemical, and pharmacological approaches were used both in vitro and in vivo to investigate the role of Wnt signaling in RV remodeling.

resultsWnt/β-catenin signaling molecules are upregulated in RV of patients with pulmonary arterial hypertension and animal models of RV overload (pulmonary artery banding-induced and monocrotaline rat models). Activation of Wnt/β-catenin signaling leads to RV remodeling via transcriptional activation of FOSL1 and FOSL2 (FOS proto-oncogene [FOS] like 1/2, AP-1 [activator protein 1] transcription factor subunit). Immunohistochemical analysis of pulmonary artery banding -exposed BAT-Gal (β-catenin-activated transgene driving expression of nuclear β-galactosidase) reporter mice RVs exhibited an increase in β-catenin expression compared with their respective controls. Genetic inhibition of β-catenin, FOSL1/2, or WNT3A stimulation of RV fibroblasts significantly reduced collagen synthesis and other remodeling genes. Importantly, pharmacological inhibition of Wnt signaling using inhibitor of PORCN (porcupine O-acyltransferase), LGKK-974 attenuated fibrosis and cardiac hypertrophy leading to improvement in RV function in both, pulmonary artery banding - and monocrotaline-induced RV overload.

conclusionsWnt- β-Catenin-FOSL signaling is centrally involved in the hypertrophic RV response to increased afterload, offering novel targets for therapeutic interference with RV failure in pulmonary hypertension.

Indexed as

Heart FailurePulmonary Arterial HypertensionAnimalsbeta CateninCateninsDisease Models, AnimalMiceMonocrotalineRatsSignal TransductionVentricular Function, RightVentricular Remodelingbeta CateninCateninsMonocrotalineactinsfibroblastsinflammationmonocrotalineprognosis

Identifiers

PMID37042252
OpenAlexW4365136229

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