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Myosin Modulator Aficamten Inhibits Force by Altering Myosin’s Biochemical Activity Without Changing Thick Filament Structure 肌凝蛋白调节剂通过改变肌凝蛋白的生化活性而不改变粗丝结构来抑制力
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-19 DOI: 10.1016/j.jacbts.2025.101449
Saffie Mohran PhD , Kristina B. Kooiker PhD , Ateeqa Naim BS , Matvey Pilagov BS , Anthony Asencio BS , Kyrah L. Turner BS , Weikang Ma PhD , Galina Flint MD. , Siyao Jiang BS , Jing Zhao BS , Timothy S. McMillen PhD , Christian Mandrycky PhD , Max Mahoney-Schaefer BS , Thomas C. Irving PhD , Bertrand C.W. Tanner PhD , Neil M. Kad PhD , Michael Regnier PhD , Farid Moussavi-Harami MD
We investigated the effects of aficamten on cardiac muscle structure, biochemical activity, and contractile function. Aficamten does not structurally sequester myosin heads along the thick filament. It inhibits ATPase activity by decreasing myosin ATPase cycling kinetics, with the emergence of a super slow biochemical nucleotide turnover. This results in decreased force and calcium sensitivity without altering cross-bridge cycling. Our myofibril mechanical assay showed inhibition of force with accelerated relaxation. In engineered heart tissues, while mavacamten and aficamten inhibit cardiac twitch forces, mavacamten reduces the activation kinetics while both accelerate relaxation.
我们研究了aficamten对心肌结构、生化活性和收缩功能的影响。Aficamten在结构上不会沿着粗丝隔离肌凝蛋白头。它通过降低肌球蛋白atp酶循环动力学来抑制atp酶活性,出现超慢的生化核苷酸周转。这导致力和钙敏感性降低而不改变过桥循环。我们的肌原纤维力学试验显示力的抑制与加速松弛。在工程心脏组织中,虽然马伐卡坦和阿非卡坦抑制心脏抽搐力,但马伐卡坦降低激活动力学,同时加速松弛。
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引用次数: 0
The Role of Sphingolipids in Myocardial Recovery Mediated by Mechanical Unloading and Circulatory Support 鞘脂在机械卸载和循环支持介导的心肌恢复中的作用
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-19 DOI: 10.1016/j.jacbts.2025.101435
Rana Hamouche MD , Sean M. Tatum PhD , Elizabeth Dranow PhD , J. Alan Maschek PhD , Christos P. Kyriakopoulos MD , Thirupura S. Shankar PhD , Joseph R. Visker PhD , Jing Ling AS , Konstantinos Sideris MD , Craig H. Selzman MD , Abdallah G. Kfoury MD , Josef Stehlik MD, MPH , Rami Alharethi MD , James C. Fang MD , TingTing Hong MD, PhD , Sutip Navankasattusas PhD , Matthew T. Rondina MD , William L. Holland PhD , Scott A. Summers PhD , Stavros G. Drakos MD, PhD , Eleni Tseliou MD, PhD
Myocardial recovery after left ventricular assist device (LVAD) support is a critical phenomenon that allows advanced heart failure patients to retain their native heart. We quantified targeted sphingolipids in serum and cardiac tissue of patients who exhibited recovery post-LVAD. Our analysis revealed sustained elevated circulating ceramides levels in nonresponders post-LVAD, whereas responders showed reduced sphingosine-1-phosphate (S1P) levels. In contrast, cardiac tissue from nonresponders displayed increased S1P levels. We suggest that diminished ceramide and S1P may contribute to an increased likelihood of recovery after LVAD support. Collectively, our findings implicate the sphingolipid metabolic pathway as a potential therapeutic target to promote myocardial recovery after mechanical support.
左心室辅助装置(LVAD)支持后的心肌恢复是晚期心力衰竭患者保留原有心脏的关键现象。我们量化了lvad后恢复的患者血清和心脏组织中的靶向鞘脂。我们的分析显示,lvad后无应答者的循环神经酰胺水平持续升高,而应答者的鞘鞘醇-1-磷酸(S1P)水平降低。相比之下,无反应的心脏组织显示出升高的S1P水平。我们认为神经酰胺和S1P的减少可能有助于LVAD支持后恢复的可能性增加。总之,我们的研究结果表明鞘脂代谢途径是促进机械支持后心肌恢复的潜在治疗靶点。
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引用次数: 0
Emerging Role of Tet2 in the Regulation of Vascular Smooth Muscle Cell Identity During Arterial Calcification Tet2在动脉钙化过程中调节血管平滑肌细胞身份中的新作用。
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-17 DOI: 10.1016/j.jacbts.2025.101451
Marie Piollet PhD , Clément Cochain PhD
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引用次数: 0
Pharmacological Enhancement of Integrated Stress Response Confers Protection in Calcific Aortic Valve Disease 加强综合应激反应的药理作用对钙化性主动脉瓣疾病有保护作用。
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-15 DOI: 10.1016/j.jacbts.2025.101433
Libo Wang PhD , Xulei Duan MS , Huibing Liu PhD , Fei Lin PhD , Chaoyuan Zhou MD , Katrin Schröder PhD , Ajay M. Shah MD , Guoan Zhao MD, PhD , Min Zhang MD, PhD
Previous studies have shown that Nox4 activates eIF2α/ATF4 signaling during the integrated stress response (ISR) and protects heart injury. However, their roles in calcific aortic valve disease (CAVD) remain unclear. Here, we show that both ATF4 and Nox4 are up-regulated in porcine aortic valve interstitial cells (AVIC) and in human aortic valves with CAVD. Nox4 knockdown promotes while Nox4 overexpression suppresses CAVD by modulating ISR. Importantly, ISR activators Guanabenz and Sephin1 effectively attenuate AVIC osteoblastic-like differentiation and mitigate CAVD in rabbits and mice, respectively. These findings highlight that pharmacological enhancement of the ISR is a promising therapeutic strategy for CAVD.
先前的研究表明,Nox4在综合应激反应(integrated stress response, ISR)过程中激活eIF2α/ATF4信号,保护心脏损伤。然而,它们在钙化性主动脉瓣疾病(CAVD)中的作用尚不清楚。在这里,我们发现ATF4和Nox4在猪主动脉瓣间质细胞(AVIC)和患有CAVD的人主动脉瓣中都上调。Nox4敲低促进CAVD,而Nox4过表达通过调节ISR抑制CAVD。重要的是,ISR激活剂Guanabenz和Sephin1分别在家兔和小鼠中有效地减弱AVIC成骨样分化和减轻CAVD。这些发现强调,药物增强ISR是一种很有前途的治疗CAVD的策略。
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引用次数: 0
Epigenetic Reprogramming via TET2 Prevents Medial Calcification and Restores Vascular Smooth Muscle Cell Identity 通过TET2的表观遗传重编程防止内侧钙化和恢复血管平滑肌细胞的身份
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-11 DOI: 10.1016/j.jacbts.2025.101434
Bob S.L. Lee PhD , Joshua K. Dunn BSc , Cassandra Liang BSc , Grace Chensee BSc , Renhua Song PhD , Cassandra Malecki PhD , Elizabeth N. Robertson MD, PhD , Gavin J. Sutton PhD , Christopher P. Stanley PhD , Brett D. Hambly MD, PhD , Xiangjian Zheng PhD , Paul G. Bannon MD, PhD , Wai Ho Tang PhD , Justin J.-L. Wong PhD , Renjing Liu PhD
Vascular calcification arises from the osteogenic transdifferentiation of vascular smooth muscle cells (VSMCs) and is a hallmark of many cardiovascular pathologies. This study identifies Tet2, a DNA demethylase, as a critical epigenetic regulator that prevents this phenotypic switch. VSMC-specific loss of Tet2 promotes osteogenic differentiation, apoptosis, increased infiltration of Trem2hi macrophages and medial aortic calcification. High-dose ascorbate used to enhance Tet2 activity significantly reduced calcification and preserved aortic structure in mice. These findings support Tet2 reactivation as a potential therapeutic strategy to prevent or reverse vascular calcification in cardiovascular disease.
血管钙化起源于血管平滑肌细胞(VSMCs)的成骨转分化,是许多心血管疾病的标志。本研究发现,DNA去甲基化酶Tet2是一种关键的表观遗传调节剂,可以阻止这种表型转换。vsmc特异性Tet2缺失促进成骨分化、细胞凋亡、Trem2hi巨噬细胞浸润增加和内侧主动脉钙化。用于增强Tet2活性的大剂量抗坏血酸可显著减少小鼠钙化和保存主动脉结构。这些发现支持Tet2再激活作为预防或逆转心血管疾病血管钙化的潜在治疗策略。
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引用次数: 0
Next-Generation Percutaneous Catheter–Based Closed-Loop Perfusion Concept Enables High-Precision Organ Delivery of Advanced Therapies 基于新一代经皮导管的闭环灌注概念实现了先进治疗的高精度器官输送。
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-17 DOI: 10.1016/j.jacbts.2025.101409
Maximilian Y. Emmert MD, PhD , Johannes Holzmeister MD , Ole Blank MSc , Heike Meyborg MSc , Anne Jomard PhD , Giulia Mearini PhD , Maria Vono PhD , Miriam Weisskopf DVM, PhD , Marco Michalski PhD , Chandan Kadur Nagaraju PhD , Mark Dehdashtian BSc , Dominic Hollamby MA , Chris Rusconi PhD , Steven Zelenkofske MD , Volkmar Falk MD , Eduard Ayuso DVM, PhD , Josef El Andari PhD , Nikola Cesarovic DVM, PhD
Safe and efficient in vivo delivery of advanced therapies (ATs) remains a major challenge hindering their path to clinical adoption. We present a novel, fully percutaneous, catheter-based locoregional perfusion (LRP) system for targeted delivery of ATs, minimizing systemic exposure. Using principles from extracorporeal membrane oxygenation and cardiovascular perfusion, we developed and validated the LRP concept in porcine models, focusing on the kidney as a clinically relevant target. Custom catheter prototypes enabled safe, isolated perfusion of the kidney. Using adeno-associated viruses (AAVs) as model cargos, LRP achieved up to 69,000-fold higher vector retention within the LRP circulation than systemic circulation, and significantly reduced delivery to off-target organs such as the liver and spleen. AAV5 showed the highest transduction efficiency, with up to 75-fold greater gene expression. These findings demonstrate the feasibility, safety, and precision of LRP for organ-specific AT delivery while preventing plausible off-target toxicity. It may therefore represent a unique platform for next-generation delivery of AT and potentially beyond, including other therapeutic agents such as pharmaco- or chemotherapy to the target-organ.
安全有效的体内给药仍然是阻碍其临床应用的主要挑战。我们提出了一种新颖的、完全经皮的、基于导管的局部灌注(LRP)系统,用于靶向递送ATs,最大限度地减少全身暴露。利用体外膜氧合和心血管灌注的原理,我们在猪模型中开发并验证了LRP概念,重点关注肾脏作为临床相关靶点。定制的导管原型实现了肾脏的安全、隔离灌注。使用腺相关病毒(aav)作为模型货物,LRP在LRP循环中的载体保留率比体循环高69,000倍,并且显着减少了向非目标器官(如肝脏和脾脏)的递送。AAV5表现出最高的转导效率,其基因表达量高达75倍。这些发现证明了LRP用于器官特异性AT递送的可行性、安全性和准确性,同时防止了可能的脱靶毒性。因此,它可能代表了下一代AT递送的独特平台,并可能超越其他治疗药物,如药物或化疗到靶器官。
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引用次数: 0
Platelet Gene Expression in Systemic Lupus Erythematosus and Cardiovascular Health 系统性红斑狼疮血小板基因表达与心血管健康
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-15 DOI: 10.1016/j.jacbts.2025.101395
Matthew A. Muller MS , Elliot Luttrell-Williams MS , Hannah Bash BS , Macintosh G. Cornwell PhD , H. Michael Belmont MD , Peter Izmirly MD , Haley Rosmann BS , Michael S. Garshick MD , Tessa J. Barrett PhD , Stuart Katz MD , Kelly V. Ruggles PhD , Jill P. Buyon MD , Jeffrey S. Berger MD, MS
Systemic lupus erythematosus (SLE) is a complex autoimmune disease with an increased risk of vascular dysfunction and cardiovascular disease. We validate our previously developed Systemic Lupus Erythematosus Activity Platelet-Gene Expression Signature (SLAP-GES) score and investigate its relationship with platelet activity and vascular health. SLAP-GES was associated with the SLE Disease Activity Index (Padj < 0.001) and consistent over time (r = 0.76; P = 9 × 10−5). Moreover, SLAP-GES was associated increased platelet aggregation in response to submaximal epinephrine (P = 0.084), leukocyte platelet aggregates (P = 0.014), and neutrophil platelet aggregates (P = 0.043). SLAP-GES was also associated with impaired glycocalyx (P = 0.011) and brachial artery flow-mediated dilation (P = 0.045). Altogether, SLAP-GES is associated with SLE disease activity, platelet activity, and impaired vascular health.
系统性红斑狼疮(SLE)是一种复杂的自身免疫性疾病,血管功能障碍和心血管疾病的风险增加。我们验证了之前开发的系统性红斑狼疮活性血小板基因表达特征(SLAP-GES)评分,并研究其与血小板活性和血管健康的关系。SLAP-GES与SLE疾病活动指数(Padj < 0.001)相关,且随时间变化一致(r = 0.76; P = 9 × 10−5)。此外,SLAP-GES与亚最大值肾上腺素(P = 0.084)、白细胞血小板聚集(P = 0.014)和中性粒细胞血小板聚集(P = 0.043)的血小板聚集增加有关。SLAP-GES还与糖萼受损(P = 0.011)和肱动脉血流介导的扩张(P = 0.045)相关。总之,SLAP-GES与SLE疾病活动性、血小板活性和血管健康受损有关。
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引用次数: 0
Serum cFAS Content Correlates With Incidence of Peripheral Arterial Disease 血清cFAS含量与外周动脉疾病发病率相关
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-12 DOI: 10.1016/j.jacbts.2025.101411
Wahid Abu-Amer MD , Khaled Shorbaji MBBS , Rodrigo Meade BA , Sophia R. Pyeatte MD , Larisa Belaygorod MD , Mohamed S. Zaghloul MD , Shahab Hafezi MBBS , Louai Alrata MBBS , Amanda Penrose BA , Batool Arif MS , Stephen G. Wu PhD , Clay F. Semenkovich MD , Mohamed A. Zayed MD, PhD, MBA
There are currently no reliable serum biomarkers to aid in the diagnosis of peripheral artery disease (PAD). We hypothesized that circulating fatty acid synthase (cFAS) can be an independent diagnostic biomarker for PAD. Serum cFAS and demographics were compared for patients with and without PAD or chronic limb threatening ischemia (CLTI). Patients with PAD or CLTI had significantly higher serum cFAS content. We observed optimal cutoffs for cFAS in distinguishing between individuals with and without PAD or CLTI. Our study demonstrates that cFAS is an independent serum-based diagnostic biomarker for PAD, can distinguish between patients with PAD vs CLTI, and may predict disease severity.
目前还没有可靠的血清生物标志物来帮助诊断外周动脉疾病(PAD)。我们假设循环脂肪酸合成酶(cFAS)可以作为PAD的独立诊断生物标志物。比较了患有和不患有PAD或慢性肢体威胁缺血(CLTI)患者的血清cFAS和人口统计学特征。PAD或CLTI患者血清cFAS含量明显升高。我们观察到cFAS在区分患有和不患有PAD或CLTI的个体方面的最佳截止值。我们的研究表明,cFAS是一种独立的基于血清的PAD诊断生物标志物,可以区分PAD和CLTI患者,并可以预测疾病的严重程度。
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引用次数: 0
Neutrophils in Myocardial Infarction 心肌梗死中的中性粒细胞
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-01 DOI: 10.1016/j.jacbts.2025.101408
Matthias Nahrendorf MD, PhD (Editor-in-Chief, JACC: Basic to Translational Science) , Nina Kumowski MD , Sabine Steffens PhD
{"title":"Neutrophils in Myocardial Infarction","authors":"Matthias Nahrendorf MD, PhD (Editor-in-Chief, JACC: Basic to Translational Science) ,&nbsp;Nina Kumowski MD ,&nbsp;Sabine Steffens PhD","doi":"10.1016/j.jacbts.2025.101408","DOIUrl":"10.1016/j.jacbts.2025.101408","url":null,"abstract":"","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 11","pages":"Article 101408"},"PeriodicalIF":8.4,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Full Issue PDF 完整版PDF
IF 8.4 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-01 DOI: 10.1016/S2452-302X(25)00379-1
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引用次数: 0
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JACC: Basic to Translational Science
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