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Therapeutic Inhibition of Protects Against Cardiac Hypertrophy. | LitMetric

Therapeutic Inhibition of Protects Against Cardiac Hypertrophy.

Circ Res

Department of Cardiology, Boston Children's Hospital (Y.W., M.Z., R.W., J. Lin, Q.M., H.G., Z.L., Y.C., X.Z., Y.W.L., J. Liu, F.X., H.Y., Z.-P.H., W.T.P., D.-Z.W.), Harvard Medical School, Boston, MA.

Published: July 2024

AI Article Synopsis

  • Cardiac hypertrophy is a response to increased pressure in the heart but can lead to heart failure if it persists, and recent research suggests that long noncoding RNAs may play a key role in this process.
  • Researchers measured RNA levels in patients with dilated cardiomyopathy and used various techniques, including knockout mice and transcriptome analysis, to explore the function of a specific lincRNA called lincRNA-p21 and its interactions with proteins like KAP1.
  • Results showed that both lincRNA-p21 and KAP1 are crucial for the development of cardiac hypertrophy and heart failure, highlighting their potential as therapeutic targets for managing heart conditions.

Article Abstract

Background: Cardiac hypertrophy is an adaptive response to pressure overload aimed at maintaining cardiac function. However, prolonged hypertrophy significantly increases the risk of maladaptive cardiac remodeling and heart failure. Recent studies have implicated long noncoding RNAs in cardiac hypertrophy and cardiomyopathy, but their significance and mechanism(s) of action are not well understood.

Methods: We measured RNA and H3K27ac levels in the hearts of dilated cardiomyopathy patients. We assessed the functional role of in basal and surgical pressure-overload conditions using loss-of-function mice. Genome-wide transcriptome analysis revealed dysregulated genes and pathways. We labeled proteins in proximity to full-length lincRNA-p21 using a novel BioID2-based system. We immunoprecipitated lincRNA-p21-interacting proteins and performed cell fractionation, ChIP-seq (chromatin immunoprecipitation followed by sequencing), and co-immunoprecipitation to investigate molecular interactions and underlying mechanisms. We used GapmeR antisense oligonucleotides to evaluate the therapeutic potential of inhibition in cardiac hypertrophy and associated heart failure.

Results: was induced in mice and humans with cardiomyopathy. Global and cardiac-specific knockout significantly suppressed pressure overload-induced ventricular wall thickening, stress marker elevation, and deterioration of cardiac function. Genome-wide transcriptome analysis and transcriptional network analysis revealed that acts to stimulate the NFAT/MEF2 (nuclear factor of activated T cells/myocyte enhancer factor-2) pathway. Mechanistically, lincRNA-p21 is bound to the scaffold protein KAP1 (KRAB-associated protein-1). cardiac-specific knockout suppressed stress-induced nuclear accumulation of KAP1, and KAP1 knockdown attenuated cardiac hypertrophy and NFAT activation. KAP1 positively regulates pathological hypertrophy by physically interacting with NFATC4 to promote the overactive status of NFAT/MEF2 signaling. GapmeR antisense oligonucleotide depletion of lincRNA-p21 similarly inhibited cardiac hypertrophy and adverse remodeling, highlighting the therapeutic potential of inhibiting .

Conclusions: These findings advance our understanding of the functional significance of stress-induced long noncoding RNA in cardiac hypertrophy and demonstrate the potential of as a novel therapeutic target for cardiac hypertrophy and subsequent heart failure.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11257812PMC
http://dx.doi.org/10.1161/CIRCRESAHA.123.323356DOI Listing

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