Wang Hao, Zhao Di, Yang Tongtong, Wang Wenjing, Zhou Liuhua, Sun Jiateng, Liu Liu, Gu Lingfeng, Bao Yulin, Wang Liansheng, Wang Qiming
Department of Cardiology, The First Affiliated Hospital With Nanjing Medical University, Nanjing, China.
Department of Cardiology, Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
FASEB J. 2025 Aug 15;39(15):e70935. doi: 10.1096/fj.202501385R.
Myocardial Infarction (MI) typically leads to unfavorable heart failure due to delayed reperfusion treatment. The adult heart is generally considered a nonregenerative organ. In contrast, the neonatal mammalian heart possesses the unique and transient ability to regenerate after injury. The underlying mechanisms governing heart regeneration remain largely unknown. Previous studies have shown that the nuclear auto-antigenic sperm protein (NASP) plays a crucial role in cell proliferation and tumorigenesis. This study explored the role of NASP in the heart for the first time, emphasizing its effect on cardiac regeneration and repair after injury. NASP exhibited high expression in neonatal myocardium and was observed to increase following apical resection (AR). The influence of NASP on cardiomyocyte proliferation was evaluated by examining cell cycle activity, mitosis, and cytokinesis staining using cardiomyocyte-specific overexpression or knockdown adenovirus 5 vectors. NASP knockdown inhibited heart regeneration in neonatal mice post-AR; whereas, NASP overexpression increased cardiomyocyte proliferation and promoted myocardial repair in adult mice post-MI. Mechanistically, NASP promoted cardiomyocyte proliferation through transcriptionally upregulating platelet-derived growth factor receptor beta (PDGFRB), subsequently activating the downstream AKT/c-MYC pathway. Our study highlights the key role of NASP in facilitating cardiac regenerative repair after injury, indicating its potential as a novel therapeutic target for MI.
由于再灌注治疗延迟,心肌梗死(MI)通常会导致不良的心力衰竭。成年心脏一般被认为是一个不可再生的器官。相比之下,新生哺乳动物心脏具有受伤后独特的、短暂的再生能力。心脏再生的潜在机制在很大程度上仍然未知。先前的研究表明,核自身抗原性精子蛋白(NASP)在细胞增殖和肿瘤发生中起关键作用。本研究首次探讨了NASP在心脏中的作用,强调其对损伤后心脏再生和修复的影响。NASP在新生心肌中高表达,并且在进行心尖切除(AR)后观察到其表达增加。通过使用心肌细胞特异性过表达或敲低腺病毒5载体检测细胞周期活性、有丝分裂和胞质分裂染色,评估了NASP对心肌细胞增殖的影响。敲低NASP抑制了新生小鼠AR后心脏的再生;而NASP过表达增加了成年小鼠MI后心肌细胞的增殖并促进了心肌修复。从机制上讲,NASP通过转录上调血小板衍生生长因子受体β(PDGFRB)来促进心肌细胞增殖,随后激活下游的AKT/c-MYC途径。我们的研究突出了NASP在促进损伤后心脏再生修复中的关键作用,表明其作为MI新型治疗靶点的潜力。
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