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硝化应激导致射血分数保留型心力衰竭。

Nitrosative stress drives heart failure with preserved ejection fraction.

机构信息

Division of Cardiology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Division of Cardiology, Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy.

出版信息

Nature. 2019 Apr;568(7752):351-356. doi: 10.1038/s41586-019-1100-z. Epub 2019 Apr 10.


DOI:10.1038/s41586-019-1100-z
PMID:30971818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6635957/
Abstract

Heart failure with preserved ejection fraction (HFpEF) is a common syndrome with high morbidity and mortality for which there are no evidence-based therapies. Here we report that concomitant metabolic and hypertensive stress in mice-elicited by a combination of high-fat diet and inhibition of constitutive nitric oxide synthase using N-nitro-L-arginine methyl ester (L-NAME)-recapitulates the numerous systemic and cardiovascular features of HFpEF in humans. Expression of one of the unfolded protein response effectors, the spliced form of X-box-binding protein 1 (XBP1s), was reduced in the myocardium of our rodent model and in humans with HFpEF. Mechanistically, the decrease in XBP1s resulted from increased activity of inducible nitric oxide synthase (iNOS) and S-nitrosylation of the endonuclease inositol-requiring protein 1α (IRE1α), culminating in defective XBP1 splicing. Pharmacological or genetic suppression of iNOS, or cardiomyocyte-restricted overexpression of XBP1s, each ameliorated the HFpEF phenotype. We report that iNOS-driven dysregulation of the IRE1α-XBP1 pathway is a crucial mechanism of cardiomyocyte dysfunction in HFpEF.

摘要

射血分数保留型心力衰竭(HFpEF)是一种常见的综合征,发病率和死亡率都很高,但目前尚无循证治疗方法。在这里,我们报告了在高脂肪饮食和使用 N-硝基-L-精氨酸甲酯(L-NAME)抑制组成型一氧化氮合酶的组合作用下,小鼠同时发生代谢和高血压应激,重现了人类 HFpEF 的许多全身和心血管特征。我们的啮齿动物模型和 HFpEF 患者的心肌中,未折叠蛋白反应效应物之一的剪接 X 盒结合蛋白 1(XBP1s)的表达减少。从机制上讲,XBP1s 的减少是由于诱导型一氧化氮合酶(iNOS)活性增加和内质网必需的蛋白 1α(IRE1α)的 S-亚硝基化,最终导致 XBP1 剪接缺陷。iNOS 的药理学或遗传学抑制,或心肌细胞特异性过表达 XBP1s,均可改善 HFpEF 表型。我们报告说,iNOS 驱动的 IRE1α-XBP1 通路失调是 HFpEF 中心肌细胞功能障碍的一个重要机制。

相似文献

[1]
Nitrosative stress drives heart failure with preserved ejection fraction.

Nature. 2019-4-10

[2]
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[3]
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[4]
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[5]
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[6]
iNOS contributes to heart failure with preserved ejection fraction through mitochondrial dysfunction and Akt S-nitrosylation.

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[7]
Imeglimin prevents heart failure with preserved ejection fraction by recovering the impaired unfolded protein response in mice subjected to cardiometabolic stress.

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[8]
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[9]
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[10]
Enhanced IRE1α Phosphorylation/Oligomerization-Triggered XBP1 Splicing Contributes to Parkin-Mediated Prevention of SH-SY5Y Cell Death under Nitrosative Stress.

Int J Mol Sci. 2023-1-19

引用本文的文献

[1]
Goreisan attenuates cardiac hypertrophy and diastolic dysfunction in heart failure with preserved ejection fraction induced by HFD/L-NAME via regulation of ICAT-β-catenin/ERK axis.

Hypertens Res. 2025-9-3

[2]
Adropin as a therapeutic candidate for HFpEF: evidence of oxidative stress mitigation via Nrf2/HO-1 signaling.

Lipids Health Dis. 2025-9-2

[3]
TGFBR1 gene silencing attenuates cardiomyopathy in the HFpEF mouse model.

PLoS One. 2025-8-29

[4]
Novel Drug Targets in Diastolic Heart Disease.

Int J Mol Sci. 2025-8-20

[5]
Translational Control in Cardiac Pathophysiology and Therapeutic Development: When mRNA Meets the Heart.

Int J Mol Sci. 2025-8-14

[6]
S-Nitrosylation in Cardiovascular Disorders: The State of the Art.

Biomolecules. 2025-7-24

[7]
Integrated Systems Biology Identifies Disruptions in Mitochondrial Function and Metabolism as Key Contributors to HFpEF.

JACC Basic Transl Sci. 2025-8-15

[8]
The Hidden Price of Plenty: Oxidative Stress and Calorie-Induced Cardiometabolic Dysfunction.

Life (Basel). 2025-6-27

[9]
Targeted Overexpression of Mitochondrial ALDH2 in Coronary Endothelial Cells Mitigates HFpEF in a Diabetic Mouse Model.

Biomolecules. 2025-7-16

[10]
Circulating Immune Cell Signature Analysis in HFpEF Across Species.

Circ Res. 2025-8-15

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