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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。
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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。
{"title":"Targeting gut microbiotasu-derived butyrate for Ferroptosis inhibition in Sepsis-induced myocardial dysfunction","authors":"Jianfei Xiong ,&nbsp;Guoxiang Liu ,&nbsp;Tianyuan Jia ,&nbsp;Qian Yang ,&nbsp;Changqing Zhu ,&nbsp;Shiwei Wang","doi":"10.1016/j.yjmcc.2025.10.005","DOIUrl":"10.1016/j.yjmcc.2025.10.005","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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&amp;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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":16402,"journal":{"name":"Journal of molecular and cellular cardiology","volume":"209 ","pages":"Pages 119-127"},"PeriodicalIF":4.7,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145370262","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
p53 mediates iron overload and ferroptosis via transcriptional regulation of TfR1 in PM2.5-exposed cardiomyocytes 在暴露于pm2.5的心肌细胞中,p53通过转录调控TfR1介导铁超载和铁凋亡。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-23 DOI: 10.1016/j.yjmcc.2025.10.007
Xiaosu Yuan , Lin Song , Peiyan Wang , Dandan Xiao , Yi Jia , Lin Ye , Kangwei Jia , Jianxun Wang , Wei Ding
As air pollution intensifies, the health risks associated with PM2.5 have gained increasing global attention. Previous research has established a link between PM2.5 exposure and increased risk of cardiovascular diseases (CVDs), yet the underlying mechanisms remain unclear. In this study, we demonstrate that PM2.5 induces ferroptosis in myocardial cells both in vitro and in vivo. We also show that PM2.5 exposure increases lipid peroxidation levels and cellular iron content while depleting glutathione (GSH). Notable alterations in the expression of transferrin receptor protein 1 (TfR1), ferritin light chain (FTL), and ferritin heavy chain (FTH) suggest that the dysfunction in iron uptake and storage plays a pivotal role in ferroptosis. Moreover, we observed that PM2.5 exposure upregulates p53 expression, which transcriptionally regulates TfR1 synthesis. This leads to increased iron influx into cells, causing iron overload and ultimately contributing to ferroptosis and myocardial injury. In conclusion, our findings suggest that PM2.5 promotes ferroptosis in the myocardium via the p53/TfR1 pathway.
随着空气污染加剧,与PM2.5相关的健康风险日益受到全球关注。先前的研究已经建立了PM2.5暴露与心血管疾病风险增加之间的联系,但其潜在机制尚不清楚。在这项研究中,我们证明PM2.5在体外和体内诱导心肌细胞铁下垂。我们还表明,PM2.5暴露会增加脂质过氧化水平和细胞铁含量,同时消耗谷胱甘肽(GSH)。铁蛋白受体蛋白1 (TfR1)、铁蛋白轻链(FTL)和铁蛋白重链(FTH)表达的显著变化提示铁摄取和储存功能障碍在铁死亡中起关键作用。此外,我们观察到PM2.5暴露上调p53表达,从而通过转录调节TfR1合成。这导致铁流入细胞增加,造成铁超载,最终导致铁下垂和心肌损伤。总之,我们的研究结果表明PM2.5通过p53/TfR1途径促进心肌铁下垂。
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引用次数: 0
Beneficial effects of aryl hydrocarbon receptor activation on post-infarction myocardial metabolism, inflammation and fibrosis: implications from multi-omics 芳烃受体激活对梗死后心肌代谢、炎症和纤维化的有益影响:来自多组学的意义。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-21 DOI: 10.1016/j.yjmcc.2025.10.006
Yong Chu , Jiang Zhu , Shuaijie Chen , Xiaoyan Lin , Zhongxing Zhou , Ruming Shen , Hongzhuang Wang , Longqing Chen , Jinxiu Lin , Hailin Zhang , Dajun Chai

Background

Post-infarction metabolism changes, inflammatory responses, and fibrosis are crucial contributors to adverse cardiac remodeling. 2-(1′H-indole-3′‑carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), the aryl hydrocarbon receptor (AHR) ligand, has demonstrated effective AHR activation, yet its impact and mechanisms in myocardial infarction (MI) remain unclear.

Methods

The MI model was established by ligating left anterior coronary artery, and ITE was administered for 4 weeks. Echocardiography and hemodynamic monitoring were used to assess cardiac structure and function. Hematoxylin-eosin and Masson's trichrome were used to examine morphology and collagen deposition. Transmission electron microscopy was employed to examine mitochondrial morphology. The transcriptome and metabolome were used to screen for key targets and pathways. Hypoxic neonatal rat cardiomyocytes and fibroblasts models combined with adenoviral AHR knockdown were used to verify key targets and pathways.

Results

ITE intervention significantly improved cardiac structure and function, mitochondrial morphology, fibrosis and inflammation in MI rats. Multi-omics revealed that differentially expressed genes and metabolites were enriched in glucose metabolism related pathways and identified a key target, HK2. Compared to MI group, ITE significantly improved the expression of key enzymes in glucose metabolism after MI. In vitro, AHR activation by ITE and tapinarof significantly ameliorated hypoxia-induced abnormalities in HK2, CISY, OGDH, fibrosis, and inflammatory markers, while hexokinase inhibitor eliminated the beneficial effects of ITE. Moreover, AHR knockdown impairs glucose metabolism and promotes inflammation and fibrosis.

Conclusion

The AHR activation by ITE mitigates inflammation and fibrosis, improves cardiac structure and function by promoting HK2 and glucose metabolism after MI.
背景:梗死后代谢改变、炎症反应和纤维化是不良心脏重构的关键因素。2-(1‘ h -吲哚-3’羰基)-噻唑-4-羧酸甲酯(ITE)是芳烃受体(AHR)的配体,已被证明能有效激活AHR,但其在心肌梗死(MI)中的作用和机制尚不清楚。方法:结扎左冠状动脉前支,建立心肌梗死模型,给药4 周。超声心动图和血流动力学监测评估心脏结构和功能。苏木精-伊红和马松三色法检测形态学和胶原沉积。透射电镜观察线粒体形态。转录组和代谢组用于筛选关键靶点和途径。使用缺氧新生大鼠心肌细胞和成纤维细胞模型联合腺病毒AHR敲低来验证关键靶点和途径。结果:ITE干预显著改善心肌梗死大鼠心脏结构和功能、线粒体形态、纤维化和炎症。多组学显示,差异表达的基因和代谢物在糖代谢相关途径中富集,并确定了一个关键靶点HK2。与心肌梗死组相比,ITE可显著改善心肌梗死后糖代谢关键酶的表达。体外实验中,ITE和tapinarof激活AHR可显著改善缺氧诱导的HK2、CISY、OGDH、纤维化和炎症标志物异常,而己糖激酶抑制剂可消除ITE的有益作用。此外,AHR敲低会损害葡萄糖代谢,促进炎症和纤维化。结论:ITE激活AHR可减轻心肌梗死后的炎症和纤维化,通过促进HK2和糖代谢改善心肌结构和功能。
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引用次数: 0
Modelling diabetes-associated metabolic stress in human multicellular cardiac microtissues 模拟人类多细胞心脏微组织中糖尿病相关的代谢应激。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-14 DOI: 10.1016/j.yjmcc.2025.10.004
Ren Jie Phang , Nan Su , Anne M. Kong , Shiang Y. Lim , Jarmon G. Lees
Type 2 diabetes is a global health crisis, closely associated with an increased risk of heart failure due to the development of diabetic cardiomyopathy. Progress in understanding the underlying mechanisms and identifying effective treatments has been limited by the lack of robust preclinical models that accurately mimic human cardiac physiology. Human induced pluripotent stem cells (iPSCs) offer the unique ability to generate large quantities of both cardiomyocytes and non-myocytes, enabling the development of advanced models for cardiovascular research. In this study, we present engineered 3D multicellular cardiac microtissues, comprising human iPSC-derived cardiomyocytes, endothelial cells, autonomic neurons, and cardiac fibroblasts, designed to provide a more physiologically relevant platform for investigating the effects of diabetogenic conditions on human heart tissue. Under diabetogenic conditions, these multicellular cardiac microtissues exhibited reduced viability, fibrotic marker expression, and prolonged systolic and diastolic phases, closely mirroring the contractile dysfunction observed in late-stage diabetic cardiomyopathy, outcomes not replicated in traditional 2D culture of cardiomyocytes or cardiomyocyte-only microtissues. Metformin treatment prevented the manifestation of diastolic dysfunction induced by diabetogenic conditions, demonstrating the utility of multicellular cardiac microtissues for drug assessment. Our findings emphasize the critical role of non-myocytes in the progression of cardiac dysfunction induced by hyperglycaemia and hyperlipidaemia, underscoring their importance in disease modelling. These iPSC-derived multicellular cardiac microtissues represent a significant advancement in preclinical models for diabetic cardiomyopathy, providing a more accurate platform for mechanistic studies and drug discovery.
2型糖尿病是一种全球性的健康危机,与糖尿病性心肌病引起的心力衰竭风险增加密切相关。由于缺乏准确模拟人类心脏生理学的强大临床前模型,在理解潜在机制和确定有效治疗方面的进展受到限制。人类诱导多能干细胞(iPSCs)提供了产生大量心肌细胞和非心肌细胞的独特能力,使心血管研究的先进模型得以发展。在这项研究中,我们提出了工程化的3D多细胞心脏微组织,包括人类ipsc衍生的心肌细胞、内皮细胞、自主神经元和心脏成纤维细胞,旨在为研究糖尿病对人类心脏组织的影响提供一个生理学上更相关的平台。在糖尿病发病条件下,这些多细胞心脏微组织表现出活力降低、纤维化标志物表达、收缩期和舒张期延长,与晚期糖尿病心肌病中观察到的收缩功能障碍密切相关,这些结果在传统的二维心肌细胞培养或仅心肌细胞的微组织中无法复制。二甲双胍治疗可防止糖尿病引起的舒张功能障碍,证明了多细胞心脏微组织在药物评估中的实用性。我们的研究结果强调了非肌细胞在高血糖和高脂血症引起的心功能障碍进展中的关键作用,强调了它们在疾病建模中的重要性。这些ipsc衍生的多细胞心脏微组织代表了糖尿病心肌病临床前模型的重大进展,为机制研究和药物发现提供了更准确的平台。
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引用次数: 0
Catecholaminergic stress results in signs of heart failure in PP2A-PR72 overexpressor mice 儿茶酚胺能应激导致PP2A-PR72过表达小鼠心力衰竭的迹象。
IF 4.7 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-10-12 DOI: 10.1016/j.yjmcc.2025.10.003
Paul Pauls , Larissa Fabritz , Julius R. Herting , Amanda Johann , Jule H. König , Jan S. Schulte , Matthias D. Seidl , Carolina E. Soppa , Uwe Kirchhefer

Background

It is unclear whether the increase in protein expression of PP2A regulatory subunit PR72 seen in human heart failure represents a primary compensatory mechanism or the final reaction to contractile decompensation. To address this question, we have explored the effects of chronic catecholaminergic stress in a transgenic (TG) mouse model with heart-specific overexpression of PR72 that exhibits hypercontractility at basal conditions.

Methods

Mice were treated with isoprenaline (ISO) or NaCl for 7 days using osmotic minipumps. Hearts or isolated cardiomyocytes from the animals were functionally examined.

Results

We could show (i) that PR72 expression is not only increased after chronic ISO stimulation but also in other different stress and insufficiency models. In TG mice, 7 days of ISO treatment led to (ii) increased hypertrophy, pulmonary edema, more fibrosis, and higher ACTA1 gene expression compared to wild-type (WT) mice. These effects were accompanied by (iii) a decrease in myocellular contractility and prolonged relaxation. Ca2+ transients (iv) showed correspondingly delayed decay kinetics in TG versus WT, while (v) the reduction of L-type calcium peak current by ISO treatment was less pronounced in TG cells. The decrease in RyR2 phosphorylation in TG (vi) supports a deterioration in contractility due to chronic ISO treatment in TG.

Conclusion

Our results indicate that the upregulation of PP2A-PR72 in various stress and heart failure models has a long-term effect, perpetuating the molecular and functional detrimental cardiac changes, if it does not have a triggering effect.
背景:目前尚不清楚人类心力衰竭中PP2A调节亚基PR72蛋白表达的增加是主要代偿机制还是对收缩代偿的最终反应。为了解决这个问题,我们探索了慢性儿茶酚胺能应激对转基因(TG)小鼠模型的影响,该模型具有心脏特异性PR72过表达,在基础条件下表现出过度收缩。方法:小鼠用渗透微型泵分别给予异丙肾上腺素(ISO)或NaCl治疗7 d。对动物的心脏或分离的心肌细胞进行功能检查。结果:我们可以发现(i)在慢性ISO刺激后,PR72的表达不仅增加,而且在其他不同的应激和不足模型中也增加。在TG小鼠中,与野生型(WT)小鼠相比,7 天的ISO治疗导致(ii)肥大,肺水肿,更多纤维化和更高的ACTA1基因表达。这些影响伴随着(iii)心肌细胞收缩力下降和松弛时间延长。与WT相比,Ca2+瞬态(iv)在TG中显示出相应的延迟衰变动力学,而(v) ISO处理对l型钙峰电流的降低在TG细胞中不太明显。TG中RyR2磷酸化的降低(vi)支持TG慢性ISO治疗导致的收缩性恶化。结论:我们的研究结果表明,在各种应激和心力衰竭模型中,PP2A-PR72的上调具有长期影响,即使没有触发效应,也会使分子和功能上的有害心脏变化永久化。
{"title":"Catecholaminergic stress results in signs of heart failure in PP2A-PR72 overexpressor mice","authors":"Paul Pauls ,&nbsp;Larissa Fabritz ,&nbsp;Julius R. Herting ,&nbsp;Amanda Johann ,&nbsp;Jule H. König ,&nbsp;Jan S. Schulte ,&nbsp;Matthias D. Seidl ,&nbsp;Carolina E. Soppa ,&nbsp;Uwe Kirchhefer","doi":"10.1016/j.yjmcc.2025.10.003","DOIUrl":"10.1016/j.yjmcc.2025.10.003","url":null,"abstract":"<div><h3>Background</h3><div>It is unclear whether the increase in protein expression of PP2A regulatory subunit PR72 seen in human heart failure represents a primary compensatory mechanism or the final reaction to contractile decompensation. To address this question, we have explored the effects of chronic catecholaminergic stress in a transgenic (TG) mouse model with heart-specific overexpression of PR72 that exhibits hypercontractility at basal conditions.</div></div><div><h3>Methods</h3><div>Mice were treated with isoprenaline (ISO) or NaCl for 7 days using osmotic minipumps. Hearts or isolated cardiomyocytes from the animals were functionally examined.</div></div><div><h3>Results</h3><div>We could show (i) that PR72 expression is not only increased after chronic ISO stimulation but also in other different stress and insufficiency models. In TG mice, 7 days of ISO treatment led to (ii) increased hypertrophy, pulmonary edema, more fibrosis, and higher <em>ACTA1</em> gene expression compared to wild-type (WT) mice. These effects were accompanied by (iii) a decrease in myocellular contractility and prolonged relaxation. Ca<sup>2+</sup> transients (iv) showed correspondingly delayed decay kinetics in TG versus WT, while (v) the reduction of L-type calcium peak current by ISO treatment was less pronounced in TG cells. The decrease in RyR2 phosphorylation in TG (vi) supports a deterioration in contractility due to chronic ISO treatment in TG.</div></div><div><h3>Conclusion</h3><div>Our results indicate that the upregulation of PP2A-PR72 in various stress and heart failure models has a long-term effect, perpetuating the molecular and functional detrimental cardiac changes, if it does not have a triggering effect.</div></div>","PeriodicalId":16402,"journal":{"name":"Journal of molecular and cellular cardiology","volume":"209 ","pages":"Pages 66-79"},"PeriodicalIF":4.7,"publicationDate":"2025-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145292429","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}
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Journal of molecular and cellular cardiology
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