Evidence map›Paper›PMID 37935281›Full record

ArticleJournal of molecular and cellular cardiology2024

Epicardial deletion of Sox9 leads to myxomatous valve degeneration and identifies Cd109 as a novel gene associated with valve development.

Andrew B Harvey, Renélyn A Wolters, Raymond N Deepe, Hannah G Tarolli, Jenna R Drummond, Allison Trouten, Auva Zandi, Jeremy L Barth, Rupak Mukherjee, Martin J Romeo and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of molecular and cellular cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Mechanisms of mitral valve development and disease.Frontiers in cardiovascular medicine · 2026
    Review
  3. Article
  4. Sox9 in the second heart field and the development of the outflow tract; implications for cardiac septation and valve formation.Developmental dynamics : an official publication of the American Association of Anatomists · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Epicardium-myocardium crosstalk orchestrates heart development.Frontiers in cell and developmental biology · 2025
    Review
  9. 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

16 authors at 2 institutions in 1 country.

Andrew B HarveyDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: harveyan@musc.edu.
Renélyn A WoltersDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: woltersr@musc.edu.
Raymond N DeepeDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: deepe@musc.edu.
Hannah G TarolliDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: tarolli@musc.edu.
Jenna R DrummondDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: drummondj@musc.edu.
Allison TroutenDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: trouten@musc.edu.
Auva ZandiDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: zandia@musc.edu.
Jeremy L BarthDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: barthj@musc.edu.
Rupak MukherjeeDepartment of Surgery, Medical University of South Carolina, 30 Courtenay Drive, Charleston, SC 29425, USA. Electronic address: mukherr@musc.edu.
Martin J RomeoHollings Cancer Center, Medical University of South Carolina, 86 Jonathan Lucas Street, Charleston, SC 29425, USA. Electronic address: romeom@musc.edu.
Silvia G VaenaHollings Cancer Center, Medical University of South Carolina, 86 Jonathan Lucas Street, Charleston, SC 29425, USA. Electronic address: vaena@musc.edu.
Ge TaoDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: taog@musc.edu.
Robin Muise-HelmericksDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: musehelm@musc.edu.
Paula S RamosDepartments of Medicine and Public Health Sciences, Medical University of South Carolina, 96 Jonathan Lucas Street, Charleston, SC 29425, USA. Electronic address: ramosp@musc.edu.
Russell A NorrisDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: norrisra@musc.edu.
Andy WesselsDepartment of Regenerative Medicine and Cell Biology, College of Medicine, Medical University of South Carolina, 173 Ashley Avenue, Charleston, SC 29425, USA. Electronic address: wesselsa@musc.edu.
Medical University of South Carolina · USMUSC Hollings Cancer Center · US

Funding

South Carolina IDeA Networks of Biomedical Research (SC INBRE V)P20GM103499 · NIGMS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI EDIE C GOLDSMITH · 2012 to 2026
$61.0M
TRAINING TO IMPROVE CARDIOVASCULAR THERAPIEST32HL007260 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MENICK, DONALD R. · 1985 to 2021
$11.1M
Cilia and Valvular Heart DiseaseR01HL131546 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI NORRIS, RUSSELL · 2016 to 2025
$4.4M
Mechanisms of DMP Development and Atrioventricular SeptationR01HL122906 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI WESSELS, ARNO · 2015 to 2025
$4.3M
Cellular, Biochemical and Molecular Sciences Training Program: Developing the skills and expertise needed for a changing biomedical landscapeT32GM132055 · NIGMS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI Amy D Bradshaw, John P O'Bryan · 2019 to 2026
$3.9M
Social Factors, Epigenomics, and Lupus in African American women (SELA)R01MD015395 · NIMHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI RAMOS, PAULA SOFIA · 2021 to 2025
$3.5M
Dzip1 and Mitral Valve ProlapseR01HL149696 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI NORRIS, RUSSELL · 2020 to 2023
$2.0M
Role of the Epicardium in Valve Development and Valve DiseaseR01HL162913 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI WESSELS, ARNO · 2022 to 2025
$1.9M
The role of Pitx2 in heart injury and regeneration.R01HL148728 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TAO, GE · 2020 to 2024
$1.9M
NHLBI NIH HHS R01 HL122906NHLBI NIH HHS R01 HL131546NHLBI NIH HHS R01 HL148728NHLBI NIH HHS R01 HL149696NHLBI NIH HHS R01 HL162913NHLBI NIH HHS T32 HL007260NIGMS NIH HHS P20 GM103499NIGMS NIH HHS T32 GM132055NIMHD NIH HHS R01 MD015395
6 · The paper itself

Abstract

Epicardial-derived cells (EPDCs) are involved in the regulation of myocardial growth and coronary vascularization and are critically important for proper development of the atrioventricular (AV) valves. SOX9 is a transcription factor expressed in a variety of epithelial and mesenchymal cells in the developing heart, including EPDCs. To determine the role of SOX9 in epicardial development, an epicardial-specific Sox9 knockout mouse model was generated. Deleting Sox9 from the epicardial cell lineage impairs the ability of EPDCs to invade both the ventricular myocardium and the developing AV valves. After birth, the mitral valves of these mice become myxomatous with associated abnormalities in extracellular matrix organization. This phenotype is reminiscent of that seen in humans with myxomatous mitral valve disease (MVD). An RNA-seq analysis was conducted in an effort to identify genes associated with this myxomatous degeneration. From this experiment, Cd109 was identified as a gene associated with myxomatous valve pathogenesis in this model. Cd109 has never been described in the context of heart development or valve disease. This study highlights the importance of SOX9 in the regulation of epicardial cell invasion-emphasizing the importance of EPDCs in regulating AV valve development and homeostasis-and reports a novel expression profile of Cd109, a gene with previously unknown relevance in heart development.

Indexed as

Heart Valve DiseasesMitral ValveAnimalsHeart VentriclesHumansMiceMice, KnockoutMyocardiumTranscription FactorsTranscription FactorsCD109EpicardiumHeart developmentMitral valveMyxomatous valveSOX9

Identifiers

PMID37935281
PMCPMC10843603
OpenAlexW4388379717

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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.