Evidence map›Paper›PMID 40662221›Full record

ArticleCirculation research2025

Vagal Stimulation Rescues HFpEF by Altering Cardiac Resident Macrophage Function.

Thamizhiniyan Venkatesan, Maria Toumpourleka, Monika Niewiadomska, Kassem Farhat, Lynsie Morris, Khaled Elkholey, Bibi Maryam, Audrey Cordova, Isabella G Darby, Seabrook Whyte and 8 more

Abstract read
In one paragraph

Article in Circulation research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
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  6. Article
  7. Article
  8. Neuroimmune interactions in cardiovascular homeostasis and disease.American journal of physiology. Cell physiology · 2026
    Review
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  12. 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

18 authors.

Thamizhiniyan Venkatesan *Cardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.
Maria Toumpourleka *Cardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.ORCID 0000-0002-9708-7864
Monika NiewiadomskaCardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.ORCID 0000-0002-7651-6906
Kassem FarhatCardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.ORCID 0000-0003-4749-0193
Lynsie MorrisCardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.ORCID 0000-0003-0701-271X
Khaled ElkholeyCardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.
Bibi MaryamNephrology Section, Department of Medicine (B.M., A.C., I.G.D., S.J.M., A.Y., K.A.Z.), University of Oklahoma Health Science Center.ORCID 0009-0006-5165-6888
Audrey CordovaNephrology Section, Department of Medicine (B.M., A.C., I.G.D., S.J.M., A.Y., K.A.Z.), University of Oklahoma Health Science Center.ORCID 0009-0004-7444-7419
Isabella G DarbyNephrology Section, Department of Medicine (B.M., A.C., I.G.D., S.J.M., A.Y., K.A.Z.), University of Oklahoma Health Science Center.
Seabrook WhyteCardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.
Sarah J MillerNephrology Section, Department of Medicine (B.M., A.C., I.G.D., S.J.M., A.Y., K.A.Z.), University of Oklahoma Health Science Center.ORCID 0000-0003-4888-5306
Alex YashchenkoNephrology Section, Department of Medicine (B.M., A.C., I.G.D., S.J.M., A.Y., K.A.Z.), University of Oklahoma Health Science Center.ORCID 0000-0003-2558-7752
Alex C AnguianoGenomics Core Facility (A.C.A., J.G.), University of Oklahoma Health Science Center.
Jenny GipsonGenomics Core Facility (A.C.A., J.G.), University of Oklahoma Health Science Center.
Jessica M ReelDepartment of Microbiology and Immunology (J.M.R., M.A.C.), University of Oklahoma Health Science Center.ORCID 0000-0001-6523-9686
Maureen A CoxDepartment of Microbiology and Immunology (J.M.R., M.A.C.), University of Oklahoma Health Science Center.ORCID 0000-0001-8030-3340
Kurt A ZimmermanNephrology Section, Department of Medicine (B.M., A.C., I.G.D., S.J.M., A.Y., K.A.Z.), University of Oklahoma Health Science Center.ORCID 0000-0003-1798-8046
Stavros StavrakisCardiovascular Section, Department of Medicine (T.V., M.T., M.N., K.F., L.M., K.E., S.W., S.S.), University of Oklahoma Health Science Center.ORCID 0000-0002-4370-8135

Funding

Biomarker-guided optimization of transcutaneous vagal stimulation for atrial fibrillationR01HL161008 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Stavros Stavrakis · 2022 to 2026
$1.9M
Targeting kidney resident macrophage niche filling to slow cystic kidney diseaseR01DK129255 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Kurt A Zimmerman · 2022 to 2026
$1.6M
Investigating CD4 T regulatory cells during rapid cystogenesisK01DK119375 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ZIMMERMAN, KURT A · 2020 to 2023
$608k
Neuromodulation of Inflammation to Treat Heart Failure with Preserved Ejection FractionR21AG057879 · NIA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STAVRAKIS, STAVROS · 2018 to 2019
$407k
Constructing Mouse and Human Single-cell Atlas in Autosomal Dominant Polycystic Kidney DiseaseR21DK140693 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI MA, ANJUN, ZIMMERMAN, KURT A · 2024 to 2024
$136k
NHLBI NIH HHS R01 HL161008NIA NIH HHS R21 AG057879NIDDK NIH HHS K01 DK119375NIDDK NIH HHS R01 DK129255NIDDK NIH HHS R21 DK140693
6 · The paper itself

Abstract

backgroundWe previously showed in a rat model of heart failure with preserved ejection fraction (HFpEF) that transcutaneous vagus nerve stimulation (tVNS) reduced cardiac fibrosis and inflammation. However, macrophage-mediated mechanisms through which tVNS rescues cardiac function remain poorly understood.

methodsWe induced HFpEF in 8-week-old mice by a combination of a high-fat diet and l-NG-nitro arginine methyl ester for 5 weeks, followed by 4 weeks of tVNS or sham stimulation. At this time, we analyzed cardiac function by echocardiography and immune cell numbers by single-cell RNA sequencing and flow cytometry.

resultsOur data demonstrate that HFpEF mice exhibited diastolic dysfunction, left ventricular hypertrophy, and fibrosis, consistent with HFpEF, and that tVNS significantly improved HFpEF severity. Analysis of merged single-cell RNA sequencing data from control, HFpEF+sham, and HFpEF+tVNS mice showed that HFpEF was associated with the accumulation of

conclusionsCollectively, our data indicate that tVNS improves HFpEF by reducing

Indexed as

Heart FailureMacrophagesMyocardiumStroke VolumeVagus Nerve StimulationVentricular Function, LeftAnimalsDisease Models, AnimalFibrosisInsulin-Like Growth Factor IMaleMiceMice, Inbred C57BLReceptors, CCR2Ccr2 protein, mouseinsulin-like growth factor-1, mouseInsulin-Like Growth Factor IReceptors, CCR2acetylcholineheart failureinflammationmacrophagesvagus nerve stimulation

Identifiers

PMID40662221
PMCPMC12266641

What Socratic holds

Textmetadata
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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.