Evidence map›Paper›PMID 39794341›Full record

ArticleNature communications2025

Small-molecule-induced ERBB4 activation to treat heart failure.

Julie M T Cools, Bo K Goovaerts, Eline Feyen, Siel Van den Bogaert, Yile Fu, Céline Civati, Jens Van Fraeyenhove, Michiel R L Tubeeckx, Jasper Ott, Long Nguyen and 10 more

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

20 authors.

Julie M T Cools *Laboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.ORCID http://orcid.org/0000-0001-7661-367X
Bo K Goovaerts *Laboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Eline Feyen *Laboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.ORCID http://orcid.org/0000-0002-2275-0983
Siel Van den BogaertLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Yile FuLaboratory of Experimental Cardiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
Céline CivatiLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Jens Van FraeyenhoveLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Michiel R L TubeeckxLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Jasper OttLaboratory of Cell Biology and Histology, University of Antwerp, Antwerp, Belgium.
Long NguyenScreening Core, VIB, Ghent, Belgium.
Eike M WülfersDepartment of Physics and Astronomy, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-8292-6514
Benji Van BerloLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Antoine A F De VriesLaboratory of Experimental Cardiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID http://orcid.org/0000-0002-4787-7155
Nele VandersickelDepartment of Physics and Astronomy, Ghent University, Ghent, Belgium.ORCID http://orcid.org/0000-0002-8827-5302
Daniël A PijnappelsLaboratory of Experimental Cardiology, Leiden University Medical Center, Leiden, the Netherlands.ORCID http://orcid.org/0000-0001-6731-4125
Dominique AudenaertScreening Core, VIB, Ghent, Belgium.
H Llewelyn RoderickLaboratory of Experimental Cardiology, Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-7065-3523
Hans De WinterLaboratory of Medicinal Chemistry, University of Antwerp, Antwerp, Belgium.ORCID http://orcid.org/0000-0002-4450-7677
Gilles W De KeulenaerLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium.
Vincent F M SegersLaboratory of PhysioPharmacology, University of Antwerp, Antwerp, Belgium. vincent.segers@uantwerpen.be.ORCID http://orcid.org/0000-0001-7796-2222

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure is a common and deadly disease requiring new treatments. The neuregulin-1/ERBB4 pathway offers cardioprotective benefits, but using recombinant neuregulin-1 as therapy has limitations due to the need for intravenous delivery and lack of receptor specificity. We hypothesize that small-molecule activation of ERBB4 could protect against heart damage and fibrosis. To test this, we conduct a screening of 10,240 compounds and identify eight structurally similar ones (EF-1 to EF-8) that induce ERBB4 dimerization, with EF-1 being the most effective. EF-1 reduces cell death and hypertrophy in cardiomyocytes and decreases collagen production in cardiac fibroblasts in an ERBB4-dependent manner. In wild-type mice, EF-1 inhibits angiotensin-II-induced fibrosis in males and females and reduces heart damage caused by doxorubicin and myocardial infarction in females, but not in Erbb4-null mice. This study shows that small-molecule ERBB4 activation is feasible and may lead to a novel class of drugs for treating heart failure.

Indexed as

Heart FailureReceptor, ErbB-4Small Molecule LibrariesAngiotensin IIAnimalsDoxorubicinFemaleFibroblastsFibrosisHumansMaleMiceMice, Inbred C57BLMice, KnockoutMyocardial InfarctionMyocytes, CardiacAngiotensin IIDoxorubicinERBB4 protein, humanErbb4 protein, mouseNeuregulin-1Receptor, ErbB-4Small Molecule Libraries

Identifiers

PMID39794341
PMCPMC11724075

What Socratic holds

Textmetadata
LicenceCC BY
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.