Shen Xuanyang, Li Weidong, Jiang Xiaolu, Wen Hongfu, Shen Yuan, Zhang Wen, Peng Yongjian, Kang Guoping
Department of Emergency, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
Science and Technology Innovation Center of North Sichuan Medical College, Nanchong, China.
PLoS One. 2025 Aug 29;20(8):e0328981. doi: 10.1371/journal.pone.0328981. eCollection 2025.
Myocardial fibrosis is a principal factor in the progression of heart failure with preserved ejection fraction (HFpEF). Prior research has substantiated the profibrotic impact of transforming growth factor β1. Nevertheless, the function of the transforming growth factor beta receptor (TGFBR) in HFpEF remains uncertain. In this study, we found an increase in myocardial TGFBR1 expression in mice with HFpEF. Silencing of the TGFBR1 gene improved cardiac function in HFpEF mice by attenuating cardiac fibrosis, reducing myocardial hypertrophy, and ameliorating myocardial remodeling. At the mechanistic level, TGFBR1 gene silencing led to a reduction in myocardial collagen synthesis through the Smad2/3 signaling pathway and an inhibition of cardiac hypertrophy through the mitogen-activated protein kinase (MAPK) signaling pathway in HFpEF mice. Additionally, we discovered that TGFBR1 gene silencing mitigated myocardial remodeling in HFpEF mice by suppressing TAK1-mediated PANoptosis, primarily because TGFBR1 gene silencing impeded the dissociation of RIPK1 and TAK1 and reduced Tumor Necrosis Factor Receptor-Associated Factor 6 expression. These findings indicate that TGFBR1 gene silencing enhances cardiac remodeling and function and represents a potential therapeutic target for the treatment of HFpEF.
心肌纤维化是射血分数保留的心力衰竭(HFpEF)进展的主要因素。先前的研究证实了转化生长因子β1的促纤维化作用。然而,转化生长因子β受体(TGFBR)在HFpEF中的功能仍不确定。在本研究中,我们发现HFpEF小鼠心肌TGFBR1表达增加。沉默TGFBR1基因可通过减轻心脏纤维化、减少心肌肥大和改善心肌重塑来改善HFpEF小鼠的心脏功能。在机制层面,TGFBR1基因沉默通过Smad2/3信号通路减少HFpEF小鼠的心肌胶原合成,并通过丝裂原活化蛋白激酶(MAPK)信号通路抑制心脏肥大。此外,我们发现TGFBR1基因沉默通过抑制TAK1介导的PANoptosis减轻HFpEF小鼠的心肌重塑,主要是因为TGFBR1基因沉默阻碍了RIPK1和TAK1的解离并降低了肿瘤坏死因子受体相关因子6的表达。这些发现表明,TGFBR1基因沉默可增强心脏重塑和功能,是治疗HFpEF的潜在治疗靶点。