Evidence map›Paper›PMID 40788381›Full record

ArticleMolecular biology reports2025

HSPA9/HMGB1 regulates myocardial fibrosis in atrial fibrillation via TGF-β1/Smad pathway and autophagy.

Fei Pan, Jiaqi Gan, Mengting Hu, Yi Song, Xiao Wu

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Article in Molecular biology reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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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

6 citing papers in PubMed.

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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

5 authors.

Fei Pan *Department of General Medicine, Minhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Jiaqi Gan *Department of General Medicine, Minhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Mengting HuDepartment of General Medicine, Minhang Hospital, Fudan University, 170 Xinsong Road, Shanghai, 201199, China.
Yi SongDepartment of Emergency Medicine, The Affiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China. Songyi19800913@163.com.
Xiao WuDepartment of Emergency and Critical Care Medicine, Jiading District Central Hospital Affiliated Shanghai University of Medicine & Health Sciences, Shanghai, 201800, China. Wuxiao5187@163.com.

Funding

Hospital-Level Disciplines-Support Group-Medical Alliance Chronic Disease Management YJXK-2021-15Minhang District Medical Specialty Construction Project 2025MWFC02
6 · The paper itself

Abstract

backgroundAtrial fibrillation (AF) is a common arrhythmia often linked to myocardial fibrosis. This study investigates the molecular mechanisms underlying AF, focusing on HSPA9 as a key regulator of fibrosis and its interaction with the TGF-β1/Smad pathway.

methodsThe GSE79768 dataset was employed for differential gene expression analysis. Weighted Gene Co-expression Network Analysis (WGCNA) identified key modules associated with AF. Functional enrichment analyses and Protein-Protein Interaction (PPI) networks were performed. Mouse cardiac fibroblasts were subjected to Angiotensin II (Ang II), and gene, protein, and functional analyses were conducted using quantitative real-time polymerase chain reaction (qRT-PCR), Western blot (WB), immunofluorescence, Co-immunoprecipitation (Co-IP), Cell Counting Kit-8 (CCK-8), and cell migration assays. In vivo, Ang II-induced mice were detected with immunohistochemistry (IHC) and Hematoxylin and Eosin (H&E) staining for fibrosis.

resultsWGCNA identified a strong correlation with the brown module, highlighting HSPA9 as a key gene in AF. HSPA9 was upregulated in AF tissues and Ang II-treated fibroblasts. Knockdown of HSPA9 suppressed fibroblast proliferation, migration, and fibrosis marker expression. HSPA9 interacts with HMGB1 to stabilize it, activating the TGF-β1/Smad pathway. HMGB1 overexpression reversed the effects of HSPA9 knockdown. In vivo, HSPA9 knockdown alleviated myocardial fibrosis. HSPA9 inhibits autophagy via the TGF-β1/Smad pathway, making it a possible target for treatment for AF and fibrosis.

conclusionHSPA9 regulates myocardial fibrosis in AF by interacting with HMGB1 and activating the TGF-β1/Smad pathway. Targeting HSPA9 could be a promising therapeutic strategy for preventing or treating AF-associated myocardial fibrosis.

Indexed as

Atrial FibrillationHMGB1 ProteinHSP70 Heat-Shock ProteinsMyocardiumSmad ProteinsTransforming Growth Factor beta1Angiotensin IIAnimalsAutophagyCell MovementCell ProliferationDisease Models, AnimalFibroblastsFibrosisHumansMaleAngiotensin IIHMGB1 ProteinHMGB1 protein, mouseHSP70 Heat-Shock ProteinsSmad ProteinsTgfb1 protein, mouseTransforming Growth Factor beta1Atrial fibrillationHSPA9TGF-β1/Smad pathway

Identifiers

PMID40788381

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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.