Evidence map›Paper›PMID 41120885›Full record

ArticleBMC cardiovascular disorders2025

Runx1 drives cardiac fibrosis and heart failure through epigenetic activation of myofibroblasts in pressure overload-induced cardiac remodeling.

Jun An, Wei Zhou, Lingbo Xia, Qian Wang, Xiaoping Peng, Zeqi Zheng, Xiang Wang, Yujing Zhang, Jiang Huang, Liao Geping and 2 more

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 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

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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Journal of thoracic disease · 2026
    Article
  4. Review
  5. Article
  6. 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

12 authors.

Jun An *Department of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Wei Zhou *Department of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Lingbo Xia *Department of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Qian Wang *Department of Transfusion Medicine, Key Laboratory of Jiangxi Province for Transfusion Medicine, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, China.
Xiaoping PengDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Zeqi ZhengDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Xiang WangDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Yujing ZhangDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Jiang HuangDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Liao GepingDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Mingzhe WangDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China.
Jianbing ZhuDepartment of Cardiology, The First Affiliated Hospital, Jiangxi Medical College, , Nanchang University, Nanchang, China. ndyfy05336@ncu.edu.cn.

Funding

high-end talent project of science and technology innovation of Jiangxi "double thousand plan" jxsq2023201106National Natural Science Foundation of China 81960061Natural Science Foundation of Jiangxi Province 20204BCJ23017
6 · The paper itself

Abstract

backgroundHeart failure (HF) is often accompanied by cardiac fibrosis, a pathological process driven by activated cardiac fibroblasts (CFs) transitioning to a myofibroblast phenotype. The Runt-related transcription factor 1 (Runx1) has been implicated in various fibrotic diseases, but its role in cardiac fibrosis and HF progression remains unclear. This study aimed to elucidate the role of Runx1 in CF activation, cardiac fibrosis, and HF development.

methodsHF was induced in mice using transverse aortic constriction (TAC). Runx1 expression was assessed in failing hearts via Western blot and qPCR, with immunostaining to localize Runx1 in CFs. In vitro, CFs were treated with TGF-β, and Runx1 knockdown was achieved using siRNA or adenoviral-mediated deletion. Myofibroblast-specific Runx1 knockout mice (PostnCre, Runx1F/F) were used to investigate the in vivo effects of Runx1 on cardiac function, fibrosis, and hypertrophy post-TAC. Chromatin immunoprecipitation (ChIP) and luciferase assays were conducted to evaluate Runx1's regulation of Postn transcription.

resultsTAC-induced HF was associated with significant upregulation of Runx1 protein and mRNA levels, particularly in CFs. In vitro, Runx1 knockdown suppressed TGF-β-induced markers of CF activation, including α-smooth muscle actin (α-SMA), periostin (Postn), and collagen type I (Col1a1), and reduced CF migration and proliferation. PostnCre-Runx1F/F mice exhibited improved cardiac function, reduced hypertrophy, and decreased fibrosis compared to control mice post-TAC. Mechanistically, Runx1 was found to bind the Postn promoter and recruit the transcriptional coactivator P300, enhancing histone acetylation and promoting Postn transcription.

conclusionsRunx1 plays a pivotal role in cardiac fibroblast activation and fibrosis, likely through epigenetic regulation of Postn expression, thereby driving heart failure progression. Targeting Runx1 may represent a promising therapeutic strategy for heart failure.

Indexed as

Core Binding Factor Alpha 2 SubunitEpigenesis, GeneticHeart FailureMyocardiumMyofibroblastsVentricular Function, LeftVentricular RemodelingAcetylationAnimalsCell Adhesion MoleculesCells, CulturedDisease Models, AnimalFibrosisHistonesMaleMiceCell Adhesion MoleculesCore Binding Factor Alpha 2 SubunitHistonesPostn protein, mouseRunx1 protein, mouseCardiac fibrosisHeart failureMyofibroblasts reprogrammingRunt-related transcription factor 1Transcriptional regulation

Identifiers

PMID41120885
PMCPMC12538865

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.