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The RNA-binding protein Quaking is essential for cardiac homeostasis and function by regulating Morf4l2 splicing rna结合蛋白震动通过调节Morf4l2剪接对心脏稳态和功能至关重要。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-08 DOI: 10.1016/j.yjmcc.2025.11.002
Sunaina Kumari , Shashi , Sandhya Singh , Abinash Swain , Shakti Prakash , Pragya Chitkara , Rakesh Kumar Sharma , Pratyush Agarwal , Samprikta Kundu , Aakash Gaur , Renu Kumari , Abhipsa Sinha , Shambhabi Chatterjee , Pankaj Prasun , Oliver Hummel , Bhaskar Pant , Kinshuk Raj Srivastava , Norbert Hübner , Dipak Datta , Kalyan Mitra , Shashi Kumar Gupta

Background

Lower levels of Qki were reported in human and mouse-failing hearts, implicating its involvement in cardiac diseases. However, the molecular and functional effects of its downregulation in adult myocardium remain largely unknown.

Objective

We aim to uncover the effects of Qki knockdown in adult hearts.

Methods & results

Here we show that AAV9-mediated knockdown of Qki by shRNAs in the hearts of adult BALB/c mice led to cardiac malfunction, atrophy, apoptosis, heart failure, and death within two weeks. Global transcriptomic analysis of Qki knockdown hearts revealed significant dysregulation of 996 alternative splicing events upon Qki knockdown. Mechanistically, we discovered that loss of Qki promotes the exclusion of the third exon of Morf4l2, leading to higher expression of exon three excluded variant (Morf4l2Δex3). Like rodents, the RNA-seq dataset from 108 human hearts revealed a lower splice junction count of MORF4L2 exon three in hearts with low levels of QKI compared to subjects with higher QKI levels. Specific knockdown of Morf4l2Δex3 rescues Qki knockdown-induced cardiac cachexia and improves cardiac function. Moreover, Morf4l2Δex3 was increased in the colon cancer-induced cardiac cachexia mouse model, and its inhibition prevented cardiac cachexia and improved cardiac function. Mechanistically, exon three of Morf4l2 lies in the 5’UTR, and its exclusion leads to higher expression of MORF4L2 upon Qki knockdown due to the lack of a G2-quadruplex. Importantly, MORF4L2 protein sequence and localization were not affected by alternative splicing as exon three lies in the 5’UTR. We found that MORF4L2 is a chromatin-bound protein and regulates H3K27ac.

Conclusion

Qki knockdown in the adult heart leads to cardiac cachexia due to the alteration of Morf4l2 splicing. Inhibition of Morf4l2Δex3 inhibits cancer-induced cardiac cachexia, demonstrating it as a potential therapeutic target.
背景:据报道,在人类和小鼠衰竭的心脏中,Qki水平较低,这意味着它与心脏病有关。然而,其下调在成人心肌中的分子和功能作用在很大程度上仍然未知。目的:揭示Qki基因敲低在成人心脏中的作用。方法与结果:在成年BALB/c小鼠的心脏中,我们发现aav9介导的shrna敲低Qki可导致心脏功能障碍、萎缩、细胞凋亡、心力衰竭和两周内死亡。Qki基因敲低心脏的全球转录组学分析显示,Qki基因敲低后,996个备选剪接事件显著失调。从机制上讲,我们发现Qki的缺失促进Morf4l2的第三外显子被排除,导致第三外显子被排除的变体表达增加(Morf4l2Δex3)。与啮齿类动物一样,来自108个人类心脏的RNA-seq数据集显示,与QKI水平较高的受试者相比,QKI水平较低的心脏中MORF4L2外显子3的剪接连接计数较低。特异性敲低Morf4l2Δex3可缓解Qki敲低引起的心脏恶病质,改善心功能。此外,Morf4l2Δex3在结肠癌诱导的心脏恶病质小鼠模型中表达增加,其抑制作用可预防心脏恶病质,改善心功能。从机制上讲,Morf4l2的外显子3位于5'UTR,由于缺乏g2 -四重体,它的排除导致Qki敲低时Morf4l2的表达增加。重要的是,MORF4L2蛋白的序列和定位不受选择性剪接的影响,因为外显子3位于5'UTR中。我们发现MORF4L2是一种染色质结合蛋白并调节H3K27ac。结论:成人心脏Qki基因敲低可通过Morf4l2剪接改变导致心脏恶病质的发生。抑制Morf4l2Δex3抑制癌症诱导的心脏恶病质,证明它是一个潜在的治疗靶点。
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引用次数: 0
Slit2-robo signaling regulates angiogenesis and repair following myocardial infarction Slit2-robo信号调控心肌梗死后血管生成和修复。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-05 DOI: 10.1016/j.yjmcc.2025.10.014
David Wong , Matthew Tran , Julie Martinez , Itzetl Avila , Adrian Arrieta , Kyle Kalindjian , Elle Rathbun , Thomas M. Vondriska , Eric M. Small , Pearl Quijada
The Slit2 guidance ligand and its Roundabout (Robo) family of receptors regulate axonal guidance and vascular patterning during cardiac morphogenesis, yet the role of Slit2-Robo signaling in the adult heart remains unclear. Here, we identified epicardium-derived Slit2 as highly enriched in neonatal cardiac fibroblasts (cFBs) but markedly reduced in adult hearts. Following myocardial infarction (MI), Slit2 transiently increases in the infarct border zone seven days post-MI but declines significantly after one month. In vitro, Slit2 overexpression in cFBs selectively upregulated angiogenic genes during myofibroblast differentiation without affecting extracellular matrix (ECM) gene expression. In vivo, AAV9-mediated cardiac-specific overexpression of Slit2 (AAV9-cTNT-Slit2) improved cardiac function, increased endothelial cell (EC) proliferation and vascular density, but did not alter fibrotic deposition following MI. Conditioned media from Slit2-overexpressing cFBs promoted EC proliferation, activation, and tube forming abilities, consistent with the increased expression of pro-angiogenic Robo1 and other vascular growth factors in the myocardium of AAV9-Slit2-treated hearts. Additionally, Slit2 overexpression attenuated cardiomyocyte hypertrophy after MI and suppressed fetal gene expression in vitro. Mechanistically, Slit2 appears to mediate its cardioprotective effects through enhanced interactions with Robo1 in cFBs and ECs. These findings support Slit2-Robo signaling as a promising therapeutic target for improving blood vessel formation and maintaining cardiac muscle integrity following ischemic injury.
Slit2引导配体及其Roundabout (Robo)受体家族在心脏形态发生过程中调节轴突引导和血管模式,但Slit2-Robo信号在成人心脏中的作用尚不清楚。在这里,我们发现心外膜衍生的Slit2在新生儿心脏成纤维细胞(cfb)中高度富集,但在成人心脏中明显减少。心肌梗死(MI)后7天,Slit2在梗死边界区短暂升高,1个月后显著下降。在体外,cFBs中Slit2的过表达在肌成纤维细胞分化过程中选择性上调血管生成基因,而不影响细胞外基质(ECM)基因的表达。在体内,aav9介导的心脏特异性过表达的Slit2 (AAV9-cTNT-Slit2)改善了心功能,增加了内皮细胞(EC)的增殖和血管密度,但没有改变心肌梗死后的纤维化沉积。从Slit2过表达的cFBs中获得的条件培养基促进了EC的增殖、活化和成管能力,这与aav9 -Slit2处理的心脏心肌中促血管生成的Robo1和其他血管生长因子的表达增加一致。此外,在体外实验中,Slit2过表达可减轻心肌梗死后心肌细胞肥大,抑制胎儿基因表达。在机制上,Slit2似乎通过在cfb和ECs中增强与Robo1的相互作用来调节其心脏保护作用。这些发现支持Slit2-Robo信号作为缺血性损伤后改善血管形成和维持心肌完整性的有希望的治疗靶点。
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引用次数: 0
The influence of lactation on postpartum murine heart growth 哺乳对产后小鼠心脏生长的影响。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-01 DOI: 10.1016/j.yjmcc.2025.10.012
Molly S. Kaissar , Elnaz Ghajar-Rahimi , Adalyn Meeks , Arden Shen , Yusheng Wu , Craig J. Goergen , Kyoko Yoshida
The cardiovascular system adapts to meet rising physiological demands throughout pregnancy. Notably, the left ventricle grows to support this increased workload, which is thought to reverse after delivery. Yet, whether the heart returns to its pre-pregnant size, shape, and function postpartum is unclear. This postpartum cardiac recovery has been historically studied in rodents. However, despite previous research showing that postpartum-specific conditions like lactation affect hemodynamics and heart weight, the relationship between these hemodynamic changes and cardiac growth remains unclear. In this study, we investigate the impact of lactation on postpartum cardiac recovery. We monitored changes in left ventricular mass, volume, and function throughout pregnancy and postpartum in mice using 4D cardiac ultrasound in animals allowed to nurse their pups for 21 days postpartum and in those whose pups were removed immediately after delivery. We analyzed the relationship between the observed hemodynamics and heart growth in these mice using an existing multiscale computational model of heart growth. Here, we observe that pregnancy-induced cardiac hypertrophy reverses by one week postpartum in non-lactating mice but continues increasing after delivery in lactating mice. Our computational analysis suggests that hemodynamic and biological factors have distinct but complementary roles in driving postpartum growth. Further, our animal-specific simulations indicate that individual hemodynamic changes contribute to the observed variability in experimental heart growth, particularly throughout lactation. Overall, this study provides a detailed timeline of cardiac hypertrophy during and after pregnancy, emphasizes the significance of lactation status on postpartum recovery, and highlights the importance of hemodynamics to this phenomenon.
在怀孕期间,心血管系统会适应不断上升的生理需求。值得注意的是,左心室的生长以支持这种增加的工作量,这被认为在分娩后会逆转。然而,心脏是否能恢复到怀孕前的大小、形状和产后功能还不清楚。这种产后心脏恢复已经在啮齿类动物中进行了历史研究。然而,尽管先前的研究表明,产后特殊情况(如哺乳)会影响血流动力学和心脏重量,但这些血流动力学变化与心脏生长之间的关系尚不清楚。在本研究中,我们探讨了哺乳对产后心脏恢复的影响。我们使用4D心脏超声监测小鼠妊娠期间和产后左心室质量、体积和功能的变化,这些小鼠在产后21 天内被允许喂养它们的幼崽,以及在分娩后立即取出幼崽的小鼠。我们使用现有的心脏生长多尺度计算模型分析了这些小鼠观察到的血流动力学与心脏生长之间的关系。在这里,我们观察到妊娠引起的心脏肥厚在非哺乳期小鼠产后一周逆转,但在哺乳期小鼠分娩后继续增加。我们的计算分析表明,血液动力学和生物学因素在推动产后生长方面具有不同但互补的作用。此外,我们的动物特异性模拟表明,个体血流动力学变化有助于观察到实验心脏生长的变异性,特别是在哺乳期。总的来说,本研究提供了怀孕期间和怀孕后心脏肥厚的详细时间线,强调了哺乳状态对产后恢复的重要性,并强调了血流动力学对这一现象的重要性。
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引用次数: 0
Homocysteine activates endothelial TP receptor to promote von Willebrand factor secretion and thrombosis 同型半胱氨酸激活内皮TP受体,促进血管性血友病因子分泌和血栓形成。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-01 DOI: 10.1016/j.yjmcc.2025.10.013
Jiachen Zhang , Xinyu Jia , Ping Zhu , Mengzheng Zhao , Haodong Du , Xinyi Yu , Jing Huang , Yegong Xie , Yequn Chen , Yi Zhu , Qiankun Bao , Jinlong He , Liu Yao
Hyperhomocysteinemia (HHcy), characterized by elevated plasma homocysteine (Hcy) levels, is a recognized risk factor for thrombosis and an independent contributor to acute coronary syndrome, although its underlying mechanisms are not fully understood. The current study is to investigate the impact of HHcy on arterial thrombosis and the underlying mechanisms. In this study, we established an HHcy mouse model using a high-methionine diet and found that HHcy significantly accelerated thrombosis. We identified that Hcy enhanced von Willebrand factor (vWF) secretion from endothelial cells, leading to increased FVIII-vWF binding and platelet adhesion. Moreover, we observed a significant positive correlation between vWF and Hcy levels in the plasma of 150 patients with acute coronary syndrome. Mechanistically, GPCR screening revealed that Hcy-induced increase in vWF levels was mediated by activating the thromboxane prostanoid receptor (TPr) on endothelial cells. Hcy might function as an endogenous ligand binding to TPr and subsequently activated the Gαq-PLC-Ca2+ pathway to promote vWF secretion. Pharmacological inhibition or endothelial-specific deletion of TPr effectively reduced plasma vWF levels and protected against HHcy-related thrombosis. Our findings underscored the pivotal role of TPr in mediating Hcy-induced procoagulant states and suggested that targeting the TPr signaling pathway could be a promising therapeutic strategy for treating HHcy-related thrombosis.
高同型半胱氨酸血症(HHcy)以血浆同型半胱氨酸(Hcy)水平升高为特征,是公认的血栓形成的危险因素,也是急性冠状动脉综合征的独立因素,尽管其潜在机制尚不完全清楚。本研究旨在探讨HHcy对动脉血栓形成的影响及其机制。在本研究中,我们采用高蛋氨酸饮食建立HHcy小鼠模型,发现HHcy显著加速血栓形成。我们发现Hcy增强内皮细胞的血管性血友病因子(vWF)分泌,导致FVIII-vWF结合和血小板粘附增加。此外,我们观察到150例急性冠脉综合征患者血浆vWF和Hcy水平之间存在显著的正相关。机制上,GPCR筛选显示hcy诱导的vWF水平升高是通过激活内皮细胞上的血栓素前列腺素受体(TPr)介导的。Hcy可能作为内源性配体结合TPr,激活Gαq-PLC-Ca2+通路,促进vWF分泌。药物抑制或内皮特异性缺失TPr可有效降低血浆vWF水平,防止hhcy相关血栓形成。我们的研究结果强调了TPr在介导hcy诱导的促凝状态中的关键作用,并提示靶向TPr信号通路可能是治疗hcy相关血栓形成的一种有希望的治疗策略。
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引用次数: 0
FABP4, marker of worse prognosis in cardiovascular disease, induces neutrophil's proatherogenic phenotype which is modulated by semaglutide FABP4是心血管疾病预后不良的标志,可诱导嗜中性粒细胞的促动脉粥样硬化表型,并受semaglutide调节。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-01 DOI: 10.1016/j.yjmcc.2025.10.009
David Sánchez-López , David García-Vega , J.E. Viñuela , Isabel Ferreirós-Vidal , Diego Iglesias-Álvarez , José Manuel Martínez-Cereijo , Laura Reija-López , Ángel L. Fernández-González , José R. González-Juanatey , Sonia Eiras
Dysfunctional epicardial adiposity is a risk factor for coronary artery disease (CAD). Its genesis is associated with an upregulation of fatty acid binding protein 4 (FABP4) levels, which might exert paracrine inflammatory and atherogenic mechanisms on the cardiovascular system. We aimed to study the prognosis of patients with high systemic FABP4, its association with a neutrophil proatherogenic phenotype, involved mechanisms and its modulation by semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-1ra). Higher plasma FABP4 levels than 50 ng/mL were associated with heart failure (HF) onset during follow-up. In patients with CAD, these levels were associated with pro-inflammatory and pro-atherogenic neutrophil profile markers as MPO, NGAL and CD11b, analysed by real-time PCR. The group of patients with the highest FABP4 levels exhibited higher levels of MMP9, CXCR2, and CD11b in neutrophils. A preclinical model, based on neutrophils and coronary endothelial cells, determined the effects of FABP4 on neutrophils' respiratory burst, by flow cytometry, activity of NF-κΒ, by western blot checking IκΒα phosphorylation, CD11b integrin expression levels and adhesion to coronary endothelial cells. A modulation of the neutrophils' transcriptome, analysed by RNA-seq, and plasma chemokine CCL5 levels suggested changes in leukocyte migration and platelet activation pathways in patients who reduced plasma FABP4 levels after semaglutide treatment. Thus, supraphysiological levels of FABP4 induce pro-inflammatory and proatherogenic mechanisms in neutrophils and coronary endothelial cells. Its modulation by semaglutide could explain its benefits on coronary artery disease (CAD).
功能失调的心外膜脂肪是冠状动脉疾病(CAD)的危险因素。它的发生与脂肪酸结合蛋白4 (FABP4)水平的上调有关,这可能在心血管系统中发挥旁分泌炎症和动脉粥样硬化机制。我们的目的是研究高系统性FABP4患者的预后,其与中性粒细胞促动脉粥样硬化表型的关系,涉及的机制及其通过胰高血糖素样肽-1受体激动剂(GLP-1ra)的调节。随访期间,血浆FABP4水平高于50 ng/mL与心力衰竭(HF)发病相关。在CAD患者中,通过实时PCR分析,这些水平与促炎和促动脉粥样硬化中性粒细胞谱标记物MPO、NGAL和CD11b相关。FABP4水平最高的患者组表现出中性粒细胞中MMP9、CXCR2和CD11b水平较高。建立以中性粒细胞和冠状动脉内皮细胞为基础的临床前模型,通过流式细胞术、NF活性-κΒ、western blot检测IκΒα磷酸化、CD11b整合素表达水平和冠状动脉内皮细胞粘附,检测FABP4对中性粒细胞呼吸爆发的影响。通过RNA-seq分析中性粒细胞转录组的调节和血浆趋化因子CCL5水平表明,在半马鲁肽治疗后血浆FABP4水平降低的患者中,白细胞迁移和血小板激活途径发生了变化。因此,超生理水平的FABP4诱导中性粒细胞和冠状动脉内皮细胞的促炎和促动脉粥样硬化机制。西马鲁肽对其的调节可以解释其对冠心病(CAD)的益处。
{"title":"FABP4, marker of worse prognosis in cardiovascular disease, induces neutrophil's proatherogenic phenotype which is modulated by semaglutide","authors":"David Sánchez-López ,&nbsp;David García-Vega ,&nbsp;J.E. Viñuela ,&nbsp;Isabel Ferreirós-Vidal ,&nbsp;Diego Iglesias-Álvarez ,&nbsp;José Manuel Martínez-Cereijo ,&nbsp;Laura Reija-López ,&nbsp;Ángel L. Fernández-González ,&nbsp;José R. González-Juanatey ,&nbsp;Sonia Eiras","doi":"10.1016/j.yjmcc.2025.10.009","DOIUrl":"10.1016/j.yjmcc.2025.10.009","url":null,"abstract":"<div><div>Dysfunctional epicardial adiposity is a risk factor for coronary artery disease (CAD). Its genesis is associated with an upregulation of fatty acid binding protein 4 (FABP4) levels, which might exert paracrine inflammatory and atherogenic mechanisms on the cardiovascular system. We aimed to study the prognosis of patients with high systemic FABP4, its association with a neutrophil proatherogenic phenotype, involved mechanisms and its modulation by semaglutide, a glucagon-like peptide-1 receptor agonist (GLP-1ra). Higher plasma FABP4 levels than 50 ng/mL were associated with heart failure (HF) onset during follow-up. In patients with CAD, these levels were associated with pro-inflammatory and pro-atherogenic neutrophil profile markers as MPO, NGAL and CD11b, analysed by real-time PCR. The group of patients with the highest FABP4 levels exhibited higher levels of MMP9, CXCR2, and CD11b in neutrophils. A preclinical model, based on neutrophils and coronary endothelial cells, determined the effects of FABP4 on neutrophils' respiratory burst, by flow cytometry, activity of NF-κΒ, by western blot checking IκΒα phosphorylation, CD11b integrin expression levels and adhesion to coronary endothelial cells. A modulation of the neutrophils' transcriptome, analysed by RNA-seq, and plasma chemokine CCL5 levels suggested changes in leukocyte migration and platelet activation pathways in patients who reduced plasma FABP4 levels after semaglutide treatment. Thus, supraphysiological levels of FABP4 induce pro-inflammatory and proatherogenic mechanisms in neutrophils and coronary endothelial cells. Its modulation by semaglutide could explain its benefits on coronary artery disease (CAD).</div></div>","PeriodicalId":16402,"journal":{"name":"Journal of molecular and cellular cardiology","volume":"210 ","pages":"Pages 12-27"},"PeriodicalIF":4.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438161","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
IGF-1 promotes cell surface expression of HCN4 pacemaker channels contributing to tachycardia IGF-1促进HCN4起搏器通道的细胞表面表达,促进心动过速。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-01 DOI: 10.1016/j.yjmcc.2025.10.015
Nadine Erlenhardt , Franziska Wohlfarth , S. Erfan Moussavi-Torshizi , Angela Koch , Tobias Strasdeit , Katharina Scherschel , Ehsan Amin , Max Anstötz , Christian Meyer , Nikolaj Klöcker
Insulin-like growth factor 1 (IGF-1) controls cardiac growth, metabolism, and contractility. Whereas IGF-1 deficiency is associated with cardiovascular risk, the activation of its signal transduction may be cardioprotective after acute myocardial infarction. Clinical studies evaluate the therapeutic potential of systemic IGF-1 in disease conditions including heart failure, and reported tachycardia as a common side effect. Here, we demonstrate that IGF-1 accelerates cardiac pacemaking in an ex vivo mouse sinoatrial node preparation read out by optical voltage mapping. Heterologous reconstitution experiments in Xenopus laevis oocytes combining extracellular epitope tagging and electrophysiology reveal an increase in cell surface expression of the main cardiac pacemaker channel isoform HCN4 by IGF-1, which stimulates the Rab11-dependent endosomal recycling of the channel protein. In summary, the study not only adds to the modes of HCN channel regulation by growth factor signaling, but may also extend our understanding of arrhythmogenesis, commonly observed in consequence of IGF-1 dysregulation including cardiac hypertrophy.
胰岛素样生长因子1 (IGF-1)控制心脏生长、代谢和收缩性。虽然IGF-1缺乏与心血管风险相关,但其信号转导的激活可能在急性心肌梗死后具有心脏保护作用。临床研究评估了全身性IGF-1在包括心力衰竭在内的疾病中的治疗潜力,并报道了作为常见副作用的心动过速。在这里,我们证明了IGF-1在体外小鼠窦房结准备中加速了心脏起搏。结合细胞外表位标记和电生理学在非洲爪蟾卵母细胞中进行的异源重构实验显示,IGF-1增加了心脏起搏器主要通道异构体HCN4的细胞表面表达,从而刺激了依赖rab11的通道蛋白的内体再循环。总之,该研究不仅增加了HCN通道通过生长因子信号调节的模式,而且可能扩展了我们对心律失常的理解,心律失常通常是由IGF-1失调引起的,包括心脏肥厚。
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引用次数: 0
Molecular mechanisms of altered contraction with the β-myosin R403Q mutation in porcine ventricular muscle and a human stem cell-derived cardiomyocyte model 猪心室肌β-肌球蛋白R403Q突变改变收缩的分子机制和人类干细胞衍生的心肌细胞模型。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-28 DOI: 10.1016/j.yjmcc.2025.10.008
Sonette Steczina , Saffie Mohran , Matthew C. Childers , Timothy S. McMillen , Ateeqa Naim , Matvey Pilagov , Marica Dente , Kristina B. Kooiker , Christian Mandrycky , Khushi Tawde , Jennifer Hesson , Jing Zhao , Julie Mathieu , J. Manuel Pioner , Michael A. Geeves , Weikang Ma , Farid Moussavi-Harami , Neil M. Kad , Michael Regnier
The R403Q mutation in the sarcomere protein beta-myosin heavy chain (β-MHC) is a known genetic cause of hypertrophic cardiomyopathy (HCM), associated with ventricular hypercontractility, impaired relaxation, and cardiac arrhythmias. Despite extensive research, the mutations impact on myosin contractile properties remains unclear partly due to discrepancies across different model systems. In this study, we used a multidisciplinary approach to explore mutational effects using two distinct heterozygous R403Q systems: a Yucatan minipig model and human induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs). X-ray diffraction of R403Q minipig ventricular muscle demonstrated reduced order of the thick filament, suggesting destabilization of the inhibited OFF (vs. ON) state of myosin in relaxed muscle, which correlated with elevated force at submaximal calcium. Super-resolution, single-molecule fluorescence microscopy indicated elevated ATPase activity in thick filament zones lacking cardiac myosin binding protein-C (cMyBP-C). Furthermore, R403Q myofibrils exhibited slower activation and relaxation kinetics, with reduced sensitivity to ADP. Molecular dynamics simulations suggested that altered interactions at the actomyosin interface contribute to these effects, rather than changes at the nucleotide binding pocket, typically associated with ADP release. Human engineered heterozygous R403Q hiPSC-CMs exhibited reduced maximal myofibril force, slowed relaxation kinetics, and hypercontraction in engineered heart tissue constructs-consistent with HCM phenotypes observed in the heterozygous porcine model. Our results demonstrate that the R403Q mutation induces contractile dysfunction within the early stages of stem cell derived cardiomyocyte development and in juvenile minipigs, and that hypercontractility and slower contractile kinetics may result from a combination of an increased population of activated (ON) myosin heads and delayed detachment during cross-bridge cycling, respectively.
肌节蛋白-肌球蛋白重链(β-MHC)中的R403Q突变是肥厚性心肌病(HCM)的已知遗传原因,与心室过度收缩、舒张受损和心律失常相关。尽管进行了广泛的研究,突变对肌凝蛋白收缩特性的影响仍不清楚,这可能是由于不同模型系统之间的差异,至少在一定程度上是如此。在这项研究中,我们采用多学科方法探索两种不同的杂合R403Q系统的突变效应:尤卡坦迷你猪模型和人类诱导多能干细胞衍生的心肌细胞(hiPSC-CMs)。R403Q小型猪心室肌的x射线衍射显示粗丝的顺序降低,提示放松肌肉中肌球蛋白被抑制的OFF (vs. ON)状态不稳定,这与亚最大钙时力升高有关。超分辨率单分子荧光显微镜显示,缺乏心肌肌球蛋白结合蛋白c (cMyBP-C)的粗丝区atp酶活性升高。此外,R403Q肌原纤维表现出较慢的激活和松弛动力学,对ADP的敏感性降低。分子动力学模拟表明,肌动球蛋白界面相互作用的改变导致了这些效应,而不是核苷酸结合袋的变化,后者通常与ADP释放有关。人类工程杂合R403Q hiPSC-CMs在工程心脏组织结构中表现出最大肌原纤维力降低,松弛动力学减慢和过度收缩-与在杂合猪模型中观察到的HCM表型一致。我们的研究结果表明,R403Q突变在干细胞衍生的心肌细胞发育的早期阶段和幼年猪中诱导了收缩功能障碍,而过度收缩和缓慢的收缩动力学可能分别是由过桥循环过程中激活(ON)肌球蛋白头部数量增加和延迟脱离的组合造成的。
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引用次数: 0
The long non-coding RNA Snhg15 protects the heart after myocardial infarction 长链非编码RNA Snhg15保护心肌梗死后的心脏。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-27 DOI: 10.1016/j.yjmcc.2025.10.011
Mariana Shumliakivska , Ariane Fischer , Marion Muhly-Reinholz , Vincent Elvin Leonard , Tina Rasper , Galip S. Aslan , Yosif Manavski , Julian U.G. Wagner , Benjamin Meder , Susanne S. Hille , Oliver J. Müller , Guillermo Luxán , Stefanie Dimmeler
Cardiomyocytes are postmitotic cells that do not proliferate in the heart. In order to maintain the structural integrity of the heart, cardiomyocyte loss due to cell death after myocardial infarction is compensated with a non-contractile fibrotic scar that compromises cardiac function. Here, we have combined heart failure transcriptomics with in vitro assays to determine the molecular mechanisms that govern cell death in heart failure. Our data identified the reduced gene expression of the long non-coding RNA (lncRNA) small nucleolar RNA host gene 15 (Snhg15) as a hallmark of ischemic and dilated heart failure. Furthermore, loss-of-function studies in HL-1-cardiomyocyte-like cells revealed that Snhg15 depletion induces nucleolar disruption and cell death in a p53-dependent mechanism. Finally, adeno-associated virus delivery of Snhg15 prior to a myocardial infarction partially protected cardiac function in the acute and chronic phases after myocardial infarction. In conclusion, our studies identify Snhg15 as a regulator of cardiomyocyte cell death in the context of heart failure and suggest that delivery of the lncRNA may represent a potential therapeutic tool to reduce cardiomyocyte death.
心肌细胞是有丝分裂后的细胞,在心脏中不会增殖。为了维持心脏的结构完整性,心肌梗死后细胞死亡导致的心肌细胞损失由损害心功能的非收缩性纤维化疤痕来补偿。在这里,我们将心力衰竭转录组学与体外测定相结合,以确定心力衰竭中控制细胞死亡的分子机制。我们的数据表明,长链非编码RNA (lncRNA)小核仁RNA宿主基因15 (Snhg15)的基因表达降低是缺血性和扩张性心力衰竭的标志。此外,对hl -1心肌细胞样细胞的功能丧失研究表明,Snhg15缺失以p53依赖的机制诱导核仁破坏和细胞死亡。最后,心肌梗死前腺相关病毒递送Snhg15部分保护心肌梗死后急性期和慢性期的心功能。总之,我们的研究确定了Snhg15在心力衰竭的情况下是心肌细胞死亡的调节因子,并提示lncRNA的递送可能是减少心肌细胞死亡的潜在治疗工具。
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引用次数: 0
Fibroblast metabolic reprogramming determines scar quality and sex-specific remodeling after infarction 成纤维细胞代谢重编程决定了梗死后疤痕质量和性别特异性重塑
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-25 DOI: 10.1016/j.yjmcc.2025.10.010
Xinyu Nie , Xingyue Feng , Can Xu
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引用次数: 0
Targeting gut microbiotasu-derived butyrate for Ferroptosis inhibition in Sepsis-induced myocardial dysfunction 靶向肠道微生物源丁酸抑制败血症诱导的心肌功能障碍。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-24 DOI: 10.1016/j.yjmcc.2025.10.005
Jianfei Xiong , Guoxiang Liu , Tianyuan Jia , Qian Yang , Changqing Zhu , Shiwei Wang

Background

Sepsis-induced myocardial dysfunction (SIMD) is a critical complication of sepsis, and ferroptosis has been identified as a key contributor to its pathogenesis. Emerging evidence suggests that sepsis profoundly disrupts the gut microbiota composition, leading to dysbiosis. Butyrate, a short-chain fatty acid produced by gut microbiota, has been implicated in ferroptosis regulation; however, its role in SIMD remains controversial. This study aims to elucidate the protective effects of gut microbiota-derived butyrate against SIMD through ferroptosis modulation.

Methods

This study assessed cardiac function using echocardiography and quantified myocardial injury biomarkers via ELISA. Myocardial iron deposition was evaluated using Prussian blue staining. The gut microbiota composition was analyzed using 16S rRNA gene sequencing. Ferroptosis-related protein expression in SIMD heart tissues and H9C2 cardiomyocytes was examined via western blotting to determine the regulatory role of butyrate.

Results

Sepsis-induced gut microbiota dysbiosis was characterized by a significant reduction in butyrate-producing bacteria. Echocardiographic assessments (CO, EF), myocardial injury markers (BNP, cTnI), histopathological analysis (H&E staining), and cardiomyocyte ultrastructure (TEM) demonstrated that butyrate administration significantly alleviated myocardial injury in SIMD. Mechanistically, butyrate mitigated oxidative stress by increasing GSH levels and reducing MDA levels. Furthermore, butyrate treatment reversed the sepsis-induced downregulation of GPX4 and suppressed the upregulation of ACSL4 and PTGS2, thereby inhibiting ferroptosis.

Conclusion

These findings highlight the protective role of butyrate in SIMD, with ferroptosis inhibition serving as a key cardioprotective mechanism. Targeting gut microbiota-derived butyrate may represent a promising therapeutic strategy for sepsis-induced myocardial injury.
背景:脓毒症引起的心肌功能障碍(SIMD)是脓毒症的重要并发症,而铁下垂已被确定为其发病机制的关键因素。新出现的证据表明,败血症严重破坏肠道菌群组成,导致生态失调。丁酸盐是一种由肠道菌群产生的短链脂肪酸,与铁下垂调节有关;然而,它在SIMD中的作用仍然存在争议。本研究旨在阐明肠道微生物来源的丁酸盐通过调节铁下垂对SIMD的保护作用。方法:本研究采用超声心动图评估心功能,并通过ELISA定量心肌损伤生物标志物。普鲁士蓝染色评价心肌铁沉积。采用16S rRNA基因测序分析肠道菌群组成。通过western blotting检测SIMD心脏组织和H9C2心肌细胞中凋亡相关蛋白的表达,以确定丁酸盐的调节作用。结果:脓毒症引起的肠道菌群失调的特征是丁酸盐产生菌的显著减少。超声心动图(CO, EF)、心肌损伤标志物(BNP, cTnI)、组织病理学分析(H&E染色)和心肌细胞超微结构(TEM)显示,丁酸盐给药显著减轻了SIMD的心肌损伤。从机制上讲,丁酸盐通过增加GSH水平和降低MDA水平来减轻氧化应激。此外,丁酸盐处理逆转败血症诱导的GPX4下调,抑制ACSL4和PTGS2上调,从而抑制铁下垂。结论:这些发现表明丁酸盐在SIMD中的保护作用,抑制铁下垂可能是关键的心脏保护机制。靶向肠道微生物来源的丁酸盐可能是一种很有前途的治疗败血症引起的心肌损伤的策略。
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Journal of molecular and cellular cardiology
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