Evidence map›Paper›PMID 9769337›Full record

ArticleThe Journal of clinical investigation1998

Transgenic expression of replication-restricted enteroviral genomes in heart muscle induces defective excitation-contraction coupling and dilated cardiomyopathy.

R Wessely, K Klingel, L F Santana, N Dalton, M Hongo, W Jonathan Lederer, R Kandolf, K U Knowlton

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 2% of its field
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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 170 citations in OpenAlex.

  1. Pooled it
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  13. Cardiac Autoimmunity: Myocarditis.Advances in experimental medicine and biology · 2017
    Review
  14. Article
  15. Structural interplay of KHeartRhythm case reports · 2016
    Article
  16. Article
  17. Review
  18. Article
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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

8 authors at 3 institutions in 2 countries.

R WesselyDepartment of Medicine, University of California, San Diego, School of Medicine, La Jolla, California 92093-0613, USA.
K Klingel
L F Santana
N Dalton
M Hongo
W Jonathan Lederer
R Kandolf
K U Knowlton
University of California, San Diego · USUniversity of Maryland Medical Center · USUniversity of Tübingen · DE

Funding

SODIUM PUMP, INTRACELLULAR NA AND TENSION IN HEARTR01HL025675 · NHLBI · UNIVERSITY OF MD BIOTECHNOLOGY INSTITUTE · PI LEDERER, WILLIAM JONATHAN · 1985 to 2004
$1.9M
CELLULAR ORIGINS OF CARDIAC ARRHYTHMIASR01HL036974 · NHLBI · UNIVERSITY OF MD BIOTECHNOLOGY INSTITUTE · PI LEDERER, WILLIAM JONATHAN · 1987 to 2007
$1.5M
CALCIUM SPARKS IN HEART MUSCLER37HL036974 · NHLBI · UNIVERSITY OF MD BIOTECHNOLOGY INSTITUTE · PI LEDERER, WILLIAM JONATHAN · 1994 to 2003
$1.2M
NHLBI NIH HHS HL-02618NHLBI NIH HHS HL-25675NHLBI NIH HHS HL-36974
6 · The paper itself

Abstract

Numerous studies have implicated Coxsackievirus in acute and chronic heart failure. Although enteroviral nucleic acids have been detected in selected patients with dilated cardiomyopathy, the significance of such persistent nucleic acids is unknown. To investigate the mechanisms by which restricted viral replication with low level expression of Coxsackieviral proteins may be able to induce cardiomyopathy, we generated transgenic mice which express a replication-restricted full-length Coxsackievirus B3 (CVB3) cDNA mutant (CVB3DeltaVP0) in the heart driven by the cardiac myocyte-specific myosin light chain-2v (MLC-2v) promoter. CVB3DeltaVP0 was generated by mutating infectious CVB3 cDNA at the VP4/VP2 autocatalytic cleavage site from Asn-Ser to Lys-Ala. Cardiac-specific expression of this cDNA leads to synthesis of positive- and negative-strand viral RNA in the heart without formation of infectious viral progeny. Histopathologic analysis of transgenic hearts revealed typical morphologic features of myocardial interstitial fibrosis and in some cases degeneration of myocytes, thus resembling dilated cardiomyopathy in humans. There was also an increase in ventricular atrial natriuretic factor mRNA levels, demonstrating activation of the embryonic program of gene expression typical of ventricular hypertrophy and failure. Echocardiographic analysis demonstrated the presence of left ventricular dilation and decreased systolic function in the transgenic mice compared with wild-type littermates, evidenced by increased ventricular end-diastolic and end-systolic dimensions and decreased fractional shortening. Analysis of isolated myocytes from transgenic mice demonstrate that there is defective excitation-contraction coupling and a decrease in the magnitude of isolated cell shortening. These data demonstrate that restricted replication of enteroviral genomes in the heart can induce dilated cardiomyopathy with excitation-contraction coupling abnormalities similar to pressure overload models of dilated cardiomyopathy.

Indexed as

AnimalsCardiomyopathy, DilatedCoxsackievirus InfectionsEnterovirus B, HumanFemaleGenome, ViralHeartHeart VentriclesMaleMiceMice, Inbred BALB CMice, Inbred C57BLMice, TransgenicMyocardiumRegression AnalysisViral Plaque Assay

Identifiers

PMID9769337
PMCPMC508992
OpenAlexW2027689944

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.