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Published on: May 5, 2020
Elastolytic cathepsin induction/activation system exists in myocardium and is upregulated in hypertensive heart
Xian Wu Cheng1, Koji Obata, Masafumi Kuzuya
1Department of Cardiovascular Genome Science, Nagoya University School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya 466-8550, Japan. xianwu@med.nagoya-u.ac.jp
Insights
Cathepsin S expression increases in heart failure, contributing to cardiac remodeling and elastin breakdown. Targeting this protease may offer new therapies for heart failure.
Area of Science:
- Cardiovascular Biology
- Protease Biochemistry
- Pathology
Background:
- Cathepsins are proteases involved in tissue remodeling.
- Their role in myocardial remodeling, particularly in heart failure, is not well understood.
Purpose of the Study:
- To investigate the expression and role of cathepsins, specifically cathepsin S, in the left ventricular (LV) myocardium during hypertension-induced cardiac hypertrophy and heart failure (HF).
Main Methods:
- Real-time PCR and immunoblot analysis of LV tissues from rats and humans.
- Immunostaining for cathepsin S localization.
- Assessment of elastic lamina fragmentation and elastolytic activity.
- Measurement of elastin and interleukin-1beta mRNA.
- In vitro studies using cultured neonatal cardiomyocytes.
Main Results:
- Cathepsin S mRNA and protein levels were significantly elevated in the LV myocardium of HF patients and rats compared to hypertrophy and control groups.
- Cathepsin S was localized to cardiac myocytes, vascular smooth muscle cells, and macrophages.
- Increased elastic lamina fragmentation and elastolytic activity, primarily driven by cathepsin S, were observed in HF rat aortas.
- Interleukin-1beta expression was upregulated in HF rat myocardium and enhanced cathepsin S expression and activity in cultured cardiomyocytes.
Conclusions:
- Cathepsin S plays a significant role in the pathological cardiac remodeling associated with hypertension-induced heart failure.
- The protease contributes to elastin degradation in the myocardium.
- Cathepsin S represents a potential therapeutic target for preventing or reversing cardiac remodeling in heart failure.
Abstract:
Cathepsins are cysteine proteases that participate in various types of tissue remodeling. However, their expressions during myocardial remodeling have not been examined. In this study, we investigated their expressions in the left ventricular (LV) myocardium of rats and humans with hypertension-induced LV hypertrophy or heart failure (HF). Real-time PCR and immunoblot analysis revealed that the abundance of cathepsin S mRNA or protein in the LV tissues was greater in rats or humans with HF than in those with hypertrophy or in control subjects. Immunostaining showed that cathepsin S was localized predominantly to cardiac myocytes and coronary vascular smooth muscle cells, but also overlapped in part with macrophages. Elastic lamina fragmentations significantly increased in the LV intramyocardial coronary arteries of HF rats. The amount of elastolytic activity in the extract of the LV myocardium was markedly increased for HF rats compared with controls, and this activity was mostly because of cathepsin S. Although the amount of elastin mRNA was increased in the LV myocardium of HF rats, the area of interstitial elastin was not. The expression of interleukin 1beta was increased in the LV myocardium of HF rats, and this cytokine was found to increase the expression and activity of cathepsin S in cultured neonatal cardiomyocytes. These results suggest that cathepsin S participates in pathological LV remodeling associated with hypertension-induced HF. This protease is, thus, a potential target for therapeutics aimed at preventing or reversing cardiac remodeling.
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