Evidence map›Paper›PMID 39196150›Full record

ArticleNature cardiovascular research2023

Plakophilin 2 gene therapy prevents and rescues arrhythmogenic right ventricular cardiomyopathy in a mouse model harboring patient genetics.

William H Bradford, Jing Zhang, Erika J Gutierrez-Lara, Yan Liang, Aryanne Do, Tsui-Min Wang, Lena Nguyen, Nirosh Mataraarachchi, Jie Wang, Yusu Gu and 3 more

Abstract read
In one paragraph

Article in Nature cardiovascular research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Disease models and AAV therapies ofMolecular therapy. Advances · 2026
    Review
  10. Article
  11. Article
  12. Gene therapy for cardiac arrhythmias.Nature reviews. Cardiology · 2026
    Review
  13. What Should a Clinical Cardiologist Know About Cardiogenetics?Journal of the American Heart Association · 2025
    Review
  14. Article
  15. Gene Therapy for Inherited Cardiac Arrhythmias.Journal of cardiovascular translational research · 2025
    Review
  16. Article
  17. Review
  18. Review
  19. Tailored therapeutics for cardiomyopathies.Nature reviews. Cardiology · 2025
    Review
  20. AAV9-mediated gene supplementation therapy prevents and rescues arrhythmogenic cardiomyopathy in Pnpla2-mutated mice.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

William H Bradford *Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Jing Zhang *Department of Medicine, University of California San Diego, La Jolla, CA, USA.
Erika J Gutierrez-LaraDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Yan LiangDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Aryanne DoDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Tsui-Min WangDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Lena NguyenDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Nirosh MataraarachchiDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Jie WangDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Yusu GuDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Andrew McCullochDepartment of Bioengineering, University of California San Diego, La Jolla, CA, USA.
Kirk L PetersonDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.
Farah SheikhDepartment of Medicine, University of California San Diego, La Jolla, CA, USA. fasheikh@health.uscd.edu.ORCID 0000-0003-2610-0125

Funding

U of Calif, San Diego Neuroscience Microscopy ImagingP30NS047101 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GLEESON, JOSEPH G, ZHENG, BINHAI · 2003 to 2022
$9.0M
The Cardiac Atlas ProjectR01HL121754 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MCCULLOCH, ANDREW D., OMENS, JEFFREY H. · 2014 to 2023
$5.0M
Uncovering Molecular Targets for Arrhythmogenic Cardiomyopathy TherapeuticsR01HL162369 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHEIKH, FARAH · 2022 to 2025
$2.0M
Uncovering New Functions of CSN6 in Cardiac Desmosomal Biology and DiseaseR01HL142251 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHEIKH, FARAH · 2018 to 2021
$1.6M
NHLBI NIH HHS R01 HL121754NHLBI NIH HHS R01 HL142251NHLBI NIH HHS R01 HL162369NINDS NIH HHS P30 NS047101U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL121754U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL142251U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL162369
6 · The paper itself

Abstract

Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a fatal genetic heart disease characterized by cardiac arrhythmias, in which fibrofatty deposition leads to heart failure, with no effective treatments. Plakophilin 2 (PKP2) is the most frequently mutated gene in ARVC, and although altered RNA splicing has been implicated, there are no models to study its effect and therapeutics. Here, we generate a mouse model harboring a PKP2 mutation (IVS10-1G>C) affecting RNA splicing, recapitulating ARVC features and sudden death starting at 4 weeks. Administering AAV-PKP2 gene therapy (adeno-associated viral therapy to drive cardiac expression of PKP2) to neonatal mice restored PKP2 protein levels, completely preventing cardiac desmosomal and pathological deficits associated with ARVC, ensuring 100% survival of mice up to 6 months. Late-stage AAV-PKP2 administration rescued desmosomal protein deficits and reduced pathological deficits including improved cardiac function in adult mice, resulting in 100% survival up to 4 months. We suggest that AAV-PKP2 gene therapy holds promise for circumventing ARVC associated with PKP2 mutations, including splice site mutations.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaGenetic TherapyPlakophilinsAnimalsAnimals, NewbornDependovirusDesmosomesDisease Models, AnimalGenetic Predisposition to DiseaseGenetic VectorsHumansMaleMiceMice, Inbred C57BLMutationMyocytes, CardiacPKP2 protein, humanPkp2 protein, mousePlakophilins

Identifiers

PMID39196150
PMCPMC11357983

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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.