Evidence map›Paper›PMID 41797725›Full record

ArticleCirculation2026

YAP Induces a Prorenewal Metabolic State in Cardiomyocytes.

Lin Liu, Jeffrey D Steimle, Chang-Ru Tsai, Fansen Meng, Yuka Morikawa, Yi Zhao, Sandra Carmichael, Xiao Li, James F Martin

Abstract read
In one paragraph

Article in Circulation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Signaling pathways regulating cardiac regeneration.Cell regeneration (London, England) · 2026
    Review
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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

9 authors.

Lin Liu *The McGill Gene Editing Laboratory (L.L., F.M., Y.Z., X.L., J.F.M.), The Texas Heart Institute at Baylor College of Medicine, Houston, TX.ORCID 0000-0002-0343-6286
Jeffrey D Steimle *Department of Integrative Physiology (J.D.S., C.-R.T., S.C., J.F.M.), Baylor College of Medicine, Houston, TX.ORCID 0000-0002-1369-9661
Chang-Ru TsaiDepartment of Integrative Physiology (J.D.S., C.-R.T., S.C., J.F.M.), Baylor College of Medicine, Houston, TX.ORCID 0000-0001-5672-1235
Fansen MengThe McGill Gene Editing Laboratory (L.L., F.M., Y.Z., X.L., J.F.M.), The Texas Heart Institute at Baylor College of Medicine, Houston, TX.
Yuka MorikawaCardiomyocyte Renewal Laboratory (Y.M., J.F.M.), The Texas Heart Institute at Baylor College of Medicine, Houston, TX.ORCID 0000-0002-4571-8409
Yi ZhaoThe McGill Gene Editing Laboratory (L.L., F.M., Y.Z., X.L., J.F.M.), The Texas Heart Institute at Baylor College of Medicine, Houston, TX.ORCID 0000-0003-0989-8825
Sandra CarmichaelDepartment of Integrative Physiology (J.D.S., C.-R.T., S.C., J.F.M.), Baylor College of Medicine, Houston, TX.ORCID 0009-0007-4835-9572
Xiao LiThe McGill Gene Editing Laboratory (L.L., F.M., Y.Z., X.L., J.F.M.), The Texas Heart Institute at Baylor College of Medicine, Houston, TX.ORCID 0000-0001-8527-4438
James F MartinThe McGill Gene Editing Laboratory (L.L., F.M., Y.Z., X.L., J.F.M.), The Texas Heart Institute at Baylor College of Medicine, Houston, TX.ORCID 0000-0002-7842-9857

Funding

Pitx2 in atrial fibrillationR01HL118761 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI MARTIN, JAMES F · 2014 to 2025
$6.1M
Hippo and Wnt Signaling in Cardiac RegenerationR01HL127717 · NHLBI · TEXAS HEART INSTITUTE · PI MARTIN, JAMES F · 2016 to 2023
$4.4M
Optical elastography for assessment of myocardial regenerationR01HL130804 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI LARIN, KIRILL V, MARTIN, JAMES F · 2016 to 2019
$2.9M
Cytoskeletal Control of Yap in Heart RegenerationR01HL169511 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI James F Martin · 2023 to 2026
$2.7M
Reawakening cardiomyocyte proliferation from structural mediated quiescenceR01HL171574 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI James F Martin, Sean M Wu · 2024 to 2026
$1.9M
Hippo-YAP signaling in cardiac regenerative repairR01HL173242 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI James F Martin · 2025 to 2026
$1.4M
Targeting Senescent Macrophages to Improve Heart Failure OutcomesR01HL179012 · NHLBI · TEXAS HEART INSTITUTE · PI LI, XIAO · 2025 to 2025
$1.3M
Left-right asymmetry and PITX2 in atrial fibrillationR00HL169742 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI Jeffrey David Steimle · 2025 to 2026
$498k
NHLBI NIH HHS R00 HL169742NHLBI NIH HHS R01 HL118761NHLBI NIH HHS R01 HL127717NHLBI NIH HHS R01 HL130804NHLBI NIH HHS R01 HL169511NHLBI NIH HHS R01 HL171574NHLBI NIH HHS R01 HL173242NHLBI NIH HHS R01 HL179012
6 · The paper itself

Abstract

backgroundCardiomyocytes, as highly specialized and differentiated somatic cells, possess a limited capacity for renewal. Neonatal rodents possess the ability to regenerate cardiomyocytes after injury; however, this regenerative capacity declines rapidly with cardiomyocyte maturation, suggesting an inhibitory network between cellular maturation and cardiomyocyte proliferation. Maturing cardiomyocytes undergo a metabolic shift from predominantly glycolysis in the neonatal state to increased fatty acid oxidation in the mature state, which poses a barrier to cardiomyocyte proliferation and cardiac regenerative repair. YAP, a transcriptional cofactor regulated by the Hippo signaling pathway, promotes cardiac regenerative repair. We investigated the role of YAP in mediating metabolic remodeling to overcome the cardiomyocyte proliferation barrier and enable cardiac regenerative repair after heart injury.

methodsWe explored how YAP induces metabolic remodeling through single-nucleus RNA sequencing and metabolomic analyses in mice. Using lipidomic analysis, we demonstrated how YAP remodels the balance of fatty acid catabolism and anabolism. We further used a maternal fat overloading model to stimulate fatty acid oxidation, which activates a maturation program in neonatal cardiomyocytes and counteracts YAP-mediated metabolic dematuration. Using chromatin accessibility (assay for transposase-accessible chromatin with high-throughput sequencing), DNA footprinting, and transcriptional profiling (RNA sequencing), we discovered the key transcription factors that YAP interrupts to reprogram the cardiomyocyte metabolic state.

resultsOur results demonstrate that YAP directs metabolic remodeling of mature cardiomyocytes toward a neonatal-like metabolic state and illustrate the role of fatty acid metabolism in proliferating cardiomyocytes. We found that YAP reduces cardiomyocyte fatty acid utilization, driving fatty acid anabolism and phospholipid biosynthesis. Genome-wide analyses revealed that YAP inhibits the cardiac maturation transcription factor MEF2A (myocyte-specific enhancer factor 2A), resulting in decreased gene expression of cardiomyocyte maturity pathways. Given the role of MEF2A in regulating contractility, energy production, and mitochondrial homeostasis, we found that perturbing MEF2A transcriptional activity can serve as a strategy to interrupt the cardiomyocyte maturation program and restore the regenerative capacity of the heart.

conclusionsOur research endeavors to provide a comprehensive understanding of the balance of cardiomyocyte metabolic maturation and proliferation to overcome barriers to heart regeneration, offering novel insights into the potential for therapeutic intervention in heart failure.

Indexed as

Adaptor Proteins, Signal TransducingCell Cycle ProteinsMyocytes, CardiacAnimalsAnimals, NewbornCell ProliferationFatty AcidsMetabolic ReprogrammingMiceRegenerationYAP-Signaling ProteinsAdaptor Proteins, Signal TransducingCell Cycle ProteinsFatty AcidsYap1 protein, mouseYAP-Signaling Proteinsfatty acidsheart failuremyocardial infarctionmyocytes, cardiacphospholipids

Identifiers

PMID41797725
PMCPMC13286034

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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.