Evidence map›Paper›PMID 41731058›Full record

ArticleNature cardiovascular research2026

A reduced TBX5-dependent gene regulatory network links atrial fibrillation and heart failure.

Sonja Lazarevic, Carlos Perez-Cervantes, Zhezhen Wang, Kaitlyn M Shen, Margaret Gadek, Junhua Xiao, Naoko Yamaguchi, Johnathon M Hall, Yildiz Koca, Douglas J Chapski and 9 more

Abstract read
In one paragraph

Article in Nature cardiovascular research, 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. 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

19 authors.

Sonja LazarevicDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.
Carlos Perez-CervantesDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-1352-7322
Zhezhen WangDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.
Kaitlyn M ShenDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.
Margaret GadekDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.
Junhua XiaoLeon H. Charney Division of Cardiology, New York University Langone Health, New York, NY, USA.
Naoko YamaguchiLeon H. Charney Division of Cardiology, New York University Langone Health, New York, NY, USA.
Johnathon M HallDepartment of Molecular Genetics and Cell Biology, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-7469-412X
Yildiz KocaDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.
Douglas J ChapskiDepartments of Anesthesiology & Perioperative Medicine, Medicine and Physiology, Molecular Biology Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.
Manuel Rosa-GarridoDepartment of Cellular and Molecular Signaling, The Institute of Biomedicine and Biotechnology of Cantabria, CSIC-University of Cantabria, Santander, Spain.
Marcello RubinoDepartment of Medicine, Division of Cardiology and Consortium for Fibrosis Research & Translation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rangarajan D NadadurDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA.
Timothy A McKinseyDepartment of Medicine, Division of Cardiology and Consortium for Fibrosis Research & Translation, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.ORCID http://orcid.org/0000-0001-7778-4470
Thomas M VondriskaDepartments of Anesthesiology & Perioperative Medicine, Medicine and Physiology, Molecular Biology Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA.ORCID http://orcid.org/0009-0000-5238-1245
Alexander J RuthenburgDepartment of Molecular Genetics and Cell Biology, University of Chicago, Chicago, IL, USA.
Sebastian PottDepartment of Medicine, Section of Genetic Medicine, University of Chicago, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-4118-6150
David S ParkLeon H. Charney Division of Cardiology, New York University Langone Health, New York, NY, USA.
Ivan P MoskowitzDepartment of Pediatrics, Pathology, and Human Genetics, University of Chicago, Chicago, IL, USA. imoskowitz@uchicago.edu.ORCID http://orcid.org/0000-0003-0014-4963

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI russell z szmulewitz · 1985 to 2026
$122.1M
MULTIDISCIPLINARY CARDIAC SCIENCEST32HL007381 · NHLBI · UNIVERSITY OF CHICAGO · PI JEANNE M DECARA, Yoav Gilad · 1985 to 2026
$12.5M
Training Program in Cardiovascular SciencesT32HL098129 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Glenn I Fishman, Ira J Goldberg · 2009 to 2026
$5.9M
Dynamics of Cardiac Nuclei in Heart DiseaseR01HL105699 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VONDRISKA, THOMAS M. · 2011 to 2025
$5.0M
Training Program in Developmental BiologyT32HD055164 · NICHD · UNIVERSITY OF CHICAGO · PI Sally Horne-Badovinac, Paschalis Kratsios · 2008 to 2026
$3.6M
Discovery and interrogation of genetic regulatory variation impacting Atrial Fibrillation riskR01HL163523 · NHLBI · UNIVERSITY OF CHICAGO · PI HE, XIN, MOSKOWITZ, IVAN PAUL · 2022 to 2025
$3.1M
Small molecule therapies targeting chromatin architecture in heart failureR01HL150225 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MCKINSEY, TIMOTHY, VONDRISKA, THOMAS M. · 2020 to 2023
$2.9M
Gene Regulatory Non-Coding RNAs in the Human HeartR01HL148719 · NHLBI · UNIVERSITY OF CHICAGO · PI MOSKOWITZ, IVAN PAUL, RUTHENBURG, ALEXANDER JACKSON · 2019 to 2022
$2.3M
Therapeutic Modulation of Atrial RemodelingR01HL171989 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI David S Park · 2024 to 2026
$2.1M
Defining the mechanisms of epigenetic information flowR35GM145373 · NIGMS · UNIVERSITY OF CHICAGO · PI Alexander Jackson Ruthenburg · 2022 to 2026
$2.1M
The Role of ERBB4 in Atrial Electrophysiology and Atrial FibrillationR01HL165130 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI PARK, DAVID S · 2022 to 2025
$1.7M
15-PGDH-Mediated Eicosanoid Degradation in Cardiac Fibrosis and Heart FailureR01HL171711 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI Timothy McKinsey · 2024 to 2026
$1.6M
American Heart Association (American Heart Association, Inc.) 24CSA1255857American Heart Association (American Heart Association, Inc.) CDA34660084NCI NIH HHS P30 CA014599NHLBI NIH HHS F30 HL131298NHLBI NIH HHS F32 HL160099NHLBI NIH HHS R01 HL105699NHLBI NIH HHS R01 HL148719NHLBI NIH HHS R01 HL150225NHLBI NIH HHS R01 HL163523NHLBI NIH HHS R01 HL165130NHLBI NIH HHS R01 HL171711NHLBI NIH HHS R01 HL171989NHLBI NIH HHS R01 HL181226NHLBI NIH HHS T32 HL007381NHLBI NIH HHS T32 HL098129NICHD NIH HHS T32 HD055164NIGMS NIH HHS R35 GM145373U.S. Department of Health Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) T32HD055164U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) F30HL131298U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) F31HL144023U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) F32HL160099U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL105699U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) HL150225U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL165130U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) R01HL171989U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) T32HL007381U.S. Department of Health Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) T32HL098129
6 · The paper itself

Abstract

Atrial fibrillation (AF) and heart failure (HF) frequently coexist and worsen one another's outcomes. To investigate shared molecular mechanisms, we compared atrial gene regulatory networks (GRNs) in the mouse Tbx5 conditional knockout (Tbx5 cKO) AF model and the transverse aortic constriction (TAC) HF model. Here we show highly correlated changes in atrial transcriptional and genomic profiles, including downregulated atrial Tbx5 expression in both mouse and human HF. More than 100 transcription factor genes were coordinately dysregulated in the atria of the Tbx5 cKO and TAC models. The wild-type atrial TBX5-driven GRN, including Klf15, a repressor of cardiomyocyte hypertrophy, was disrupted in Tbx5 cKO and TAC models. Conversely, a disease-specific network featuring Sox9 emerged in activated fibroblasts of Tbx5 cKO and TAC models. Our results identify coordinated disruption of TBX5-dependent atrial gene regulation in AF and HF, suggesting that a shared genomic injury response may underlie the reciprocal risk between these conditions.

Indexed as

Atrial FibrillationGene Regulatory NetworksHeart FailureT-Box Domain ProteinsAnimalsDisease Models, AnimalGene Expression RegulationHeart AtriaHumansKruppel-Like Transcription FactorsMaleMiceMice, KnockoutSOX9 Transcription FactorKruppel-Like Transcription FactorsSOX9 Transcription FactorT-Box Domain ProteinsT-box transcription factor 5

Identifiers

PMID41731058
PMCPMC13464231

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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.