Publications by authors named "Timothy A McKinsey"

Chronic inflammation and tissue fibrosis are common responses that worsen organ function, yet the molecular mechanisms governing their cross-talk are poorly understood. In diseased organs, stress-induced gene expression changes fuel maladaptive cell state transitions and pathological interaction between cellular compartments. Although chronic fibroblast activation worsens dysfunction in the lungs, liver, kidneys and heart, and exacerbates many cancers, the stress-sensing mechanisms initiating transcriptional activation of fibroblasts are poorly understood.

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Tuning of genome structure and function is accomplished by chromatin-binding proteins, which determine the transcriptome and phenotype of the cell. Here we investigate how communication between extracellular stress and chromatin structure may regulate cellular mechanical behaviors. We demonstrate that histone H1.

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Background: A healthy heart is able to modify its function and increase relaxation through post-translational modifications of myofilament proteins. While there are known examples of serine/threonine kinases directly phosphorylating myofilament proteins to modify heart function, the roles of tyrosine (Y) phosphorylation to directly modify heart function have not been demonstrated. The myofilament protein TnI (troponin I) is the inhibitory subunit of the troponin complex and is a key regulator of cardiac contraction and relaxation.

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Article Synopsis
  • In vitro cultures of cardiac fibroblasts (CFs) are used to study cardiac fibrosis, but the rigid plastic surfaces lead to unwanted changes in the cells that complicate research outcomes.
  • Using soft PEG hydrogels to mimic the stiffness of healthy and fibrotic hearts, researchers found that low stiffness can revert activated CFs to a quiescent state, although it also increased markers of cellular aging.
  • The study uncovered how CFs adapt their gene expression based on the stiffness of their environment, providing insights into how tissue rigidity influences their behavior and contributes to heart disease.
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Stimulation of adipocyte β-adrenergic receptors (β-ARs) induces expression of uncoupling protein 1 (UCP1), promoting nonshivering thermogenesis. Association of β-ARs with a lysine-myristoylated form of A kinase-anchoring protein 12 (AKAP12, also known as gravin-α) is required for downstream signaling that culminates in UCP1 induction. Conversely, demyristoylation of gravin-α by histone deacetylase 11 (HDAC11) suppresses this pathway.

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According to the latest World Health Organization statistics, cardiovascular disease (CVD) is one of the leading causes of death globally. Due to the rise in the prevalence of major risk factors, such as diabetes mellitus and obesity, the burden of CVD is expected to worsen in the decades to come. Whilst obesity is a major and consistent risk factor for CVD, the underlying pathological molecular communication between peripheral fat depots and the heart remains poorly understood.

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Article Synopsis
  • Stimulation of β-adrenergic receptors (β-ARs) in fat cells leads to increased expression of uncoupling protein 1 (UCP1), which helps generate heat without shivering.
  • The interaction of β-ARs with a specific form of the protein A-kinase anchoring protein 12 (AKAP12/gravin-α) is essential for activating UCP1, while HDAC11 can inhibit this pathway by removing myristoylation from gravin-α.
  • Deleting HDAC11 in fat cells or using the selective inhibitor FT895 enhances UCP1 expression and body temperature, even in cases where β-AR signaling is disrupted, suggesting that targeting HDAC11 could
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Article Synopsis
  • * Research shows that blocking HDACs with pan-HDAC inhibitors (like givinostat) can improve muscle structure and function in conditions such as Duchenne Muscular Dystrophy (DMD), with promising results from clinical trials.
  • * The review highlights how HDACs influence muscle cell behavior and could lead to better treatment strategies for muscular dystrophies by targeting their roles in muscle repair and regeneration.
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Heart failure (HF) with preserved ejection fraction (HFpEF) is defined as HF with an ejection fraction (EF) ≥ 50% and elevated cardiac diastolic filling pressures. The underlying causes of HFpEF are multifactorial and not well-defined. A transgenic mouse with low levels of cardiomyocyte (CM)-specific inducible Cavβ2a expression (β2a-Tg mice) showed increased cytosolic CM Ca, and modest levels of CM hypertrophy, and fibrosis.

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Chronic inflammation and tissue fibrosis are common stress responses that worsen organ function, yet the molecular mechanisms governing their crosstalk are poorly understood. In diseased organs, stress-induced changes in gene expression fuel maladaptive cell state transitions and pathological interaction between diverse cellular compartments. Although chronic fibroblast activation worsens dysfunction of lung, liver, kidney, and heart, and exacerbates many cancers, the stress-sensing mechanisms initiating the transcriptional activation of fibroblasts are not well understood.

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Article Synopsis
  • Organ fibrosis from excessive extracellular matrix production by fibroblasts is a significant contributor to mortality, especially in cardiovascular diseases, prompting research into small molecule inhibitors that can suppress fibroblast activation.
  • High-content imaging was employed to test various compounds for their ability to block fibroblast activation markers, identifying SW033291 as a promising candidate that inhibits a specific enzyme involved in eicosanoid degradation.
  • SW033291 effectively reduced activation markers in both rat and human cardiac fibroblasts, reversed activation in fibroblasts from heart failure patients, and improved cardiac fibrosis and diastolic dysfunction in mouse models, signaling its potential as a therapeutic agent.
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Heart failure remains among the most common and morbid health conditions. The Heart Failure Strategically Focused Research Network (HF SFRN) was funded by the American Heart Association to facilitate collaborative, high-impact research in the field of heart failure across the domains of basic, clinical, and population research. The Network was also charged with developing training opportunities for young investigators.

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Approximately 50% of all heart failure (HF) diagnoses can be classified as HF with preserved ejection fraction (HFpEF). HFpEF is more prevalent in females compared with males, but the underlying mechanisms are unknown. We previously showed that pressure overload (PO) in male felines induces a cardiopulmonary phenotype with essential features of human HFpEF.

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Cardiovascular diseases and specifically heart failure (HF) impact global health and impose a significant economic burden on society. Despite current advances in standard of care, the risks for death and readmission of HF patients remain unacceptably high and new therapeutic strategies to limit HF progression are highly sought. In disease settings, persistent mechanical or neurohormonal stress to the myocardium triggers maladaptive cardiac remodelling, which alters cardiac function and structure at both the molecular and cellular levels.

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We recently established a large animal model that recapitulates key clinical features of heart failure with preserved ejection fraction (HFpEF) and tested the effects of the pan-HDAC inhibitor suberoylanilide hydroxamic acid (SAHA). SAHA reversed and prevented the development of cardiopulmonary impairment. This study evaluated the effects of SAHA at the level of cardiomyocyte and contractile protein function to understand how it modulates cardiac function.

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Passive stiffness of the heart is determined largely by extracellular matrix and titin, which functions as a molecular spring within sarcomeres. Titin stiffening is associated with the development of diastolic dysfunction (DD), while augmented titin compliance appears to impair systolic performance in dilated cardiomyopathy. We found that myofibril stiffness was elevated in mice lacking histone deacetylase 6 (HDAC6).

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Background: Cardiac fibroblasts are the main non-myocyte population responsible for extracellular matrix (ECM) production. During perinatal development, fibroblast expansion coincides with the transition from hyperplastic to hypertrophic myocardial growth. Therefore, we investigated the consequences of fibroblast loss at the time of cardiomyocyte maturation by depleting fibroblasts in the perinatal mouse.

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Fibrosis, or chronic fibroblast activation and extracellular matrix deposition, underlies most cardiovascular diseases and remains challenging to target therapeutically. Reported in Science by Rurik et al., modified mRNA technology can reprogram endogenous T cells into fibroblast-ablating CAR-Ts in mouse hearts, offering a promising and tractable immunotherapy approach for tackling fibrosis.

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