Evidence map›Paper›PMID 41399852›Full record

ArticleDevelopment (Cambridge, England)2026

Reduced TBX5 dosage undermines developmental control of atrial cardiomyocyte identity in a model of human atrial disease.

Irfan S Kathiriya, Kavitha S Rao, Alexander P Clark, Kevin M Hu, Zoe L Grant, Megan N Matthews, Zhe Chen, Swetansu K Hota, Jeffrey J Saucerman, Benoit G Bruneau

Abstract read
In one paragraph

Article in Development (Cambridge, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Elucidating Gene Functions in Congenital Heart Disease.Current treatment options in cardiovascular medicine · 2026
    Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Irfan S KathiriyaDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143, USA.ORCID 0000-0003-1207-1490
Kavitha S RaoDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143, USA.ORCID 0000-0001-5401-6989
Alexander P ClarkDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA 22908, USA.ORCID 0000-0002-5200-6573
Kevin M HuDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143, USA.
Zoe L GrantGladstone Institutes, San Francisco, CA 94158, USA.ORCID 0000-0003-0580-5222
Megan N MatthewsDepartment of Anesthesia and Perioperative Care, University of California, San Francisco, CA 94143, USA.
Zhe ChenGladstone Institutes, San Francisco, CA 94158, USA.ORCID 0009-0004-6605-8237
Swetansu K HotaGladstone Institutes, San Francisco, CA 94158, USA.ORCID 0000-0003-3105-9729
Jeffrey J SaucermanDepartment of Biomedical Engineering, University of Virginia, Charlottesville, VA 22908, USA.ORCID 0000-0001-9464-8374
Benoit G BruneauGladstone Institutes, San Francisco, CA 94158, USA.ORCID 0000-0002-0804-7597

Funding

BASIC CARDIOVASCULAR RESEARCH TRAINING GRANTT32HL007284 · NHLBI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Brant E Isakson, Gary K Owens · 1985 to 2026
$19.6M
Genetic determinants of 4D genome folding in human cardiac developmentU01HL157989 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI BRUNEAU, BENOIT GAETAN, POLLARD, KATHERINE S. · 2020 to 2024
$3.8M
Systems Pharmacology Model of Cardiac HypertrophyR01HL162925 · NHLBI · UNIVERSITY OF VIRGINIA · PI SAUCERMAN, JEFFREY J., WOLF, MATTHEW J · 2022 to 2025
$3.1M
Computational and Experimental Modeling of Cardiomyocyte ProliferationR01HL160665 · NHLBI · UNIVERSITY OF VIRGINIA · PI SAUCERMAN, JEFFREY J., VAN BERLO, JOHANNES (JOP) · 2022 to 2025
$2.8M
Gene regulatory networks for heart developmentR01HL155906 · NHLBI · J. DAVID GLADSTONE INSTITUTES · PI BRUNEAU, BENOIT GAETAN · 2021 to 2024
$2.4M
Illumina NovaSeq 6000 Sequencing SystemS10OD028511 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHOW, ERIC D · 2020 to 2020
$583k
BD FACSAria II Flow CytometerS10RR028962 · NCRR · J. DAVID GLADSTONE INSTITUTES · PI CAVROIS, MARIELLE · 2011 to 2011
$544k
Additional VenturesAdditional Ventures Catalyst to Independence AwardAdditional Ventures Innovation AwardAmerican Heart AssociationCalifornia Institute for Regenerative MedicineHellman Family FundHellman FoundationIndiana UniversityNCRR NIH HHS S10 RR028962NHLBI NIH HHS R01 HL155906NHLBI NIH HHS R01HL155906NHLBI NIH HHS R01 HL160665NHLBI NIH HHS R01HL160665NHLBI NIH HHS R01 HL162925NHLBI NIH HHS R01HL162925NHLBI NIH HHS T32 HL007284NHLBI NIH HHS T32HL007284NHLBI NIH HHS U01 HL157989NHLBI NIH HHS U01HL157989NIH HHS S10 OD028511Roddenberry FoundationSaving tiny Hearts SocietySaving Tiny Hearts SocietyThe Roddenberry FoundationUCSF Department of AnesthesiaUCSF Pediatric Heart CenterUCSF Pediatric Heart Center Catalyst AwardYounger Family Fund
6 · The paper itself

Abstract

While atrial septal defects (ASDs) and atrial fibrillation (AF) present differently, there is evidence that they share some genetic basis. Here, we have used directed differentiation of human induced pluripotent stem cells into atrial or ventricular cardiomyocytes (CMs) to delineate gene regulatory networks (GRNs) that define each identity. We uncovered accessible chromatin regions, transcription factor motifs and key regulatory nodes specific to, or shared by, both CM types, including the transcription factor TBX5, which is linked to genetic susceptibility of ASDs and AF in humans. Complete TBX5 loss resulted in a near absence of atrial CMs, with a concomitant increase in the abundance of other cell types. Reduced dosage of TBX5 in human atrial CMs caused cellular, electrophysiological and molecular phenotypes consistent with features of atrial CM dysfunction. This included dose-dependent aberrant accessibility of many chromatin regions and perturbation of gene regulatory networks of atrial CM identity. These results suggest that, in addition to stemming from ion channel or extracellular matrix dysfunction, atrial diseases such as ASDs or AF may result from disruptions of atrial CM identity.

Indexed as

Atrial FibrillationHeart AtriaHeart Septal Defects, AtrialMyocytes, CardiacT-Box Domain ProteinsCell DifferentiationChromatinGene Expression Regulation, DevelopmentalGene Regulatory NetworksHumansInduced Pluripotent Stem CellsChromatinT-Box Domain ProteinsT-box transcription factor 5Atrial fibrillationAtrial septal defectsCardiomyocyte differentiationCongenital heart defectsDisease modelingHuman atrial diseases

Identifiers

PMID41399852
PMCPMC13012419

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.