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Cellular aging and rejuvenation in ischemic heart disease: a translation from basic science to clinical therapy 缺血性心脏病的细胞衰老和年轻化:从基础科学到临床治疗的转化
Pub Date : 2022-01-01 DOI: 10.20517/jca.2021.34
R. Madonna
Ischemic heart disease and heart failure (HF) remain the leading causes of death worldwide. The inability of the adult heart to regenerate itself following ischemic injury and subsequent scar formation may explain the poor prognosis in these patients, especially when necrosis is extensive and leads to severe left ventricular dysfunction. Under physiological conditions, the crosstalk between cardiomyocytes and cardiac interstitial/vascular cells plays a pivotal role in cardiac processes by limiting ischemic damage or promoting repair processes, such as angiogenesis, regulation of cardiac metabolism, and the release of soluble paracrine or endocrine factors. Cardiovascular risk factors are the main cause of accelerated senescence of cardiomyocytes and cardiac stromal cells (CSCs), causing the loss of their cardioprotective and repairing functions. CSCs are supportive cells found in the heart. Among these, the pericytes/mural cells have the propensity to differentiate, under appropriate stimuli in vitro, into adipocytes, smooth muscle cells, osteoblasts, and chondroblasts, as well as other cell types. They contribute to normal cardiac function and have an antifibrotic effect after ischemia. Diabetes represents a condition of accelerated senescence. Among the new pharmacological armamentarium with hypoglycemic effect, gliflozins have been shown to reduce the incidence of HF and re-hospitalization, probably through the anti-remodeling and anti-senescent effect on the heart, regardless of diabetes. Therefore, either reducing the senescence of CSC or removing senescent cells from the infarcted heart could represent future antisenescence strategies capable of preventing the deterioration of heart function leading to HF.
缺血性心脏病和心力衰竭(HF)仍然是世界范围内死亡的主要原因。成人心脏在缺血损伤后无法自我再生,随后形成疤痕,这可能解释了这些患者预后差的原因,特别是当坏死广泛并导致严重的左心室功能障碍时。在生理条件下,心肌细胞与心脏间质/血管细胞之间的串扰在心脏过程中发挥关键作用,通过限制缺血损伤或促进修复过程,如血管生成,调节心脏代谢,释放可溶性旁分泌或内分泌因子。心血管危险因素是心肌细胞和心脏基质细胞(CSCs)加速衰老的主要原因,导致其心脏保护和修复功能丧失。干细胞是在心脏中发现的支持细胞。其中,周细胞/壁细胞在体外适当刺激下具有分化为脂肪细胞、平滑肌细胞、成骨细胞和成软骨细胞以及其他细胞类型的倾向。它们有助于正常的心脏功能,并在缺血后具有抗纤维化作用。糖尿病是一种加速衰老的疾病。在具有降糖作用的新型药物中,格列净已被证明可以降低HF的发生率和再住院率,可能是通过对心脏的抗重塑和抗衰老作用,而与糖尿病无关。因此,无论是减少CSC的衰老,还是从梗死心脏中去除衰老细胞,都可能代表未来能够防止心功能恶化导致HF的抗衰老策略。
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引用次数: 2
Oligogenic cardiomyopathy. 寡基因心肌病。
Pub Date : 2022-01-01 DOI: 10.20517/jca.2021.27
Ali J Marian
Dr. McKenna and colleagues interpret the histology figure to diagnose cor adiposum in family member III-4 who died suddenly and was found to have extensive fibro-adiposis of the right ventricle[1]. The authors apparently made their diagnosis indicating that fibrosis is necessary for the diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC). We had described the histological data as “fibro-fatty infiltration of the right ventricle, encompassing 50% to 80% of the right ventricular wall thickness”[1]. However, we had not included specific staining for myocardial fibrosis. We provide Masson trichrome-stained myocardial sections, which show unequivocal evidence of myocardial fibrosis along with the excess adipocytes [Figure 1]. We also note that individual III-4 had pathogenic and likely pathogenic variants (PVs/LPVs) in the PKP2 and DSP genes, which are well-established causes of ARVC. Furthermore, cor adiposum does not exclusively and extensively involve the right ventricle, as observed in individual III-4, without involving the left ventricle. Thus, the data firmly refutes the diagnosis of cor adiposum and confirms the diagnosis of the classic ARVC.
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引用次数: 1
Mitochondrial DAMPs-dependent inflammasome activation during aging induces vascular smooth muscle cell dysfunction and aortic stiffness in low aerobic capacity rats 衰老过程中线粒体damps依赖性炎性体激活诱导低有氧能力大鼠血管平滑肌细胞功能障碍和主动脉僵硬
Pub Date : 2022-01-01 DOI: 10.20517/jca.2022.35
Chandrika Canugovi, M. Stevenson, Aleksandr E. Vendrov, A. Lozhkin, S. Britton, L. Koch, M. Runge, N. Madamanchi
Introduction: Low aerobic exercise capacity is an independent risk factor for cardiovascular disease (CVD) and a predictor of premature death. In combination with aging, low aerobic capacity lowers the threshold for CVD. Aim: Since low aerobic capacity and aging have been linked to mitochondrial oxidative stress and dysfunction, we investigated whether aged Low-Capacity Runner (LCR) rats (27 months) had vascular dysfunction compared to High-Capacity Runner (HCR) rats. Methods and Results: A significant decrease in aortic eNOS levels and vasodilation as well as an increase in aortic collagen and stiffness were observed in aged LCR rats compared to age and sex-matched HCR rats. There was a correlation between age-related vascular dysfunction and increased levels of ROS and DNA damage in aortas of LCR rats. Moreover, mitochondrial oxygen consumption, membrane potential, ATP levels, and mitophagy were lower in VSMCs of aged LCR rats. VSMCs from older LCR rats showed AIM2 inflammasome activation. VSMCs of young (4 months old) LCR rats treated with purified mitochondrial damage-associated molecular patterns (DAMP) recapitulated an inflammasome activation phenotype similar to that seen in aged rat VSMCs. Rapamycin, a potent immunosuppressant, induced mitophagy, stimulated electron transport chain activity, reduced inflammasome activity, mitochondrial ROS and DAMP levels in VSMCs from aged LCR rats. MitoTEMPO, a mitochondrial ROS scavenger, was similarly effective on VSMCs from aged rats. Conclusion: The findings suggest that impaired mitophagy and inflammasome activation in the vasculature under conditions of low aerobic exercise capacity during aging results in arterial dysfunction and aortic stiffness. In older adults with reduced aerobic capacity, mitochondrial antioxidants, mitophagy induction, and inflammasome inhibition may be effective therapeutic strategies for enhancing vascular health.
前言:低有氧运动能力是心血管疾病(CVD)的独立危险因素和过早死亡的预测因子。随着年龄的增长,低有氧能力降低了心血管疾病的阈值。目的:由于低有氧能力和衰老与线粒体氧化应激和功能障碍有关,我们研究了老年低容量跑者(LCR)大鼠(27个月)与高容量跑者(HCR)大鼠相比是否存在血管功能障碍。方法和结果:与年龄和性别匹配的HCR大鼠相比,老龄LCR大鼠主动脉eNOS水平和血管舒张度显著降低,主动脉胶原蛋白和硬度显著增加。年龄相关性血管功能障碍与LCR大鼠主动脉ROS水平升高及DNA损伤存在相关性。老龄LCR大鼠VSMCs的线粒体耗氧量、膜电位、ATP水平和线粒体自噬均较低。老年LCR大鼠VSMCs显示AIM2炎性体活化。用纯化的线粒体损伤相关分子模式(DAMP)处理的年轻(4个月大)LCR大鼠的VSMCs再现了与老年大鼠VSMCs相似的炎性体激活表型。雷帕霉素是一种有效的免疫抑制剂,在老年LCR大鼠VSMCs中诱导线粒体自噬,刺激电子传递链活性,降低炎症小体活性,线粒体ROS和DAMP水平。MitoTEMPO是一种线粒体ROS清除剂,对老年大鼠的VSMCs同样有效。结论:衰老过程中有氧运动能力低的情况下,血管中线粒体自噬和炎性体激活受损导致动脉功能障碍和主动脉僵硬。对于有氧能力降低的老年人,线粒体抗氧化剂、线粒体自噬诱导和炎症小体抑制可能是增强血管健康的有效治疗策略。
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引用次数: 0
WNT links metabolism and cell cycle in postnatal cardiomyocytes. WNT与出生后心肌细胞的代谢和细胞周期有关。
Pub Date : 2022-01-01 DOI: 10.20517/jca.2022.18
Ivan Menendez-Montes, Hesham A Sadek
© The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
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引用次数: 0
YAP/TAZ dull the STING of aging. YAP/TAZ淡化老化的刺痛。
Pub Date : 2022-01-01 Epub Date: 2022-08-05 DOI: 10.20517/jca.2022.33
Jamie Francisco, Dominic P Del Re
Cellular senescence is a concerted process that involves a stable cell cycle arrest despite continued metabolic activity, and the development of a pro-inflammatory response known as the senescence-associated secretory phenotype (SASP) [1] . Aging and senescence have long been associated, and studies employing senolytic approaches, i.e., the targeted removal of senescent cells, have demonstrated a causal role for their actions in aging-related phenotypes in various tissues [2] . Presumably, due to the nature of SASP, this process is largely non-cell autonomous and involves paracrine effects on neighboring cells to promote organ dysfunction. senolytic approaches aging-related tissue linked physiological aging and cellular to a decline in mechanotransduction mediated by decreased YAP/TAZ activity findings
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引用次数: 1
Effects of tamoxifen inducible MerCreMer on gene expression in cardiac myocytes in mice. 他莫昔芬诱导的MerCreMer对小鼠心肌细胞基因表达的影响。
Pub Date : 2022-01-01 Epub Date: 2022-01-05 DOI: 10.20517/jca.2021.30
Leila Rouhi, Siyang Fan, Sirisha M Cheedipudi, Melis Olcum, Hyun-Hwan Jeong, Zhongming Zhao, Priyatansh Gurha, Ali J Marian

The Cre-LoxP technology, including the tamoxifen (TAM) inducible MerCreMer (MCM), is increasingly used to delineate gene function, understand the disease mechanisms, and test therapeutic interventions. We set to determine the effects of TAM-MCM on cardiac myocyte transcriptome. Expression of the MCM was induced specifically in cardiac myocytes upon injection of TAM to myosin heavy chain 6-MCM (Myh6-Mcm) mice for 5 consecutive days. Cardiac function, myocardial histology, and gene expression (RNA-sequencing) were analyzed 2 weeks after TAM injection. A total of 346 protein coding genes (168 up- and 178 down-regulated) were differentially expressed. Transcript levels of 85 genes, analyzed by a reverse transcription-polymerase chain reaction in independent samples, correlated with changes in the RNA-sequencing data. The differentially expressed genes were modestly enriched for genes involved in the interferon response and the tumor protein 53 (TP53) pathways. The changes in gene expression were relatively small and mostly transient and had no discernible effects on cardiac function, myocardial fibrosis, and apoptosis or induction of double-stranded DNA breaks. Thus, TAM-inducible activation of MCM alters cardiac myocytes gene expression, provoking modest and transient interferon and DNA damage responses without exerting other discernible phenotypic effects. Thus, the effects of TAM-MCM on gene expression should be considered in discerning the bona fide changes that result from the targeting of the gene of interest.

Cre-LoxP技术,包括他莫昔芬(TAM)诱导MerCreMer (MCM),越来越多地用于描述基因功能,了解疾病机制和测试治疗干预措施。我们打算确定TAM-MCM对心肌细胞转录组的影响。连续5天给肌球蛋白重链6-MCM (Myh6-Mcm)小鼠注射TAM,诱导心肌细胞特异性表达MCM。注射TAM后2周,分析心功能、心肌组织学及基因表达(rna测序)。共有346个蛋白编码基因(168个上调,178个下调)差异表达。通过对独立样本进行逆转录聚合酶链反应分析,85个基因的转录水平与rna测序数据的变化相关。差异表达基因适度富集参与干扰素反应和肿瘤蛋白53 (TP53)通路的基因。基因表达的变化相对较小,且大多是短暂的,对心功能、心肌纤维化、细胞凋亡或诱导双链DNA断裂没有明显的影响。因此,tam诱导的MCM激活改变心肌细胞基因表达,引发适度和短暂的干扰素和DNA损伤反应,而不产生其他可识别的表型效应。因此,应该考虑TAM-MCM对基因表达的影响,以识别目标基因引起的真正变化。
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引用次数: 10
SGLT2 inhibitors in patients with HFpEF: how old is too old? SGLT2抑制剂在HFpEF患者中的应用:多大才算太老?
Pub Date : 2022-01-01 Epub Date: 2022-07-20 DOI: 10.20517/jca.2022.30
Dan Tong
Graphical Abstract
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引用次数: 0
To Live in Your Growth Zone, You Need to Leave Your Comfort Zone 为了生活在你的成长区,你需要离开你的舒适区
Pub Date : 2022-01-01 DOI: 10.20517/jca.2022.22
L. Rouhi
{"title":"To Live in Your Growth Zone, You Need to Leave Your Comfort Zone","authors":"L. Rouhi","doi":"10.20517/jca.2022.22","DOIUrl":"https://doi.org/10.20517/jca.2022.22","url":null,"abstract":"","PeriodicalId":75051,"journal":{"name":"The journal of cardiovascular aging","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67657111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The TNNI3 p.R186Q mutation is responsible for hypertrophic cardiomyopathy via promoting FASN-stimulated abnormal fatty acid metabolism TNNI3 p.R186Q突变通过促进fasn刺激的异常脂肪酸代谢而导致肥厚性心肌病
Pub Date : 2022-01-01 DOI: 10.20517/jca.2022.29
Linjuan Guo, Yuhao Su, Chen Chen, Qiongqiong Zhou, Yang Shen, Zhenhong Jiang, Xia Yan, Xiaoqing Li, Wen Zhuo, Xiaogang Peng, R. Wan, K. Hong
Introduction: The TNNI3 gene encodes the protein of cardiac troponin I (cTnI), which is an inhibitory subunit of sarcomeres. Mutations in this gene account for 3% of hypertrophic cardiomyopathy (HCM) and the molecular mechanism is complex. Recently, lipid metabolism has been revealed to be involved in HCM. Aim: The purpose of this work is to identify whether the pathological mechanism of the hotspot mutation TNNI3 p.R186Q in HCM is related to abnormal lipid metabolism. Methods and Results: A knock-in (KI) mouse model carrying the Tnni3 p.R186Q homozygous mutation (Tnni3R186Q/R186Q) was novelty generated by CRISPR/Cas9 technology and successfully constructed a typical phenotype of cardiac-myopathy. Likewise, neonatal rat cardiomyocytes (NRCMs) transfected with a mutant plasmid with the TNNI3 p.R186Q mutation showed the same phenomenon. In-depth experiments on related functions and molecular mechanisms were conducted, and Tnni3R186Q/R186Q mice exhibited abnormal fatty acid metabolism, which was induced by the activation of epidermal growth factor receptor (EGFR)-dependent high expression of fatty acid synthase (FASN) in vivo and in vitro. Specifically, the direct binding of EGFR and cTnI was destroyed by TNNI3 p.R186Q mutation, as observed through bioinformatics, Co-IP and GST-pull down analysis. Conclusion: In the present study, we successfully engineered Tnni3R186Q/R186Q mice with the typical phenotype of myocardial hypertrophy. We demonstrated that the TNNI3 p.R186Q mutation could induce HCM by the dissociation of EGFR and cTnI, which further led to EGFR-dependent increased expression of FASN and abnormal lipid metabolism.
简介:TNNI3基因编码心肌肌钙蛋白I (cTnI)蛋白,cTnI是肌肉瘤的抑制亚基。该基因突变占肥厚性心肌病(HCM)的3%,其分子机制复杂。近年来,脂质代谢被发现参与HCM。目的:研究HCM中热点突变TNNI3 p.R186Q的病理机制是否与脂质代谢异常有关。方法与结果:利用CRISPR/Cas9技术新构建了携带Tnni3 p.R186Q纯合突变(Tnni3R186Q/R186Q)的敲入(KI)小鼠模型,成功构建了典型的心肌病表型。同样,转染TNNI3 p.R186Q突变质粒的新生大鼠心肌细胞(NRCMs)也表现出同样的现象。通过对相关功能和分子机制的深入实验,发现Tnni3R186Q/R186Q小鼠体内外均表现出脂肪酸代谢异常,这是由表皮生长因子受体(EGFR)依赖性脂肪酸合成酶(FASN)高表达激活所致。具体来说,通过生物信息学、Co-IP和GST-pull - down分析发现,TNNI3 p.R186Q突变破坏了EGFR与cTnI的直接结合。结论:本研究成功构建了具有典型心肌肥厚表型的Tnni3R186Q/R186Q小鼠。我们证明了TNNI3 p.R186Q突变可以通过EGFR和cTnI的分离诱导HCM,进而导致EGFR依赖性FASN表达增加和脂质代谢异常。
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引用次数: 1
The use of targeted LNP/mRNA technology to generate functional, transient CAR T cells and treat cardiac injury in vivo 利用靶向LNP/mRNA技术在体内生成功能性、瞬态CAR - T细胞并治疗心脏损伤
Pub Date : 2022-01-01 DOI: 10.20517/jca.2022.05
G. Ellison‐Hughes
Rurik et al. [1] published in Science provide results from an elegant proof-of-concept study that modified messenger RNA (mRNA) encapsulated in targeted lipid nanoparticles (LNPs) can be delivered intravenously to produce functional engineered T cells in vivo . Specifically, they generated transient anti-fibrotic chimeric antigen receptor (CAR) T cells in vivo by delivering modified mRNA in CD5 T cell-targeted LNPs.
Rurik等人发表在《科学》杂志上的一项优雅的概念验证研究结果表明,包裹在靶向脂质纳米颗粒(LNPs)中的修饰信使RNA (mRNA)可以通过静脉注射在体内产生功能性工程T细胞。具体来说,他们通过在靶向CD5 T细胞的LNPs中传递修饰的mRNA,在体内产生瞬时抗纤维化嵌合抗原受体(CAR) T细胞。
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引用次数: 0
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The journal of cardiovascular aging
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