Evidence map›Paper›PMID 41404753›Full record

ArticleJournal of the American Heart Association2026

Targeting of Cdc42-Interacting Protein 4-Calcineurin Signalosomes Improves Cardiac Structure and Function After Myocardial Infarction.

Anne-Maj Samuelsson, Abraham L Bayer, Jinliang Li, Yang Li, DeEsmond Lewis, Moriah G Turcotte, Kimberly L Dodge-Kafka, Pilar Alcaide, Michael S Kapiloff

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Tacrolimus inhibits CVB3-targeted regulation of TFEB by PPP3/calcineurin.Frontiers in cellular and infection microbiology · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Anne-Maj SamuelssonDepartments of Ophthalmology and Medicine Stanford Cardiovascular Institute, Stanford University Palo Alto CA USA.ORCID 0000-0002-6317-2016
Abraham L BayerDepartment of Immunology Tufts University School of Medicine Boston MA USA.ORCID 0000-0001-7534-6354
Jinliang LiDepartments of Ophthalmology and Medicine Stanford Cardiovascular Institute, Stanford University Palo Alto CA USA.ORCID 0000-0002-3018-0570
Yang LiDepartments of Ophthalmology and Medicine Stanford Cardiovascular Institute, Stanford University Palo Alto CA USA.
DeEsmond LewisDepartments of Ophthalmology and Medicine Stanford Cardiovascular Institute, Stanford University Palo Alto CA USA.
Moriah G TurcotteCalhoun Center for Cardiology, University of Connecticut Health Center Farmington CT USA.ORCID 0000-0002-4622-2720
Kimberly L Dodge-KafkaCalhoun Center for Cardiology, University of Connecticut Health Center Farmington CT USA.ORCID 0000-0003-0500-5698
Pilar AlcaideDepartment of Immunology Tufts University School of Medicine Boston MA USA.ORCID 0000-0003-3013-3982
Michael S KapiloffDepartments of Ophthalmology and Medicine Stanford Cardiovascular Institute, Stanford University Palo Alto CA USA.ORCID 0000-0002-7005-6953

Funding

Mechanisms of T cell activation in cardiac fibrosis and non-ischemic heart failureR01HL144477 · NHLBI · TUFTS UNIVERSITY BOSTON · PI ALCAIDE ALONSO, MARIA PILAR · 2019 to 2023
$3.2M
Regulation of T cell immune response in Heart Failure with Preserved Ejection FractionR01HL165725 · NHLBI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Maria Pilar Alcaide Alonso · 2023 to 2026
$2.5M
Perinuclear Ryanodine Receptors and Cardiac RemodelingR01HL166547 · NHLBI · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI Kimberly L Dodge-Kafka · 2023 to 2026
$2.2M
Calcineurin compartmentation and regulation of pathological cardiac remodelingR01HL158052 · NHLBI · STANFORD UNIVERSITY · PI KAPILOFF, MICHAEL SETH · 2021 to 2024
$2.1M
Comparing the role of MyD88 and TRIF in T-cell effector function and the development of heart failureF30HL162200 · NHLBI · TUFTS UNIVERSITY BOSTON · PI Abraham Bayer · 2022 to 2026
$238k
NHLBI NIH HHS F30 HL162200NHLBI NIH HHS R01 HL144477NHLBI NIH HHS R01 HL158052NHLBI NIH HHS R01 HL165725NHLBI NIH HHS R01 HL166547
6 · The paper itself

Abstract

backgroundCaN (calcineurin) promotes pathological cardiac remodeling but also cardioprotection in ischemia-reperfusion injury. CaN inhibitors are also immunosuppressants. This pleiotropy complicates targeting calcineurin in cardiovascular disease. CIP4/TRIP10 (Cdc42-interacting protein 4) is a scaffold protein that binds the CaNAβ (calcineurin Aβ) N-terminal polyproline domain and organizes a calcium and CaNAβ2 signaling compartment independent of contractile calcium. We showed that CIP4-CaNAβ2 signalosomes promote pathological cardiac hypertrophy induced by pressure overload. It is unknown whether CIP4-CaNAβ2 signalosomes contribute to cardioprotection and remodeling in ischemic disease.

methodsCIP4 conditional knockout mice were studied following ischemia-reperfusion and permanent left coronary artery ligation that induce myocardial infarction. C57BL/6NJ mice were transduced with cardiotropic adeno-associated virus expressing a CaNAβ2 small hairpin RNA to inhibit CaNAβ2 expression, a VIVIT peptide to inhibit CaN-NFAT (nuclear factor of activated T cells) signaling, or a CaNAβ polyproline peptide to block CIP4-CaNAβ2 binding and similarly studied by ischemia-reperfusion injury and left coronary artery ligation. CaNAβ polyproline-dependent signaling was also studied in T cells.

resultsCIP4 conditional knockout and cardiomyocyte-specific CaNAβ polyproline peptide expression improved cardiac function after ischemia-reperfusion injury and decreased infarct size and improved cardiac function after permanent left coronary artery ligation. In contrast, cardiomyocyte-specific CaNAβ2 depletion and VIVIT expression worsened outcome after myocardial infarction. The polyproline peptide had no effect on T-cell activation and cytokine expression in vitro.

conclusionsCIP4-CaNAβ2 signalosomes promote adverse cardiac remodeling and are not cardioprotective. Proof of concept is provided for the treatment of ischemic cardiomyopathy by a polyproline peptide gene therapy. Targeting these complexes may be beneficial in cardiovascular diseases, including ischemic cardiomyopathy and acute myocardial infarction.

Indexed as

CalcineurinMyocardial InfarctionMyocardial Reperfusion InjuryVentricular Function, LeftVentricular RemodelingAnimalsDisease Models, AnimalMaleMiceMice, Inbred C57BLMice, KnockoutMyocytes, CardiacSignal TransductionCalcineurincalcineurinCIP4heart failuremyocardial infarctionsignal transduction

Identifiers

PMID41404753
PMCPMC12909058

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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.