Department of Cardiology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China (mainland).
Department of Cardiology, Jiulongpo District People's Hospital, Chongqing, China (mainland).
Med Sci Monit. 2020 Apr 12;26:e923025. doi: 10.12659/MSM.923025.
BACKGROUND Cardiac hypertrophy usually results in heart failure and is an important cause of mortality worldwide. Wnt/ß-catenin signaling pathway hyper-activation is involved in the pathogenesis and progression of cardiac hypertrophy. Wnt-C59 is a small molecular compound, which strongly and specifically targets at Porcupine to pharmacologically inhibit Wnt palmitoylation, secretion, and other biological activities. However, the role of Wnt-C59 in cardiac hypertrophy remains unknown. MATERIAL AND METHODS We performed transverse aortic constriction (TAC) in adult male mice to induce pressure overload and establish an in vivo model of cardiac hypertrophy. Angiotensin II (Ang-II) was utilized to culture cardiomyocyte to establish a model of in vitro cardiomyocyte hypertrophy. Daily administration of Porcupine inhibitor Wnt-C59 was performed for 4 weeks after TAC surgery. RESULTS Wnt-C59 significantly improved cardiac function and enhanced survival of mice subjected to TAC surgery. Histologically, Wnt-C59 attenuated TAC-induced increase in heart mass, cross-section area of cardiomyocyte, cardiac fibrosis, cardiomyocyte apoptosis, and expression of the hypertrophic biomarkers ß-MHC, ANP, and BNP. TAC-induced oxidative stress was also ameliorated by Wnt-C59. Wnt-C59 attenuated Ang-II-induced in vitro cardiomyocyte hypertrophy, as indicated by decreased cell size and lower expression of ANP, BNP, and ß-MHC. Moreover, Wnt/ß-catenin activation was blocked by Wnt-C59 in cardiac hypertrophy, as indicated by decreased protein expression of Wnt3a and ß-catenin and the Wnt target genes cyclin D1 and c-Myc. CONCLUSIONS Collectively, Porcupine inhibitor Wnt-C59 attenuates pressure overload-induced cardiac hypertrophic via interruption of the Wnt/ß-catenin signaling pathway, and it might be a promising drug for patients with cardiac hypertrophy.
心肌肥厚通常导致心力衰竭,是全球范围内死亡的重要原因。Wnt/β-连环蛋白信号通路的过度激活参与了心肌肥厚的发病机制和进展。Wnt-C59 是一种小分子化合物,可强烈且特异性地靶向 Porcupine,从而在药理学上抑制 Wnt 棕榈酰化、分泌和其他生物学活性。然而,Wnt-C59 在心肌肥厚中的作用尚不清楚。
我们通过横主动脉缩窄(TAC)在成年雄性小鼠中诱导压力超负荷,建立心肌肥厚的体内模型。利用血管紧张素 II(Ang-II)培养心肌细胞,建立体外心肌肥厚模型。在 TAC 手术后,每天给予 Porcupine 抑制剂 Wnt-C59 给药 4 周。
Wnt-C59 显著改善了 TAC 手术后小鼠的心脏功能并提高了其生存率。组织学上,Wnt-C59 减轻了 TAC 诱导的心脏质量增加、心肌细胞横截面积增加、心肌纤维化、心肌细胞凋亡以及肥厚标志物β-MHC、ANP 和 BNP 的表达。Wnt-C59 还改善了 TAC 诱导的氧化应激。Wnt-C59 减弱了 Ang-II 诱导的体外心肌细胞肥大,表现为细胞体积减小和 ANP、BNP 和β-MHC 的表达降低。此外,Wnt-C59 阻断了心肌肥厚中的 Wnt/β-连环蛋白激活,表现为 Wnt3a 和 β-连环蛋白蛋白表达以及 Wnt 靶基因 cyclin D1 和 c-Myc 降低。
总之,Porcupine 抑制剂 Wnt-C59 通过阻断 Wnt/β-连环蛋白信号通路减轻了压力超负荷诱导的心肌肥厚,可能是心肌肥厚患者的一种有前途的药物。