Evidence map›Paper›PMID 40068507›Full record

ArticleAtherosclerosis2025

Claudin 1 dysregulation disrupts coronary microvascular integrity and impairs cardiac function.

Sarmila Nepali, Min Chen, Badri Karthikeyan, Swati D Sonkawade, Supriya D Mahajan, Joseph Spernyak, Umesh C Sharma, Saraswati Pokharel

Abstract read
In one paragraph

Article in Atherosclerosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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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

8 authors.

Sarmila NepaliDepartment of Pathology and Laboratory Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Min ChenDepartment of Pediatrics Infectious Disease, University of Alabama, AL, USA.
Badri KarthikeyanDepartment of Pathology and Laboratory Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Swati D SonkawadeDepartment of Medicine, Jacob's School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Supriya D MahajanDepartment of Medicine, Jacob's School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Joseph SpernyakTranslational Imaging Shared Resources, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Umesh C SharmaDepartment of Medicine, Jacob's School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.
Saraswati PokharelDepartment of Pathology and Laboratory Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. Electronic address: Saraswati.pokharel@roswellpark.org.

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI CANDACE S JOHNSON · 1985 to 2026
$116.6M
Inhibition of Radiation-Induced Coronary Microvascular DiseaseR01HL150266 · NHLBI · ROSWELL PARK CANCER INSTITUTE CORP · PI POKHAREL, SARASWATI · 2021 to 2025
$2.1M
Acquisition of a 7T MR scanner for Translational Imaging Research at Roswell ParkS10OD030397 · OD · ROSWELL PARK CANCER INSTITUTE CORP · PI SESHADRI, MUKUND · 2021 to 2021
$2.0M
Immunomodulation of Galectin-3 to Prevent Radiation-Induced Myocardial FibrogenesisR01HL152090 · NHLBI · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI SHARMA, UMESH C · 2021 to 2025
$1.8M
Liposomal Delivery of a Novel Peptide N-acetyl-Ser-Asp-Lys-Pro to Inhibit Cancer Radiotherapy-Induced Cardiac DamageR21HL138555 · NHLBI · ROSWELL PARK CANCER INSTITUTE CORP · PI POKHAREL, SARASWATI · 2018 to 2019
$472k
NCI NIH HHS P30 CA016056NHLBI NIH HHS R01 HL150266NHLBI NIH HHS R01 HL152090NHLBI NIH HHS R21 HL138555NIH HHS S10 OD030397
6 · The paper itself

Abstract

BACKGROUND AND

aimsClaudin 1 (Cldn1) is a tight junction protein primarily known for its role in epithelial and endothelial barrier function. However, the role of Cldn1 in coronary microvascular barrier remain unclear. The aim of this study is to investigate the biological effects of Cldn1 dysregulation on coronary vascular permeability, inflammation, fibrosis, and left ventricular function.

methodsCldn1 was silenced in human cardiac microvascular endothelial cells (HMVECs) and C57Bl/6 mice using oligonucleotide-based next generation siRNA duplex. Additionally, global transgenic mice with endothelial cell-specific overexpression of Cldn1 were created under the regulation of the CD144 (VE-cadherin) promoter. Permeability was assessed using FITC-dextran assay in vitro and Evans blue dye leakage (Mile's assay) in vivo. Cardiac morphology and function were measured by cardiac MRI, and myocardial pathology was analyzed by immunohistochemistry and Transmission Electron Microscopy (TEM). PCR and Western blotting confirmed Cldn1 expression changes.

resultsCldn1 knockdown reduced protein levels by 46% (p = 0.004) and significantly increased endothelial permeability in HMVEC (p = 0.0007). In mice, Cldn1 knockdown significantly increased Evans blue dye leakage (p = 0.025), macrophage infiltration (p = 0.018), and interstitial collagen (p = 0.048). TEM confirmed endothelial damage particularly affecting the basement membrane structure. Cardiac MRI showed reduced stroke volume (p = 0.004) and ejection fraction (p = 0.043). Cldn1 overexpression reduced vascular permeability (p = 0.002) without altering cardiac function under basal condition.

conclusionCldn1 plays an important role in maintaining coronary microvascular barrier integrity. Its loss leads to increased permeability, inflammation, fibrosis, and impaired cardiac function, while overexpression enhances barrier function without affecting cardiac performance under baseline conditions.

Indexed as

Claudin-1Coronary VesselsMicrovesselsVentricular Function, LeftAnimalsAntigens, CDCadherin 5CadherinsCapillary PermeabilityCells, CulturedEndothelial CellsFibrosisHumansMaleMiceMice, Inbred C57BLAntigens, CDCadherin 5CadherinsClaudin-1CLDN1 protein, humanCldn1 protein, mouse

Identifiers

PMID40068507
PMCPMC12070307

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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.