Evidence map›Paper›PMID 40429991›Full record

ReviewInternational journal of molecular sciences2025

Sotatercept: A Crosstalk Between Pathways and Activities in the Pulmonary Circulation and Blood.

Rosalinda Madonna, Sandra Ghelardoni

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

2 authors.

Rosalinda MadonnaDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Cardiology Division, University of Pisa, 56124 Pisa, Italy.
Sandra GhelardoniDepartment of Surgical, Medical and Molecular Pathology and Critical Area, Laboratory of Biochemistry, University of Pisa, 56124 Pisa, Italy.ORCID 0000-0003-4378-5621

Funding

Ministero dell'università e della ricerca PNRR-M4C2-I1.3 Project PE_00000019 "HEAL ITALIA", CUP I53C22001440006Ministero dell'università e della ricerca PNRR-MR1-2022-12376879
6 · The paper itself

Abstract

Sotatercept selectively binds free activins and growth differentiation factors by reproducing the binding domain of the activin receptor type IIA (ACTRIIA). The sequester of activins blunts the downstream signaling pathway, resulting in the reactivation of the bone morphogenic protein (BMP) receptor type 2 signaling and inhibition of pathological remodeling in pulmonary circulation. The balance between proliferative and antiproliferative pathways is restored, with a favorable impact on the progression of pulmonary arterial hypertension (PAH). Sotatercept, first approved for the treatment of hematological disorders such as anemia, has recently received approval as a drug in the treatment of group 1 PAH, either in United States or Europe. In this review, we will discuss the application of sotatercept and its cross reactivity in function alone or in combination with other drugs currently used for PAH. We will try also to further discuss what is known regarding the hematological effects of sotatercept, both from preclinical and clinical studies points of view, since they are the root of the side effects seen in PAH trials, such as bleeding and increased hemoglobin.

Indexed as

Pulmonary Arterial HypertensionPulmonary CirculationRecombinant Fusion ProteinsSignal TransductionActivin Receptors, Type IIActivinsAnimalsHumansActivin Receptors, Type IIActivinsRecombinant Fusion Proteinssotaterceptactivinsanemiableedingbone morphogenic proteinhematological disorderspulmonary arterial hypertensionsotatercept

Identifiers

PMID40429991
PMCPMC12111940

What OpenQuestion holds

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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.