Evidence map›Paper›PMID 42701412›Full record

ArticleInternational journal of cardiology. Heart & vasculature2026

Cellular communication network factor 1 (CCN1) associates with all-cause mortality in patients with dilated cardiomyopathy.

Roland Klingenberg, Stefan Gross, Kristin Lehnert, Karsten Grote, Alexander Benkner, Danilo Wegner, Christian W Hamm, Stephan B Felix, Till Keller, Sabine Pankuweit and 1 more

Abstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Roland KlingenbergKerckhoff Heart and Thorax Center, Department of Cardiology, Kerckhoff-Klinik, Bad Nauheim, Germany, Campus of the Justus Liebig University of Giessen, Germany.
Stefan GrossDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Kristin LehnertDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Karsten GroteDepartment of Cardiology and Angiology and Intensive Care, University Hospital of Marburg, Marburg, Germany.
Alexander BenknerDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Danilo WegnerDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Christian W HammKerckhoff Heart and Thorax Center, Department of Cardiology, Kerckhoff-Klinik, Bad Nauheim, Germany, Campus of the Justus Liebig University of Giessen, Germany.
Stephan B FelixDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.
Till KellerKerckhoff Heart and Thorax Center, Department of Cardiology, Kerckhoff-Klinik, Bad Nauheim, Germany, Campus of the Justus Liebig University of Giessen, Germany.
Sabine PankuweitDepartment of Cardiology and Angiology and Intensive Care, University Hospital of Marburg, Marburg, Germany.
Marcus DörrDepartment of Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Circulating cellular communication network factor 1 (CCN1) improves risk stratification in patients with acute coronary syndrome. We here investigated the association of CCN1 with all-cause mortality in patients with dilated cardiomyopathy (DCM). Methods: Patients with a primary diagnosis of DCM, defined as LVEF <45% and increased LVEDD (LVEDD >117%), were included in a derivation (SFB/TR19 Greifswald) and a validation (IKARUS Marburg) cohort. Exclusion criteria comprised primary valvular diseases, acute myocarditis, active infectious diseases, pulmonary diseases, cancer, chronic alcoholism, and heart failure of other origins. CCN1 levels were determined in serum from study inclusion using an enzyme-linked immunosorbent assay. An adjusted multivariable Cox regression model was used to assess the association (hazard ratios) between tertiles of CCN1 concentration and all-cause mortality. Results: In the SFB/TR19 cohort and [IKARUS cohort], respectively a total of 283 [236] predominantly male (78% [75%]) DCM patients with a median age of 56 [51] years with a severely reduced LVEF (31% [30%]), increased LVEDD (67.0 [67.0]), and normal eGFR (90.9 [83.6] ml/min) were analyzed. During a median follow-up of 10.6 [14.9] years, a total of 107 (37%) [100 (42%)] patients died. Patients in the highest CCN1 tertile had a significantly higher mortality risk than those in the lower tertile ( Conclusion: CCN1 is associated with all-cause mortality in DCM patients, warranting further research into the underlying pathophysiology.

Indexed as

BiomarkersFibrosisHeart failureInflammationRisk stratification

Identifiers

PMID42701412
PMCPMC13545385

What Socratic holds

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Registered trials

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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.