Evidence map›Paper›PMID 42374562›Full record

ArticleBiology direct2026

Running exercise alleviates chronic heart failure by promoting cardiomyocyte autophagic flux through the NEAT1-QKI affecting Beclin1/LC3B mRNA stability.

Ying Zhang, Rui Song, Lei Zhuang, Ying Zhao, Zhuo Chen, Yongjie Wang, Shouling Mi, Jiaxin Liu, Wenlin Tai

Abstract read
In one paragraph

Article in Biology direct, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Ying ZhangDepartment of Cardiology, The 2nd Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650000, China.
Rui SongDepartment of Ultrasound Diagnosis, The 2nd Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650000, China.
Lei ZhuangDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Dieases, Shanghai, China.
Ying ZhaoDepartment of Rehabilitation Medicine, The 2nd Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650000, China.
Zhuo ChenDepartment of Ultrasound Diagnosis, The 2nd Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650000, China.
Yongjie WangDepartment of Cardiology, The 2nd Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650000, China.
Shouling MiDepartment of Cardiology, Zhongshan Hospital, Fudan University, Shanghai Institute of Cardiovascular Dieases, Shanghai, China. mi.shouling@zs-hospital.sh.cn.
Jiaxin LiuSchool of Medicine, Kunming University of Science and Technology, Kunming, Yunnan Province, 650500, China. 20130141@kust.edu.cn.
Wenlin TaiDepartment of Clinicallaboratory, The 2nd Affiliated Hospital of Kunming Medical University, Kunming Yunnan, 650000, China. taiwenlin@kmmu.edu.cn.ORCID https://orcid.org/0000-0002-8278-929X

Funding

Kunming Medical University Infectious Cardiovascular Disease and Drug R&D Science and Technology Innovation Team (CXTD202202)Kunming Medical University joint special project (202301AY070001-276)Yunnan Provincial Major Social Development Project 202203AC100007
6 · The paper itself

Abstract

As the end-stage manifestation of cardiovascular diseases (CVDs), chronic heart failure (CHF) is associated with high morbidity and mortality. Our previous study showed that Running exercise could improve CHF by inducing autophagy, but the underlying mechanisms and applicability remain unclear. This study investigated the roles of NEAT1 and RNA-binding protein Quaking (QKI) in the cardioprotective effects of running exercise initiated during the early stage after abdominal aortic coarctation (AAC) surgery. NEAT1 and QKI were overexpressed in vivo or NEAT1 and QKI were knocked down in vitro. The effects of running exercise on the myocardial damage of CHF rats or Ang II-induced cardiomyocyte apoptosis, autophagic flux, autophagy-related protein expression, and the expression of the PI3K/ AKT pathway by regulating NEAT1 and QKI were assessed using echocardiography, tissue staining, immunofluorescence, western blotting, and confocal microscopy. Furthermore, RNA immunoprecipitation (RIP), RBPmap prediction, actinomycin D (ActD) chase experiments and Dual-luciferase reporter assays were performed to explore the post-transcriptional regulation of autophagy-related genes by QKI. Running exercise reduced myocardial tissue damage in CHF rats and up-regulated the expression of autophagy-related proteins. NEAT1 was up-regulated in the myocardial tissue of CHF rats, and Ang II-damaged cardiomyocytes. Whereas QKI expression showed the opposite trend. Additionally, running exercise inhibited NEAT1 while restoring QKI expression, particularly during weeks 2-3 of exercise intervention. Mechanistically, NEAT1 directly interacted with QKI and negatively regulated its expression. Simultaneously, QKI bound to the 3'untranslated regions (3'-UTRs) of Beclin1 and LC3B mRNA and enhances the stability of Beclin1 and LC3B transcripts, thereby promoting autophagy. Functionally, NEAT1 inhibition or QKI upregulation suppressed the PI3K/AKT/mTOR signaling pathway, and attenuated cardiomyocyte apoptosis under pathological conditions. Collectively, the current findings revealed the regulatory mechanism by which running exercise alleviates CHF, and clarified that running promotes cardiomyocyte autophagy and alleviates CHF through the NEAT1-QKI-Beclin1/LC3B regulatory axis, highlighting a novel mechanism underlying exercise-mediated cardioprotection. Given that exercise intervention was initiated during the early stage following AAC surgery, the observed benefits may include early remodeling-modifying and disease-progression-modifying effects, rather than solely therapeutic effects on established decompensated CHF.

Indexed as

AutophagyBeclin-1Heart FailureMicrotubule-Associated ProteinsMyocytes, CardiacPhysical Conditioning, AnimalRNA-Binding ProteinsRNA, Long NoncodingRNA StabilityRunningAnimalsMaleRatsRats, Sprague-DawleyBeclin-1Becn1 protein, ratMicrotubule-Associated ProteinsRNA-Binding ProteinsRNA, Long NoncodingAutophagyBeclin1/LC3B mRNAChronic heart failurelncRNA NEAT1PI3K/AKT/mTORQKIRunning exercise

Identifiers

PMID42374562
PMCPMC13591915

What Socratic 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 Socratic graph.