Evidence map›Paper›PMID 39196111›Full record

ArticleNature cardiovascular research2024

Bone morphogenic protein-4 availability in the cardiac microenvironment controls inflammation and fibrosis in autoimmune myocarditis.

Christian Perez-Shibayama, Cristina Gil-Cruz, Nadine Cadosch, Mechthild Lütge, Hung-Wei Cheng, Angelina De Martin, Kira Frischmann, Anna Joachimbauer, Lucas Onder, Iliana Papadopoulou and 14 more

Abstract read
In one paragraph

Article in Nature cardiovascular research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Immune checkpoint inhibitor-associated myocarditis: clinical and mechanistic insights.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  2. Review
  3. PD-1/PD-L1 Signaling in Non-ICI Myocarditis.JACC. Basic to translational science · 2026
    Article
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Particulate matter increases bone morphogenetic protein 2 in lung fibroblasts.American journal of physiology. Lung cellular and molecular physiology · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. T cells in cardiac health and disease.The Journal of clinical investigation · 2025
    Review
  18. Article
  19. 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

24 authors.

Christian Perez-ShibayamaInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Cristina Gil-CruzInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Nadine CadoschInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Mechthild LütgeInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0001-9011-5319
Hung-Wei ChengInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0003-1740-0337
Angelina De MartinInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Kira FrischmannInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Anna JoachimbauerInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Lucas OnderInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Iliana PapadopoulouInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-7978-3137
Chrysa PapadopoulouInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-3909-7378
Sandra RingInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Philippe KrebsInstitute of Pathology, University of Bern, Bern, Switzerland.ORCID 0000-0003-4918-6654
Vivian P VuInstitute of Pathology, University of Bern, Bern, Switzerland.
Matthias P NägeleUniversity Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Valentina A RossiUniversity Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Danaë ParianosUniversity Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Valentin W ZsilaveczDivision of Cardiology, Medical University of Graz, Graz, Austria.ORCID 0009-0002-7960-1038
Leslie T CooperDepartment of Cardiovascular Medicine, Mayo Clinic, Jacksonville, FL, USA.
Andreas FlammerUniversity Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Frank RuschitzkaUniversity Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.ORCID 0000-0001-5972-0596
Peter P RainerDivision of Cardiology, Medical University of Graz, Graz, Austria.ORCID 0000-0002-2840-6454
Dörthe SchmidtUniversity Heart Center, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Burkhard LudewigInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland. burkhard.ludewig@kssg.ch.ORCID 0000-0002-7685-573X

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 101019872Schweizerische Herzstiftung (Swiss Heart Foundation) FF21055Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 182583
6 · The paper itself

Abstract

Myocarditis is an inflammatory heart disease that leads to loss of cardiomyocytes and frequently precipitates fibrotic remodeling of the myocardium, culminating in heart failure. However, the molecular mechanisms underlying immune cell control and maintenance of tissue integrity in the inflamed cardiac microenvironment remain elusive. In this study, we found that bone morphogenic protein-4 (BMP4) gradients maintain cardiac tissue homeostasis by single-cell transcriptomics analyses of inflamed murine and human myocardial tissues. Cardiac BMP pathway dysregulation was reflected by reduced BMP4 serum concentration in patients with myocarditis. Restoration of BMP signaling by antibody-mediated neutralization of the BMP inhibitors gremlin-1 and gremlin-2 ameliorated T cell-induced myocardial inflammation in mice. Moreover, progression to inflammatory cardiomyopathy was blocked through the reduction of fibrotic remodeling and preservation of cardiomyocyte integrity. These results unveil the BMP4-gremlin axis as a druggable pathway for the treatment of myocardial inflammation, limiting the severe sequelae of cardiac fibrosis and heart failure.

Indexed as

Autoimmune DiseasesBone Morphogenetic Protein 4Disease Models, AnimalFibrosisMyocarditisAnimalsCellular MicroenvironmentCytokinesFemaleHumansIntercellular Signaling Peptides and ProteinsMaleMiceMice, Inbred C57BLMyocardiumMyocytes, CardiacBMP4 protein, humanBmp4 protein, mouseBone Morphogenetic Protein 4CytokinesGREM1 protein, humanGrem1 protein, mouseIntercellular Signaling Peptides and Proteins

Identifiers

PMID39196111
PMCPMC11358008

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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.