Evidence map›Paper›PMID 29599211›Full record

ArticleJournal of the American Heart Association2018

Experimental Right Ventricular Hypertension Induces Regional β1-Integrin-Mediated Transduction of Hypertrophic and Profibrotic Right and Left Ventricular Signaling.

Mei Sun, Ryo Ishii, Kenichi Okumura, Adrienn Krauszman, Siegfried Breitling, Olga Gomez, Aleksander Hinek, Stellar Boo, Boris Hinz, Kim A Connelly and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 38 citations in OpenAlex.

  1. Right Heart Diastology, Where Are We Now?Circulation research · 2026
    Review
  2. The emerging role of integrin signaling in pulmonary vascular disease.American journal of physiology. Lung cellular and molecular physiology · 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

12 authors at 5 institutions in 1 country.

Mei SunDivision of Cardiology, Labatt Family Heart Center, Toronto, Ontario, Canada.
Ryo IshiiDivision of Cardiology, Labatt Family Heart Center, Toronto, Ontario, Canada.
Kenichi OkumuraDivision of Cardiology, Labatt Family Heart Center, Toronto, Ontario, Canada.
Adrienn KrauszmanThe Keenan Research Center for Biomedical Science, St Michael's Hospital, Toronto, Canada.
Siegfried BreitlingThe Keenan Research Center for Biomedical Science, St Michael's Hospital, Toronto, Canada.
Olga GomezDivision of Cardiology, Labatt Family Heart Center, Toronto, Ontario, Canada.
Aleksander HinekTranslational Medicine, Hospital for Sick Children and University of Toronto, Ontario, Canada.
Stellar BooLaboratory of Tissue Repair and Regeneration, Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Ontario, Canada.
Boris HinzLaboratory of Tissue Repair and Regeneration, Matrix Dynamics Group, Faculty of Dentistry, University of Toronto, Ontario, Canada.
Kim A ConnellyThe Keenan Research Center for Biomedical Science, St Michael's Hospital, Toronto, Canada.
Wolfgang M KueblerThe Keenan Research Center for Biomedical Science, St Michael's Hospital, Toronto, Canada.
Mark K FriedbergDivision of Cardiology, Labatt Family Heart Center, Toronto, Ontario, Canada mark.friedberg@sickkids.ca.
St. Michael's Hospital · CAUniversity of Toronto · CACanadian Heart Research Centre · CASickKids Foundation · CAHospital for Sick Children · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of right ventricular (RV) hypertension eventually contributes to RV and left ventricular (LV) myocardial fibrosis and dysfunction. The molecular mechanisms are not fully elucidated. METHODS AND

resultsPulmonary artery banding was used to induce RV hypertension in rats in vivo. Then, we evaluated cardiac function and regional remodeling 6 weeks after pulmonary artery banding. To further elucidate mechanisms responsible for regional cardiac remodeling, we also mimicked RV hypertensive stress by cyclic mechanical stretching applied to confluent cultures of cardiac fibroblasts, isolated from the RV free wall, septal hinge points, and LV free wall. Echocardiography and catheter evaluation demonstrated that rats in the pulmonary artery banding group developed RV hypertension with leftward septal displacement, LV compression, and increased LV end-diastolic pressures. Picrosirius red staining indicated that pulmonary artery banding induced marked RV fibrosis and dysfunction, with prominent fibrosis and elastin deposition at the septal hinge points but less LV fibrosis. These changes were associated with proportionally increased expressions of integrin-β1 and profibrotic signaling proteins, including phosphorylated Smad2/3 and transforming growth factor-β1. Moreover, mechanically stretched fibroblasts also expressed significantly increased levels of α-smooth muscle actin, integrin-β1, transforming growth factor-β1, collagen I deposition, and wrinkle formation on gel assays, consistent with myofibroblast transformation. These changes were not observed in parallel cultures of mechanically stretched fibroblasts, preincubated with the integrin inhibitor (BTT-3033).

conclusionsExperimentally induced RV hypertension triggers regional RV, hinge-point, and LV integrin β1-dependent mechanotransduction signaling pathways that eventually trigger myocardial fibrosis via transforming growth factor-β1 signaling. Reduced LV fibrosis and preserved global function, despite geometrical and pressure aberrations, suggest a possible elastin-mediated protective mechanism at the septal hinge points.

Indexed as

Arterial PressureVentricular Function, LeftVentricular Function, RightVentricular RemodelingAnimalsCells, CulturedCollagen Type IDisease Models, AnimalElastinFibrosisHeart VentriclesHypertension, PulmonaryHypertrophy, Left VentricularHypertrophy, Right VentricularIntegrin beta1MaleCollagen Type IElastinIntegrin beta1Tgfb1 protein, ratTransforming Growth Factor beta1fibrosisintegrinpressure overloadregional stress

Identifiers

PMID29599211
PMCPMC5907585
OpenAlexW2794941286

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.