Evidence map›Paper›PMID 40355528›Full record

ArticleCommunications biology2025

Selective serotonin reuptake inhibitors induce cardiac toxicity through dysfunction of mitochondria and sarcomeres.

Yawei Shen, Cameron E Brown, Xiao Li, Peng Zhang, Stacey R McGee, Søren C Spina, J Ricardo Loret de Mola, Joanna L Fiddler, Haodi Wu, Qing Liu

Abstract read
In one paragraph

Article in Communications biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Drug Repositioning in Doxorubicin-Induced Cardiotoxicity Protection.International journal of molecular sciences · 2025
    Review
  5. Article
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

10 authors.

Yawei ShenDepartment of Biological Sciences, Clemson University, Clemson, SC, USA.ORCID http://orcid.org/0000-0003-2595-7995
Cameron E BrownDepartment of Biological Sciences, Clemson University, Clemson, SC, USA.
Xiao LiDepartment of Biological Sciences, Clemson University, Clemson, SC, USA.
Peng ZhangDepartment of Biological Sciences, Clemson University, Clemson, SC, USA.
Stacey R McGeeDepartment of Physiology, Southern Illinois University School of Medicine, Carbondale, IL, USA.ORCID http://orcid.org/0000-0003-1579-7844
Søren C SpinaDepartment of Biological Sciences, Clemson University, Clemson, SC, USA.
J Ricardo Loret de MolaDepartment of Obstetrics and Gynecology, Southern Illinois University School of Medicine, Springfield, IL, USA.
Joanna L FiddlerDepartment of Food, Nutrition, and Packaging Sciences, Clemson University, Clemson, SC, 29634, USA.
Haodi WuHeart, Lung, Blood, and Vascular Medicine Institute, Department of Medicine, Division of Cardiology, University of Pittsburgh, Pittsburgh, PA, USA.ORCID http://orcid.org/0000-0002-7900-3073
Qing LiuDepartment of Biological Sciences, Clemson University, Clemson, SC, USA. qliu4@clemson.edu.ORCID http://orcid.org/0000-0002-1765-8517

Funding

Statistical Methods for Gene Regulatory Analysis From Single Cell Genomics DataP20GM139769 · NIGMS · CLEMSON UNIVERSITY · PI ALEXANDROV, ANDREI · 2021 to 2025
$10.8M
Epigenetic regulation of PDE signaling in dilated cardiomyopathyR00HL133473 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WU, HAODI · 2021 to 2023
$747k
Epigenetic regulation of PDE signaling in dilated cardiomyopathyK99HL133473 · NHLBI · STANFORD UNIVERSITY · PI WU, HAODI · 2017 to 2018
$223k
NHLBI NIH HHS K99 HL133473NHLBI NIH HHS R00 HL133473NIGMS NIH HHS P20 GM139769
6 · The paper itself

Abstract

The administration of selective serotonin reuptake inhibitors (SSRIs) during pregnancy can increase the odds of congenital heart defects in babies. The present study aims to explore the toxic effects of SSRIs on the cardiac systems and the underlying mechanism. We apply human pluripotent stem cells to establish 2D-monolayer cardiomyocyte and 3D-cardiac organoid models to evaluate the effects of three SSRIs (fluoxetine, paroxetine, and sertraline) on cardiac development. We observe that SSRIs exposure inhibited ATP production and mitochondrial respiration and disrupted mitochondrial homeostasis and sarcomere structure in the differentiating cardiomyocytes, presenting high risks of dysfunction and abnormality of cardiomyocytes. Further analyses in the cardiac organoid model show that SSRIs not only reduce mitochondrial respiration and ATP production, but may also affect cardiac development and angiogenesis. Altogether, our study reveals that SSRIs induce mitochondrial dysfunction and sarcomeric disorganization in cardiomyocytes, implying their potential risk to the cardiac system.

Indexed as

MitochondriaMitochondria, HeartMyocytes, CardiacSarcomeresSelective Serotonin Reuptake InhibitorsAdenosine TriphosphateCardiotoxicityFluoxetineHumansParoxetinePluripotent Stem CellsSertralineAdenosine TriphosphateFluoxetineParoxetineSelective Serotonin Reuptake InhibitorsSertraline

Identifiers

PMID40355528
PMCPMC12069716

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.