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Impaired retinoic acid signaling mediated Rbm20 downregulation induces aberrant splicing of CaV1.2 calcium channel: implications in myocardial hypertrophy 视黄酸信号通路受损介导的Rbm20下调诱导CaV1.2钙通道剪接异常:心肌肥大的意义。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-20 DOI: 10.1016/j.yjmcc.2025.11.011
Xinyu Song , Dan Yang , Zhe Sun , Shumin Yin , Chenhao Wang , Wei Hou , Yu Sun , Fen Zheng , Juejin Wang

Aims

Myocardial hypertrophy, a pathological adaptation to chronic stress, predisposes to heart failure through dysregulated calcium handling. Alternative splicing (AS) of CaV1.2 calcium channel participates in myocardial hypertrophy, and RNA-binding motif protein 20 (Rbm20) regulates CaV1.2 AS. Moreover, impaired retinoic acid receptor β (RARβ) is implicated in cardiac pathologies, but its roles in handling cardiac intracellular calcium during myocardial hypertrophy remain unknown. Here, we explore whether impaired RARβ exacerbates cardiac pathological remodeling by disrupting Rbm20-mediated CaV1.2 AS.

Methods and results

Transverse aortic constriction (TAC) and isoproterenol (ISO)-induced murine hypertrophic hearts showed increased CaV1.2 alternative exon 9* (CaV1.2E9*), accompanied with reduced Rbm20 expression. Rbm20 downregulated CaV1.2 exon 9* in cardiomyocytes. Bioinformatic analysis of human hypertrophic cardiomyopathy datasets revealed impaired RA signaling, marked by RARβ downregulation, which was confirmed in TAC hearts and ISO-treated neonatal rat ventricular myocytes (NRVMs). RARβ knockdown increased the proportion of CaV1.2E9* channels and K+-triggered intracellular Ca2+ concentration ([Ca2+]i) in NRVMs. Chromatin immunoprecipitation and dual-luciferase assays identified that RARβ directly binds to Rbm20 promoter region, and adapalene (ADP), a selective RARβ agonist, increased their binding affinity. For clinical relevance, ADP restored Rbm20 expression, normalized CaV1.2E9* splicing, decreased K+-triggered [Ca2+]i, and attenuated cardiomyocyte hypertrophy. In vivo, ADP administration alleviated myocardial hypertrophy in TAC mice.

Conclusion

Our findings reveal impaired RARβ drives CaV1.2 aberrant splicing by downregulating Rbm20, establishing a feedforward loop of intracellular calcium imbalances and hypertrophic remodeling. Significantly, ADP restores CaV1.2 AS and intracellular calcium homeostasis by activating RARβ in cardiomyocytes, highlighting a novel therapeutic approach for myocardial hypertrophy.
目的:心肌肥大是对慢性应激的一种病理适应,通过钙处理失调易导致心力衰竭。CaV1.2钙通道的选择性剪接(AS)参与心肌肥厚,rna结合基序蛋白20 (Rbm20)调控CaV1.2 AS。此外,受损的视黄酸受体β (RARβ)与心脏病理有关,但其在心肌肥大过程中处理心脏细胞内钙的作用尚不清楚。在这里,我们探讨受损的RARβ是否通过破坏rbm20介导的CaV1.2 AS而加剧心脏病理重塑。方法和结果:横断主动脉缩窄(TAC)和异丙肾上腺素(ISO)诱导的小鼠肥厚心脏显示CaV1.2替代外显子9* (CaV1.2 e9)升高,Rbm20表达降低。Rbm20下调心肌细胞CaV1.2外显子9*。人类肥厚性心肌病数据集的生物信息学分析显示RA信号受损,以RARβ下调为标志,这在TAC心脏和iso处理的新生大鼠心室肌细胞(nrvm)中得到证实。RARβ敲低增加了nrvm中CaV1.2E9通道的比例和K+触发的细胞内Ca2+浓度([Ca2+]i)。染色质免疫沉淀和双荧光素酶实验发现,RARβ直接结合Rbm20启动子区域,选择性RARβ激动剂阿达帕烯(ADP)增加了它们的结合亲和力。从临床意义上看,ADP恢复了Rbm20的表达,使CaV1.2E9剪接正常化,降低了K+触发的[Ca2+]i,减轻了心肌细胞肥大。体内给药ADP可减轻TAC小鼠心肌肥厚。结论:我们的研究结果表明,受损的RARβ通过下调Rbm20来驱动CaV1.2异常剪接,建立细胞内钙失衡和肥厚重塑的前馈循环。值得注意的是,ADP通过激活心肌细胞中的RARβ来恢复CaV1.2 AS和细胞内钙稳态,这为心肌肥大提供了一种新的治疗方法。
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引用次数: 0
Sphingosine-1-phosphate activates ICl,swell in ventricular myocytes via mitochondrial reactive oxygen production 鞘氨醇-1-磷酸通过线粒体活性氧产生激活心室肌细胞的ICl、肿胀。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-19 DOI: 10.1016/j.yjmcc.2025.11.009
Frank J. Raucci , Adolfo G. Mauro , Edward J. Lesnefsky , Clive M. Baumgarten
<div><h3>Aims</h3><div>We previously demonstrated that bacterial sphingomyelinase (SMase), which converts plasmalemmal sphingomyelin to long-chain ceramides, activates the swelling-activated chloride current (<em>I</em><sub><em>Cl,swell</em></sub>) in rabbit ventricular myocytes in a reactive oxygen (ROS)-dependent manner under isosmotic conditions. Ceramides can be converted to sphingosine by ceramidase and, in turn, phosphorylated by sphingosine kinase to yield sphingosine-1-phosphate (S1P), which binds to multiple cytoplasmic targets and activates S1P receptors via inside-out transport. This study was designed to determine the cellular source of ROS production elicited by SMase, the sphingolipid species responsible, and thereby, the mechanism of activation of <em>I</em><sub><em>Cl,swell</em></sub> by sphingolipids.</div></div><div><h3>Methods and results</h3><div>Whole-cell patch clamp experiments were conducted using freshly isolated rabbit ventricular myocytes. Inhibition of ceramidase with D-<em>erythro</em>-MAPP, which increases the concentration of endogenous ceramides in the cell membrane, prevented activation of <em>I</em><sub><em>Cl,swell</em></sub> upon exposure to SMase. Similarly, inhibition of sphingosine kinase with DL-<em>threo</em>-dihydrosphingosine to prevent SIP formation by phosphorylation of sphingosine also completely inhibited SMase-induced Cl<sup>−</sup> current. In contrast, addition of S1P to the bath solution elicited <em>I</em><sub><em>Cl,swell</em></sub>. ROS generated by both NADPH oxidase 2 (NOX2) and mitochondria previously were implicated in triggering <em>I</em><sub><em>Cl,swell</em></sub>. SMase-induced <em>I</em><sub><em>Cl,swell</em></sub> activation was abrogated by blocking mitochondrial electron transport at Complex I with rotenone but was insensitive to blockade of NOX2 with either apocynin or gp91ds-tat. Moreover, diazoxide, which augments mitochondrial ROS production, evoked <em>I</em><sub><em>Cl,swell</em></sub>, and 5-HD, an inhibitor of this pathway, reversed the SMase and diazoxide-induced currents. Flow cytometry using C-H<sub>2</sub>DCFDA-AM to assess cytoplasmic ROS in HL-1 myocytes confirmed the effects of the interventions on ROS production.</div></div><div><h3>Conclusions</h3><div>Taken together, these data suggest S1P is the sphingolipid that triggers <em>I</em><sub><em>Cl,swell</em></sub> in cardiomyocyte, and activation of <em>I</em><sub><em>Cl,swell</em></sub> by SMase and S1P is due to ROS produced by mitochondria and appears independent of NOX2.</div></div><div><h3>Translational perspective</h3><div><em>I</em><sub><em>Cl,swell</em></sub> modulates apoptosis, cell volume, action potential duration, and participation in mechanoelectrical feedback in cardiomyocytes. Persistent activation of <em>I</em><sub><em>Cl,swell</em></sub> is seen in several forms of cardiac disease, including dilated cardiomyopathy [<span><span>1</span></span>] and models of heart failure [<span><span>2</span></span
目的:我们之前已经证明,细菌鞘磷脂酶(SMase)可以将血浆鞘磷脂转化为长链神经酰胺,在等渗条件下以活性氧(ROS)依赖的方式激活兔心室肌细胞中肿胀激活的氯电流(ICl,肿胀)。神经酰胺可以通过神经酰胺酶转化为鞘氨醇,然后通过鞘氨醇激酶磷酸化生成鞘氨醇-1-磷酸(S1P),其结合多个细胞质靶点并通过内向外运输激活S1P受体。本研究旨在确定由鞘脂类SMase引起的ROS产生的细胞来源,从而确定鞘脂激活ICl、膨胀的机制。方法和结果:采用新鲜分离的兔心室肌细胞进行全细胞膜片钳实验。用d - red - mapp抑制神经酰胺酶,增加细胞膜内源性神经酰胺的浓度,阻止暴露于SMase后ICl的激活和肿胀。同样,用dl -三氢鞘氨醇抑制鞘氨醇激酶,通过鞘氨醇磷酸化阻止SIP的形成,也完全抑制了smase诱导的Cl-电流。相反,在浴液中加入S1P会引起ICl,膨胀。由NADPH氧化酶2 (NOX2)和线粒体产生的ROS先前涉及触发ICl,肿胀。smase诱导的ICl,肿胀激活可以通过鱼藤酮阻断复合物I的线粒体电子传递来消除,但对夹带素或gp91ds-tat阻断NOX2不敏感。此外,增加线粒体ROS产生的二氮氧化物,可诱发ICl、swell和5-HD(该途径的抑制剂),逆转SMase和二氮氧化物诱导的电流。使用C-H2DCFDA-AM流式细胞术评估HL-1肌细胞的细胞质ROS,证实了干预对ROS产生的影响。结论:综上所述,这些数据表明S1P是触发心肌细胞ICl、肿胀的鞘脂,SMase和S1P对ICl、肿胀的激活是由于线粒体产生的ROS,并且与NOX2无关。翻译角度:ICl,肿胀调节心肌细胞的凋亡,细胞体积,动作电位持续时间和参与机电反馈。ICl持续激活,肿胀可见于多种心脏疾病,包括扩张型心肌病[1]和心力衰竭模型[2]。此外,它还与代谢综合征和随后的2型糖尿病(DM2)发展有关。这意味着一种复杂的关系,其中可能既有对受损心肌细胞的直接影响,也有对心血管系统的间接影响,导致慢性细胞应激,如在DM2中所见。该报告首次证明,S1P通过破坏线粒体呼吸链导致ROS释放来增强心肌细胞的ICl、肿胀激活。这为治疗以鞘脂代谢改变为特征的扩张型心肌病或代谢综合征等心血管疾病提供了潜在的治疗靶点。
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引用次数: 0
Central regulation of the heart in type 2 diabetes mellitus 2型糖尿病患者心脏的中枢调节。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-19 DOI: 10.1016/j.yjmcc.2025.11.012
Shivani Sethi , Isaiah Cheong , Carol T. Bussey , Daryl O. Schwenke , Jeffrey R. Erickson , Colin H. Brown , Regis R. Lamberts
Diabetic heart disease is a leading cause of morbidity and mortality in individuals with type 2 diabetes mellitus (T2DM). A major yet frequently under-recognized component of diabetic heart disease is cardiac autonomic neuropathy (CAN), a condition characterized by dysregulated sympathetic and parasympathetic drive to the heart.
Current pharmacological treatments for diabetic CAN are often ineffective, having been extrapolated from other health conditions. These therapies predominantly target the peripheral symptoms of elevated sympathetic activity, whilst largely neglecting its origins in sympathoexcitatory regions of the central autonomic network. Sympathetic control of cardiac function originates from the hypothalamus, medulla oblongata, midbrain, and pons, and is relayed through the intermediolateral cell column of the thoracic spinal cord and the intrinsic cardiac nervous system. Targeting the central autonomic network to modulate cardiac sympathetic drive presents a promising novel therapeutic avenue for the treatment of diabetic CAN.
This review briefly summarizes established knowledge regarding the pathophysiology and management of diabetic CAN, and the implications of recent findings of increased neuronal activation in central sympathoregulatory regions early in the development of T2DM. Increased cardiac sympathetic in the intital stages of T2DM might represent a novel therapeutic target to reduce the impact of CAN and thereby improve outcomes in patients with T2DM.
糖尿病性心脏病是2型糖尿病(T2DM)患者发病和死亡的主要原因。糖尿病性心脏病的一个主要但经常被忽视的组成部分是心脏自主神经病变(CAN),这是一种以交感和副交感神经驱动失调为特征的疾病。目前的药物治疗糖尿病CAN往往是无效的,已经从其他健康状况推断。这些疗法主要针对交感神经活动升高的外周症状,而在很大程度上忽视了其起源于中央自主神经网络的交感神经兴奋区。交感神经对心功能的控制起源于下丘脑、延髓、中脑和脑桥,并通过胸脊髓的中外侧细胞柱和心脏固有神经系统传递。靶向中枢自主神经网络调节心脏交感神经驱动为糖尿病性CAN的治疗提供了一条有前景的新途径。这篇综述简要总结了关于糖尿病CAN的病理生理学和治疗的现有知识,以及最近发现的在T2DM发展早期中央交感神经调节区神经元激活增加的意义。在T2DM的初始阶段增加心脏交感神经可能是一种新的治疗靶点,可以减少CAN的影响,从而改善T2DM患者的预后。
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引用次数: 0
Interplay between variability in intrinsic cellular properties and heart failure-associated remodeling in a simulated population with human heart failure 在模拟人类心力衰竭人群中,内在细胞特性变异性与心力衰竭相关重构之间的相互作用
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-18 DOI: 10.1016/j.yjmcc.2025.11.008
Jacob A. Miller , Nicolae Moise , Mario J. Mendez , Seth H. Weinberg
Heart failure (HF) is the presentation of mechanical pump dysfunction, with HF patients facing increased risk of sudden cardiac death predominantly driven by ventricular arrhythmias. At the cellular level, HF is associated with remodeling of ionic currents and fluxes, as well as chronic activation of β-adrenergic signaling pathways, ultimately resulting in pathological changes in action potential and intracellular calcium transient characteristics. However, it is challenging to understand the mechanistic underpinnings of HF and associated arrhythmias across diverse populations, due to both inter-individual variability and variability in disease-associated remodeling. In this study, we perform numerical simulations of a model of human ventricular myocytes, utilizing a novel population approach to distinctly represent the variability in both intrinsic cellular properties and properties of HF-associated ionic and β-adrenergic signaling remodeling, to predict key outcomes of arrhythmia susceptibility and the presentation of the HF phenotype. We highlight the cellular properties and remodeling leading to both arrhythmia and the HF phenotype, noting key similarities and differences. Critically, we find that the relationship between intrinsic cellular properties and outcome (i.e., arrhythmia susceptibility or the HF phenotype) can be different than the relationship between remodeling severity and outcome, with the expression levels and remodeling severity of inwardly rectifying potassium current (IK1) and the sodium–calcium exchanger (INaCa) as notable examples. Finally, we find that upregulation of specific β-adrenergic signaling molecules are predicted to be protective against arrhythmia. Overall, our study presents a novel approach to investigate inter-individual and disease variability and identifies how the interplay between the intrinsic variability in electrophysiology and heart failure-associated remodeling influences arrhythmias in the setting of human heart failure.
心衰(HF)是机械泵功能障碍的表现,心衰患者主要由室性心律失常导致心源性猝死的风险增加。在细胞水平上,HF与离子电流和通量的重塑以及β-肾上腺素能信号通路的慢性激活有关,最终导致动作电位和细胞内钙瞬态特性的病理改变。然而,由于个体间变异性和疾病相关重构的变异性,理解不同人群中HF和相关心律失常的机制基础是具有挑战性的。在这项研究中,我们对人类心室肌细胞模型进行了数值模拟,利用一种新的群体方法来清楚地代表内在细胞特性和HF相关离子和β-肾上腺素能信号重塑特性的可变性,以预测心律失常易感性的关键结果和HF表型的呈现。我们强调导致心律失常和HF表型的细胞特性和重塑,注意到关键的相似性和差异性。重要的是,我们发现内在细胞特性与预后(即心律失常易感性或HF表型)之间的关系可能不同于重构严重程度与预后之间的关系,其中内整流钾电流(IK1)和钠钙交换器(INaCa)的表达水平和重构严重程度是值得注意的例子。最后,我们发现特异性β-肾上腺素能信号分子的上调被预测对心律失常有保护作用。总的来说,我们的研究提出了一种新的方法来研究个体间和疾病变异性,并确定电生理的内在变异性和心力衰竭相关重构之间的相互作用如何影响人类心力衰竭情况下的心律失常。
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引用次数: 0
Spatiotemporal determinants of stretch-activated channel-induced re-entry in ventricular tissue: An in-silico study 拉伸激活通道诱导心室组织再入的时空决定因素:一项计算机研究。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-17 DOI: 10.1016/j.yjmcc.2025.11.007
Melania Buonocunto , Tammo Delhaas , Aurore Lyon , Jordi Heijman , Joost Lumens
Stretch-activated ion channels (SACs) mediate mechano-electric feedback in cardiomyocytes by coupling mechanical and electrical activity. While SACs activation can induce pro-arrhythmic effects at the cellular level, its impact on tissue-level arrhythmias remains poorly understood. Particularly unclear are the specific stretch characteristics that promote arrhythmogenesis, a knowledge gap largely due to limited experimental control over these parameters.
We investigated how SACs activation affects excitation-wave propagation in simulated ventricular tissue and identified parameters promoting arrhythmias, with relevance to commotio cordis, in which a chest impact can trigger ventricular arrhythmias and sudden cardiac death. Our approach employed a validated human ventricular action potential model incorporating three types of SACs (non-selective, potassium-selective, and calcium-selective) applied to a two-dimensional tissue framework. Through systematic multiparameter analysis, we examined the effects of stretch stimulus parameters (amplitude, duration, timing), spatial characteristics (area, location, gradient), and tissue properties (size, conduction velocity).
Our simulations revealed that re-entry arises from interactions between stretch-induced depolarization waves and repolarization tails of preceding excitation waves. Acute supra-threshold stretch (i.e., stretch able to trigger an action potential) initiated re-entries with increased likelihood when path lengths were longer and when stretched regions were closer to non-conducting borders oriented perpendicular to the line of block. Furthermore, stretch amplitude gradients attenuated pro-arrhythmic effects, while sustained sub-threshold stretch either reduced conduction velocity or caused conduction block. This in silico analysis demonstrates that tissue-level proarrhythmic effects of stretch depend on complex interactions between stretch stimulus characteristics, spatial parameters, and tissue properties.
拉伸激活离子通道(SACs)通过耦合机械和电活动介导心肌细胞的机电反馈。虽然SACs激活可以在细胞水平诱导促心律失常作用,但其对组织水平心律失常的影响尚不清楚。尤其不清楚的是促进心律失常发生的特定拉伸特征,这一知识差距主要是由于对这些参数的实验控制有限。我们研究了SACs激活如何影响模拟心室组织中的兴奋波传播,并确定了促进心律失常的参数,与心绞痛相关,其中胸部撞击可引发室性心律失常和心源性猝死。我们的方法采用了一个经过验证的人类心室动作电位模型,该模型将三种类型的SACs(非选择性、钾选择性和钙选择性)应用于二维组织框架。通过系统的多参数分析,我们研究了拉伸刺激参数(振幅、持续时间、时间)、空间特征(面积、位置、梯度)和组织特性(大小、传导速度)的影响。我们的模拟表明,再入是由拉伸诱导的退极化波和前激励波的复极化尾之间的相互作用引起的。急性超阈拉伸(即能够触发动作电位的拉伸)在路径长度较长且拉伸区域更接近于垂直于块线的非导电边界时,会增加重新进入的可能性。此外,拉伸幅度梯度减弱了促心律失常效应,而持续的亚阈值拉伸要么降低了传导速度,要么导致传导阻滞。这一计算机分析表明,拉伸的组织水平致心律失常效应取决于拉伸刺激特征、空间参数和组织特性之间复杂的相互作用。
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引用次数: 0
PhysioMEA: Signal processing platform for rate and rhythm analysis of multi-electrode array cardiac electrophysiological recordings PhysioMEA:多电极阵列心脏电生理记录的频率和节律分析信号处理平台。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-17 DOI: 10.1016/j.yjmcc.2025.11.006
Ido Weiser-Bitoun , Savyon Mazgaoker , Shani Assayag , Moran Davoodi , Alexandra Alexandrovich , Yael Yaniv
Cardiac organoids serve as a valuable model for studying physiological and pathophysiological processes affecting heart rate and rhythm. Multi-electrode arrays (MEA) are widely used for high-throughput electrophysiological assessments. Despite the widespread use of MEA technology in cardiac research, current analysis tools primarily focus on one dimensional (1D) electrophysiological biomarkers and on average interbeat intervals.
We aim to develop innovative algorithms to expand cardiac electrophysiological analysis by enabling standardized biomarker calculation, spatiotemporal biomarker dynamics assessment, and comprehensive beat rate variability (BRV) analysis of cardiac organoids.
Electrograms were recorded from spontaneously beating cardiac organoids (n = 15), generated from human-induced pluripotent stem cell-derived cardiomyocytes, using 8 × 8 electrode MEA plates. Novel algorithms were developed for R-, S-, and T-peak detection, as well as advanced two dimensions (2D) electrical signal processing of these biomarkers. All algorithms were implemented on the PhysioMEA platform.
Biomarker distributions in cardiac organoids exhibited a high degree of similarity in 1D under basal conditions, as indicated by their coefficients of variation (p-value >0.209). In 2D, R- to S-peaks amplitude, maximal slope, peak-to-peak duration and field potential duration coefficients of variation were 39.04 %, 46.95 %, 22.76 %, and 25.00 %, respectively. Additionally, comprehensive analysis of BRV revealed primarily very low frequency content (63.42 %) in cardiac organoid interbeat interval spectra compared to low- and high-frequency components (15.57 % and 21.02 %, respectively).
Thus, 1D and 2D electrophysiological analysis and BRV assessment of cardiac organoids using the open-source PhysioMEA platform, shows high similarities in 1D, but not in 2D, between different physiological biomarkers.
心脏类器官是研究影响心率和节律的生理和病理生理过程的一个有价值的模型。多电极阵列(MEA)被广泛用于高通量电生理评估。尽管MEA技术在心脏研究中被广泛使用,但目前的分析工具主要集中在一维(1D)电生理生物标志物和平均心跳间隔上。我们的目标是通过标准化的生物标志物计算、时空生物标志物动力学评估和心脏类器官的综合心率变异性(BRV)分析,开发创新的算法来扩展心脏电生理分析。使用8个 × 8电极MEA板记录由人诱导的多能干细胞衍生的心肌细胞产生的自发跳动的心脏类器官(n = 15)的电图。研究人员开发了R、S和t峰检测的新算法,以及这些生物标志物的先进二维(2D)电信号处理。所有算法均在PhysioMEA平台上实现。从变异系数(p值>0.209)可以看出,在基础条件下,心脏类器官中生物标志物的分布在1D中表现出高度的相似性。在2D中,R- s峰振幅、最大斜率、峰间持续时间和场电位持续时间变异系数分别为39.04 %、46.95 %、22.76 %和25.00 %。此外,BRV的综合分析显示,与低频和高频成分(分别为15.57 %和21.02 %)相比,心脏类器官搏动间隔谱中的频率含量主要非常低(63.42 %)。因此,使用开源的PhysioMEA平台对心脏类器官进行1D和2D电生理分析和BRV评估,显示出不同生理生物标志物在1D上高度相似,而在2D上不相似。
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引用次数: 0
Small-scale siRNA screen reveals WWC2 as a novel regulator of cardiomyocyte mitosis 小规模siRNA筛选显示WWC2是心肌细胞有丝分裂的一种新的调节因子。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-15 DOI: 10.1016/j.yjmcc.2025.11.004
Dogacan Yücel , Calvin Smith , Natalia Ferreira de Araujo , Fernando Souza-Neto , Upendra Chalise , Grace Schuler , Bayardo I. Garay , Jennifer L. Mikkila , Omar Atef Abdelhamid Mahmoud , Pratima Mandal , Rita C.R. Perlingeiro , Jop H. van Berlo

Summary (145)

Adult cardiomyocytes exit the cell cycle soon after birth, although this shift can be reversed by molecular interventions. To identify novel regulators of cardiomyocyte proliferation, we performed a comparative transcriptomic analysis of actively proliferating and non-proliferating cardiomyocytes across key pre-and post-natal developmental timepoints. Integration of bioinformatics analyses with a functional screen of 238 differentially expressed genes identified WWC2 as a regulator of cell cycle exit. Inhibition of Wwc2 induced cell cycle entry with completion of mitosis and cytokinesis, while overexpression of WWC2 induced cell cycle exit. Moreover, inhibition of Wwc2 resulted in dedifferentiation of cardiomyocytes with reduced expression of sarcomeric and calcium handling genes. Mechanistically, WWC2 binds to 14–3-3 and regulates YAP phosphorylation and expression. In vivo, deletion of Wwc2 stimulated cardiac regeneration after myocardial infarction. These results identify WWC2 as an important regulator of cardiomyocyte cell cycle exit and initiation of the maturation process.
成人心肌细胞在出生后不久就退出细胞周期,尽管这种转变可以通过分子干预来逆转。为了确定心肌细胞增殖的新调控因子,我们在关键的产前和产后发育时间点对活跃增殖和非增殖心肌细胞进行了比较转录组学分析。将生物信息学分析与238个差异表达基因的功能筛选相结合,确定WWC2是细胞周期退出的调节因子。抑制Wwc2诱导细胞周期进入并完成有丝分裂和细胞质分裂,而过表达Wwc2诱导细胞周期退出。此外,Wwc2的抑制导致心肌细胞去分化,并减少肌合成和钙处理基因的表达。机制上,WWC2结合14-3-3调控YAP磷酸化和表达。在体内,Wwc2的缺失刺激心肌梗死后的心脏再生。这些结果表明WWC2是心肌细胞周期退出和成熟过程开始的重要调节因子。
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引用次数: 0
Soluble epoxide hydrolase deficiency rescues heart failure with preserved ejection fraction by targeting cytochrome P450 2E1 可溶性环氧化物水解酶缺乏症通过靶向细胞色素P450 2E1挽救心力衰竭并保留射血分数。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-15 DOI: 10.1016/j.yjmcc.2025.11.005
Min Zhang , Chen Chen , Xinxing Liu , Zhou Zhou , Gen Li , Xiangrui Jiang , Jingshan Shen , Hualiang Jiang , Zheng Wen , Yan Liu , Dao Wen Wang

Background

Our prior clinical studies established a positive correlation between sEH activity and mortality in heart failure with preserved ejection fraction (HFpEF), the pathophysiological role of the sEH/EET axis in metabolic stress (obesity and metabolic syndrome) and mechanical stress (hypertension)-induced HFpEF remains unknown.

Methods

We elucidated the function and mechanism of sEH and EETs in ‘two-hit’ (high-fat diet and inhibition of constitutive nitric oxide synthase using Nω-nitrol-arginine methyl ester) HFpEF animal model. Langendorff system was applied to isolate cardiomyocytes from HFpEF mice. Recombinant adeno-associated virus type 9 was used to deliver cytochrome P450 2E1 (CYP2E1) to cardiac-specific knockout sEH HFpEF mice through the tail vein.

Results

sEH activity and expression were upregulated, while EETs levels were reduced in the hearts and isolated cardiomyocytes from HFpEF mice or cardiomyocyte cell lines pretreated with palmitate acid and Nω-nitrol-arginine methyl ester. Desuccinylation, a posttranslational modification of sEH (K)191, maintained the activity of sEH in HFpEF. Genetic or pharmacological inhibition of the sEH restored the levels of EETs and ameliorated HFpEF phenotype with significantly improved diastolic dysfunction and cardiac remodeling. Mechanically, sEH inhibitors (sEHIs) targeted CYP2E1, a crucial CYP450 enzyme, to inhibit reactive oxygen species (ROS) and fatty acid uptake. Overexpressing CYP2E1 abolished the protective effects of sEH inhibition in vivo.

Conclusions

These findings confirmed sEH as a therapeutic target in metabolic stress and mechanical stress-induced HFpEF mice model via the cardioprotective effects of EETs, which were mediated partially by targeting CYP2E1, suggesting the development of therapeutic strategies for patients with HFpEF.
背景:我们之前的临床研究证实了sEH活性与保留射血分数(HFpEF)心力衰竭患者死亡率之间的正相关,但sEH/EET轴在代谢应激(肥胖和代谢综合征)和机械应激(高血压)诱导的HFpEF中的病理生理作用尚不清楚。方法:采用ω-硝基精氨酸甲酯(n ω-硝基精氨酸甲酯)HFpEF动物模型,研究sEH和EETs在高脂饮食和抑制组成型一氧化氮合酶的“双打击”模型中的作用和机制。采用Langendorff系统分离HFpEF小鼠心肌细胞。利用重组腺相关病毒9型通过尾静脉将细胞色素P450 2E1 (CYP2E1)传递给心脏特异性敲除sEH的HFpEF小鼠。结果:经棕榈酸和n ω-硝基精氨酸甲酯预处理的HFpEF小鼠或心肌细胞系的心脏和离体心肌细胞中sEH活性和表达上调,EET水平降低。sEH (K)191的翻译后修饰去琥珀酰化维持了HFpEF中sEH的活性。遗传或药物抑制sEH恢复EETs水平,改善HFpEF表型,显著改善舒张功能障碍和心脏重塑。机械上,sEH抑制剂(sEHIs)靶向CYP2E1(一种关键的CYP450酶)来抑制活性氧(ROS)和脂肪酸的摄取。体内过表达CYP2E1可消除sEH抑制的保护作用。结论:这些发现证实了sEH是代谢应激和机械应激诱导的HFpEF小鼠模型的治疗靶点,EETs的心脏保护作用部分是通过靶向CYP2E1介导的,提示了HFpEF患者治疗策略的发展。
{"title":"Soluble epoxide hydrolase deficiency rescues heart failure with preserved ejection fraction by targeting cytochrome P450 2E1","authors":"Min Zhang ,&nbsp;Chen Chen ,&nbsp;Xinxing Liu ,&nbsp;Zhou Zhou ,&nbsp;Gen Li ,&nbsp;Xiangrui Jiang ,&nbsp;Jingshan Shen ,&nbsp;Hualiang Jiang ,&nbsp;Zheng Wen ,&nbsp;Yan Liu ,&nbsp;Dao Wen Wang","doi":"10.1016/j.yjmcc.2025.11.005","DOIUrl":"10.1016/j.yjmcc.2025.11.005","url":null,"abstract":"<div><h3>Background</h3><div>Our prior clinical studies established a positive correlation between sEH activity and mortality in heart failure with preserved ejection fraction (HFpEF), the pathophysiological role of the sEH/EET axis in metabolic stress (obesity and metabolic syndrome) and mechanical stress (hypertension)-induced HFpEF remains unknown.</div></div><div><h3>Methods</h3><div>We elucidated the function and mechanism of sEH and EETs in ‘two-hit’ (high-fat diet and inhibition of constitutive nitric oxide synthase using Nω-nitrol-arginine methyl ester) HFpEF animal model. Langendorff system was applied to isolate cardiomyocytes from HFpEF mice. Recombinant adeno-associated virus type 9 was used to deliver cytochrome P450 2E1 (CYP2E1) to cardiac-specific knockout sEH HFpEF mice through the tail vein.</div></div><div><h3>Results</h3><div>sEH activity and expression were upregulated, while EETs levels were reduced in the hearts and isolated cardiomyocytes from HFpEF mice or cardiomyocyte cell lines pretreated with palmitate acid and Nω-nitrol-arginine methyl ester. Desuccinylation, a posttranslational modification of sEH (K)<sup>191</sup>, maintained the activity of sEH in HFpEF. Genetic or pharmacological inhibition of the sEH restored the levels of EETs and ameliorated HFpEF phenotype with significantly improved diastolic dysfunction and cardiac remodeling. Mechanically, sEH inhibitors (sEHIs) targeted CYP2E1, a crucial CYP450 enzyme, to inhibit reactive oxygen species (ROS) and fatty acid uptake. Overexpressing CYP2E1 abolished the protective effects of sEH inhibition in vivo.</div></div><div><h3>Conclusions</h3><div>These findings confirmed sEH as a therapeutic target in metabolic stress and mechanical stress-induced HFpEF mice model via the cardioprotective effects of EETs, which were mediated partially by targeting CYP2E1, suggesting the development of therapeutic strategies for patients with HFpEF.</div></div>","PeriodicalId":16402,"journal":{"name":"Journal of molecular and cellular cardiology","volume":"210 ","pages":"Pages 98-108"},"PeriodicalIF":4.7,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145540934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Cardiac fibroblasts-specific USP7 drives post-infarction cardiac fibrosis by deubiquitinating Krüppel-like factor 7 to promote myofibroblast activation 心肌成纤维细胞特异性USP7通过去泛素化kr<e:1>样因子7促进肌成纤维细胞活化来驱动梗死后心肌纤维化。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-12 DOI: 10.1016/j.yjmcc.2025.11.001
Jie Yang , Shaopeng Cheng , Hoshun Chong , Qiuyan Zong , Yilin Wang , Tingting Tong , Yi Jiang , Jian Shi , Ronghuang Yu , Xiujuan Cai , Hanqing Luo , Hao Chen , Chuiyu Kong , Yunxing Xue , Dongjin Wang
Although cardiac fibroblast-to-myofibroblast transition (FMT) can critically exacerbate collagen deposition and adverse remodeling after myocardial infarction (MI), the underlying regulatory mechanisms remains unclear. While ubiquitin-specific protease 7 (USP7), a deubiquitinating enzyme, has been implicated in cardiomyocyte ischemia injury, its role in myofibroblast transition following MI is unknown. Here, we identify cardiac fibroblasts-specific USP7 as a key mediator of FMT and fibrosis. USP7 expression was upregulated in infarcted murine hearts and isolated cardiac fibroblasts, and the upregulated expression was correlated with human fibrotic myocardium. Silencing of USP7 expression suppressed transforming growth factor (TGF)-β1-induced FMT and reduced the expression of α-SMA. In comparison with the findings in USP7flox/flox mice, specific knockout of USP7 in cardiac fibroblasts and in myofibroblasts greatly attenuated fibrotic remodeling and ventricular dysfunction post-MI. Mechanistically, USP7 directly bound to Krüppel-like factor 7 (KLF7) through the N-terminal tumor necrosis factor receptor-associated factor (TRAF)-like domain, causing deubiquitination of KLF7. Cysteine at position 223 (C223) of USP7 induced K48 deubiquitination to promote KLF7 nuclear accumulation, thereby facilitating transcription of GATA3 by directly binding to the GATA3 promoter to induce the expression of pro-fibrosis genes. Adeno-associated virus 9 (AAV9)-mediated USP7 overexpression worsened systolic dysfunction and adverse remodeling. The protective effects of USP7 knockout were abolished by KLF7 overexpression. Our results indicate that USP7 contributes to FMT, thereby aggravating adverse remodeling and cardiac dysfunction by deubiquitinating KLF7 post-MI. Our findings characterize the USP7-KLF7-GATA3 axis as a novel regulator of FMT and propose fibroblast USP7 as a therapeutic target for post-MI remodeling.
尽管心肌成纤维细胞向肌成纤维细胞转化(FMT)可严重加剧心肌梗死(MI)后的胶原沉积和不良重构,但其潜在的调节机制尚不清楚。虽然泛素特异性蛋白酶7 (USP7)是一种去泛素化酶,与心肌细胞缺血损伤有关,但其在心肌梗死后肌成纤维细胞转化中的作用尚不清楚。在这里,我们发现心脏成纤维细胞特异性USP7是FMT和纤维化的关键介质。USP7在梗死小鼠心脏和离体心脏成纤维细胞中表达上调,且上调表达与人纤维化心肌相关。沉默USP7表达可抑制转化生长因子(TGF)-β1诱导的FMT,降低α-SMA的表达。与USP7flox/flox小鼠的研究结果相比,在心肌成纤维细胞和肌成纤维细胞中特异性敲除USP7可大大减轻心肌梗死后的纤维化重塑和心室功能障碍。机制上,USP7通过n端肿瘤坏死因子受体相关因子(TRAF)样结构域直接与kr ppel样因子7 (KLF7)结合,导致KLF7去泛素化。USP7 223位(C223)半胱氨酸诱导K48去泛素化,促进KLF7核积累,从而通过直接结合GATA3启动子促进GATA3转录,诱导促纤维化基因表达。腺相关病毒9 (AAV9)介导的USP7过表达加重了收缩功能障碍和不良重构。KLF7过表达可消除USP7敲除的保护作用。我们的研究结果表明,USP7有助于FMT,从而通过去泛素化KLF7加重心肌梗死后的不良重塑和心功能障碍。我们的研究结果将USP7- klf7 - gata3轴描述为FMT的一种新的调节因子,并提出成纤维细胞USP7作为心肌梗死后重构的治疗靶点。
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引用次数: 0
Novel angiotensin receptor target as therapy for the diabetic heart: the AT2R 新的血管紧张素受体靶点治疗糖尿病心脏:AT2R。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-11 DOI: 10.1016/j.yjmcc.2025.11.003
Mandy Li, Yan Wang, Robert E. Widdop
Diabetic-related heart complications, exemplified by heart failure, represents a growing global health burden, characterised by deterioration of cardiac function, disturbances in cardiac structure such as left ventricular geometry and tissue composition. The underlying molecular mechanisms of diabetic heart failure are multifaceted, and both inflammation and oxidative stress are identified as key drivers in disease progression. Current treatments primarily focus on glycaemic control to prevent heart failure in diabetic patients, but their direct effects on the myocardium are not always clear. Upregulation of the renin-angiotensin system in the diabetic heart presents itself as a compelling therapeutic opportunity, particularly through the counter-regulatory angiotensin II type 2 receptor (AT2R) axis. AT2R activation confers cardioprotection in experimental diabetes and heart failure by attenuating pathological cardiac remodelling, including fibrosis and hypertrophy. These effects are facilitated by reductions in oxidative stress and endothelial dysfunction, enhanced nitric oxide signalling and suppression of NF-κB signalling and subsequent inflammation. This review describes the progress made to date, profiling the preclinical benefits of AT2R activation, using a suite of current and new-generation AT2R agonists in the heart, and provides evidence for the potential therapeutic use of AT2R agonists as a novel anti-fibrotic strategy, alone or in combination with standard therapy, for diabetic heart failure.
以心力衰竭为代表的与糖尿病有关的心脏并发症是日益严重的全球健康负担,其特点是心功能恶化、左心室几何形状和组织组成等心脏结构紊乱。糖尿病性心力衰竭的潜在分子机制是多方面的,炎症和氧化应激都被认为是疾病进展的关键驱动因素。目前的治疗主要集中在血糖控制以预防糖尿病患者的心力衰竭,但其对心肌的直接影响并不总是明确的。糖尿病心脏肾素-血管紧张素系统的上调是一个令人信服的治疗机会,特别是通过抗调节血管紧张素II型2受体(AT2R)轴。AT2R激活通过减轻病理性心脏重构(包括纤维化和肥厚),为实验性糖尿病和心力衰竭患者提供心脏保护。氧化应激和内皮功能障碍的减少、一氧化氮信号的增强、NF-κB信号和随后的炎症的抑制促进了这些作用。这篇综述描述了迄今为止取得的进展,分析了AT2R激活的临床前益处,在心脏中使用了一套当前和新一代的AT2R激动剂,并为AT2R激动剂作为一种新的抗纤维化策略的潜在治疗用途提供了证据,单独或与标准治疗联合,用于糖尿病性心力衰竭。
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引用次数: 0
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Journal of molecular and cellular cardiology
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