Evidence map›Paper›PMID 40742359›Full record

ArticleJACC. Basic to translational science2025

Preclinical Assessment of Atorvastatin for Treatment of Endocardial Fibroelastosis.

Daniel Diaz-Gil, Gregor Gierlinger, Natalia Silva-Gomez, Lavinia Rech, Jesus Ortiz-Urbina, Kerstin Saraci, Sophia Koutsogiannaki, Cordula M Wolf, Rainer G Kozlik-Feldmann, Rudolf Mair and 5 more

Abstract read
In one paragraph

Article in JACC. Basic to translational science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Fibroelastic Remodelling of the Endocardium on the Right Side of the Heart: Endothelial-to-Mesenchymal Transition in Pulmonary Atresia With Intact Ventricular Septum.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2026
    Article
  3. Review
  4. Article
  5. Eliminating left ventricular outlet stenosis lowers the risk for endocardial fibroelastosis recurrence†.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    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

15 authors.

Daniel Diaz-GilDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Pediatrics, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA; Department of Pediatrics, Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA; Department of Pediatric Heart Medicine and Adults with Congenital Heart Disease, University Heart and Vascular Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Gregor GierlingerDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; Medical Faculty, Johannes Kepler University Linz, Linz, Austria; Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, Linz, Austria.
Natalia Silva-GomezDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Lavinia RechDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; University Heart Center Graz, Department of Internal Medicine, Division of Cardiology, Medical University of Graz, Graz, Austria.
Jesus Ortiz-UrbinaDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Kerstin SaraciDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
Sophia KoutsogiannakiDepartment of Anesthesiology, Critical Care and Pain Medicine, Cardiac Anesthesia Division, Boston Children's Hospital, Boston, Massachusetts, USA.
Cordula M WolfDepartment of Congenital Heart Disease and Pediatric Cardiology, Technical University of Munich, School of Medicine and Health, Munich, Germany; Deutsches Zentrum für Herz-Kreislauf-Forschung (German Centre for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany.
Rainer G Kozlik-FeldmannDepartment of Pediatric Heart Medicine and Adults with Congenital Heart Disease, University Heart and Vascular Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Rudolf MairMedical Faculty, Johannes Kepler University Linz, Linz, Austria; Division of Pediatric and Congenital Heart Surgery, Kepler University Hospital, Linz, Austria.
Juan M Melero-MartinDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; Harvard Stem Cell Institute, Cambridge, Massachusetts, USA; Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.
Sitaram M EmaniDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.
Guillermo García-CardeñaDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts, USA; Harvard Stem Cell Institute, Cambridge, Massachusetts, USA; Department of Pathology, Harvard Medical School, Boston, Massachusetts, USA.
Pedro J Del NidoDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA.
Ingeborg FriehsDepartment of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts, USA; Department of Surgery, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: Ingeborg.Friehs@childrens.harvard.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endocardial fibroelastosis is a condition caused by the fibrogenic activation of endothelial cells via endothelial-to-mesenchymal transition of the endocardium, which is regulated by the transforming growth factor-β pathway. Atorvastatin, a statin, can protect the vascular endothelium by up-regulating KLF2 and inhibiting the transforming growth factor-β pathway. This study aimed to investigate the effects of atorvastatin on the fibrogenic activation of endothelial cells in the endocardium. The study found that atorvastatin treatment reduced fibrogenic activation of endocardial endothelial cells and increased KLF2 expression in both in vitro and in vivo models of endocardial fibroelastosis-related left ventricular restriction.

Indexed as

atorvastatincongenital heart diseaseendocardial fibroelastosisendothelial-mesenchymal transitionhypoplastic left heart syndrome

Identifiers

PMID40742359
PMCPMC12539480

What OpenQuestion holds

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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.