Division of Basic Biomedical Sciences, University of South Dakota Sanford School of Medicine, Vermillion, SD 57069, USA.
Department of Pathophysiology, Guangzhou Medical University College of Basic Medical Sciences, Guangzhou, Guangdong 511436, China.
Sci Adv. 2019 May 22;5(5):eaaw5870. doi: 10.1126/sciadv.aaw5870. eCollection 2019 May.
No current treatment targets cardiac proteotoxicity or can reduce mortality of heart failure (HF) with preserved ejection fraction (HFpEF). Selective degradation of misfolded proteins by the ubiquitin-proteasome system (UPS) is vital to the cell. Proteasome impairment contributes to HF. Activation of cAMP-dependent protein kinase (PKA) or cGMP-dependent protein kinase (PKG) facilitates proteasome functioning. Phosphodiesterase 1 (PDE1) hydrolyzes both cyclic nucleotides and accounts for most PDE activities in human myocardium. We report that PDE1 inhibition (IC86430) increases myocardial 26 proteasome activities and UPS proteolytic function in mice. Mice with CryAB-based proteinopathy develop HFpEF and show increased myocardial PDE1A expression. PDE1 inhibition markedly attenuates HFpEF, improves mouse survival, increases PKA-mediated proteasome phosphorylation, and reduces myocardial misfolded CryAB. Therefore, PDE1 inhibition induces PKA- and PKG-mediated promotion of proteasomal degradation of misfolded proteins and treats HFpEF caused by CryAB, representing a potentially new therapeutic strategy for HFpEF and heart disease with increased proteotoxic stress.
目前尚无针对心脏蛋白毒性的治疗靶点,也无法降低射血分数保留型心力衰竭(HFpEF)的死亡率。泛素-蛋白酶体系统(UPS)对错误折叠蛋白的选择性降解对细胞至关重要。蛋白酶体功能障碍与心力衰竭有关。环腺苷酸依赖性蛋白激酶(PKA)或环鸟苷酸依赖性蛋白激酶(PKG)的激活有助于蛋白酶体发挥作用。磷酸二酯酶 1(PDE1)水解两种环核苷酸,并占人类心肌中大多数 PDE 活性。我们报告 PDE1 抑制(IC86430)可增加小鼠心肌 26 种蛋白酶体活性和 UPS 蛋白水解功能。基于 CryAB 的蛋白病小鼠会发展为 HFpEF,并表现出心肌 PDE1A 表达增加。PDE1 抑制可显著减轻 HFpEF,提高小鼠存活率,增加 PKA 介导的蛋白酶体磷酸化,并减少心肌错误折叠的 CryAB。因此,PDE1 抑制可诱导 PKA 和 PKG 介导的错误折叠蛋白的蛋白酶体降解,治疗由 CryAB 引起的 HFpEF,这代表了一种针对 HFpEF 和蛋白毒性应激增加的心脏病的潜在新治疗策略。