Evidence map›Paper›PMID 39402206›Full record

ArticleNature cardiovascular research2024

CCL2-mediated endothelial injury drives cardiac dysfunction in long COVID.

Dilip Thomas, Chikage Noishiki, Sadhana Gaddam, David Wu, Amit Manhas, Yu Liu, Dipti Tripathi, Nimish Kathale, Shaunak S Adkar, Jaishree Garhyan and 10 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. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. 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

20 authors.

Dilip Thomas *Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-7427-5523
Chikage Noishiki *Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Sadhana Gaddam *Department of Dermatology, Stanford University School of Medicine, Stanford, CA, USA.
David WuStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-1193-8307
Amit ManhasStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-6044-4576
Yu LiuStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Dipti TripathiStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Nimish KathaleDivision of Infectious Diseases, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Shaunak S AdkarDivision of Vascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Jaishree GarhyanIn Vitro Biosafety Level 3 (BSL3) Service Center, Stanford University School of Medicine, Stanford, CA, USA.
Chun LiuDepartments of Physiology and Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Baohui XuDivision of Vascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-2857-7464
Elsie G RossDivision of Vascular and Endovascular Surgery, Department of Surgery, University of California, San Diego, San Diego, CA, USA.
Ronald L DalmanStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Kevin C WangDepartment of Dermatology, Stanford University School of Medicine, Stanford, CA, USA.
Anthony E OroDepartment of Dermatology, Stanford University School of Medicine, Stanford, CA, USA.
Karim SallamStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.
Jason T LeeDivision of Vascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Joseph C WuStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-6068-8041
Nazish SayedStanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, CA, USA. sayedns@stanford.edu.ORCID http://orcid.org/0000-0002-8229-721X

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Modeling Tyrosine Kinase Inhibitor-Induced Vascular Dysfunction Using Human iPSCsR01HL141851 · NHLBI · STANFORD UNIVERSITY · PI WONG, WING H., WU, JOSEPH C. · 2018 to 2025
$5.7M
REGULATING GLI FUNCTION IN HAIR FOLLICLE PROGENITORSR01AR054780 · NIAMS · STANFORD UNIVERSITY · PI ORO, ANTHONY E · 2007 to 2017
$4.3M
Elucidating Anthracycline-Induced Cell Type-Specific Cardiovascular Toxicity with CRISPRi/a ScreensR01HL150693 · NHLBI · STANFORD UNIVERSITY · PI Ronglih Liao, Joseph C. Wu · 2021 to 2026
$4.1M
Deciphering the Endothelial Cell-Cardiomyocyte Crosstalk in LMNA CardiomyopathyR01HL158641 · NHLBI · STANFORD UNIVERSITY · PI SAYED, NAZISH · 2021 to 2025
$2.2M
Unraveling the role of endothelium in chemotherapy-induced cardiotoxicityR01HL161002 · NHLBI · STANFORD UNIVERSITY · PI SAYED, NAZISH · 2022 to 2025
$1.6M
Modeling Endothelial Dysfunction in LMNA-related Dilated CardiomyopathyK01HL135455 · NHLBI · STANFORD UNIVERSITY · PI SAYED, NAZISH · 2017 to 2021
$828k
Unraveling Adverse Effects of Checkpoint Inhibitors Using iPSC-derived Cardiac OrganoidsK99HL163443 · NHLBI · STANFORD UNIVERSITY · PI THOMAS, DILIP · 2023 to 2024
$249k
American Heart Association (American Heart Association, Inc.) 869015NHLBI NIH HHS K01 HL135455NHLBI NIH HHS K99 HL163443NHLBI NIH HHS R01 HL141851NHLBI NIH HHS R01 HL150693NHLBI NIH HHS R01 HL158641NHLBI NIH HHS R01 HL161002NIAMS NIH HHS R01 AR054780NIGMS NIH HHS T32 GM145449U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) K99 HL163443-01
6 · The paper itself

Abstract

Evidence linking the endothelium to cardiac injury in long coronavirus disease (COVID) is well documented, but the underlying mechanisms remain unknown. Here we show that cytokines released by endothelial cells (ECs) contribute to long-COVID-associated cardiac dysfunction. Using thrombotic vascular tissues from patients with long COVID and induced pluripotent stem cell-derived ECs (iPSC-ECs), we modeled endotheliitis and observed similar dysfunction and cytokine upregulation, notably CCL2. Cardiac organoids comprising iPSC-ECs and iPSC-derived cardiomyocytes showed cardiac dysfunction after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposure, driven by CCL2. Profiling of chromatin accessibility and gene expression at a single-cell resolution linked CCL2 to 'phenotype switching' and cardiac dysfunction, validated by high-throughput proteomics. Disease modeling of cardiac organoids and exposure of human ACE2 transgenic mice to SARS-CoV-2 spike proteins revealed that CCL2-induced oxidative stress promoted post-translational modification of cardiac proteins, leading to cardiac dysfunction. These findings suggest that EC-released cytokines contribute to cardiac dysfunction in long COVID, highlighting the importance of early vascular health monitoring in patients with long COVID.

Indexed as

Angiotensin-Converting Enzyme 2Chemokine CCL2COVID-19Endothelial CellsSARS-CoV-2AgedAnimalsFemaleHeart DiseasesHumansInduced Pluripotent Stem CellsMaleMiceMice, TransgenicMiddle AgedMyocytes, CardiacACE2 protein, humanAngiotensin-Converting Enzyme 2CCL2 protein, humanChemokine CCL2Spike Glycoprotein, Coronavirusspike protein, SARS-CoV-2

Identifiers

PMID39402206
PMCPMC12243935

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.