Evidence map›Paper›PMID 42785207›Full record

ArticleJACC. Basic to translational science2026

Decreased Endothelial Cell Retinoic Acid Signaling Accelerates Progression of Single Ventricle Pulmonary Vascular Malformations.

Henry Rousseau, Tina Wan, Nhi Nguyen, Jaime Wendt Andrae, Michael Tschannen, Angela J Mathison, Victor Jin, Olivia Groh, Xingyan Zhou, Stryder M Meadows and 4 more

Abstract read
In one paragraph

Article in JACC. Basic to translational science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Vitamin A Uses Its Superpowers to Combat Vascular Malformations.JACC. Basic to translational science · 2026
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Henry RousseauDivision of Cardiology, Department of Pediatrics, Medical College of Wisconsin, Children's Wisconsin, Herma Heart Institute, Milwaukee, Wisconsin, USA.
Tina WanDivision of Cardiology, Department of Pediatrics, Medical College of Wisconsin, Children's Wisconsin, Herma Heart Institute, Milwaukee, Wisconsin, USA; Cardiovascular Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Nhi NguyenDivision of Cardiology, Department of Pediatrics, Medical College of Wisconsin, Children's Wisconsin, Herma Heart Institute, Milwaukee, Wisconsin, USA.
Jaime Wendt AndraeMellowes Center for Genomic Sciences and Precision Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Michael TschannenMellowes Center for Genomic Sciences and Precision Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Angela J MathisonMellowes Center for Genomic Sciences and Precision Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Victor JinMellowes Center for Genomic Sciences and Precision Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Olivia GrohDepartment of Animal Sciences, School of Environmental and Biological Sciences, Rutgers University, New Brunswick, New Jersey, USA.
Xingyan ZhouDepartment of Cell and Molecular Biology, Tulane University, New Orleans, Louisiana, USA.
Stryder M MeadowsDepartment of Cell and Molecular Biology, Tulane University, New Orleans, Louisiana, USA.
Ramani RamchandranCardiovascular Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Division of Neonatology, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Igor ShmarakovDepartment of Animal Sciences, School of Environmental and Biological Sciences, Rutgers University, New Brunswick, New Jersey, USA.
Amy Y PanCardiovascular Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA; Division of Bioinformatics and Quantitative Child Health, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Andrew D SpearmanDivision of Cardiology, Department of Pediatrics, Medical College of Wisconsin, Children's Wisconsin, Herma Heart Institute, Milwaukee, Wisconsin, USA; Cardiovascular Research Center, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Electronic address: aspearman@mcw.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary vascular malformations (PVMs) are vascular complications that universally develop in patients with single ventricle congenital heart disease after Glenn surgery, yet the pathogenesis of single ventricle PVMs remains unknown. Using a surgical rat model of Glenn circulation, single-cell RNA sequencing (scRNAseq) on whole lung samples identified dramatic endothelial cell (EC) gene expression changes post-surgery, including decreased all-trans retinoic acid (ATRA) signaling. Many gene expression differences (∼17% of all EC differentially expressed genes), including decreased ATRA signaling, were shared with 2 independent models of hereditary hemorrhagic telangiectasia arteriovenous malformations (AVMs). Subsequent dietary modification of vitamin A (Vit A) intake in rats, identified that dietary deficiency of Vit A increased PVM shunting severity, which was mitigated with excess dietary Vit A intake. Collectively, our study of post-Glenn PVMs identified shared patho-mechanisms with hereditary hemorrhagic telangiectasia AVMs, including decreased EC ATRA signaling, which is a novel potential target for treating AVMs.

Indexed as

congenital heart diseaseGlennhereditary hemorrhagic telangiectasiapulmonary arteriovenous malformationretinoic acidsingle ventricle

Identifiers

PMID42785207
PMCPMC13635863

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.