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Published on: June 3, 2018
Kruppel-like factor 15 is a regulator of cardiomyocyte hypertrophy
Sudeshna Fisch1, Susan Gray, Stephane Heymans
1Case Cardiovascular Research Institute, Case Western Reserve University School of Medicine, 2103 Cornell Road, Room 4-503, Cleveland, OH 44106, USA.
Insights
Kruppel-like factor 15 (KLF15) inhibits cardiac hypertrophy, a response to heart injury. Reduced KLF15 levels worsen hypertrophy, indicating its protective role in heart disease.
Area of Science:
- Cardiology
- Molecular Biology
- Genetics
Background:
- Cardiac hypertrophy is a significant risk factor for heart failure and mortality, often triggered by injury and hemodynamic stress.
- Identifying molecular mechanisms that regulate cardiac hypertrophy is crucial for developing therapeutic strategies.
Purpose of the Study:
- To investigate the role of Kruppel-like factor 15 (KLF15) in regulating cardiac hypertrophy.
- To elucidate the molecular mechanisms by which KLF15 affects cardiac hypertrophy.
Main Methods:
- Assessed KLF15 expression in rodent models and human patient samples with cardiac hypertrophy.
- Utilized in vitro studies with neonatal rat ventricular cardiomyocytes to examine KLF15 function.
- Generated and analyzed KLF15-null mice under pressure-overload conditions.
- Performed promoter analyses and gel-shift assays to determine KLF15's molecular targets.
Main Results:
- KLF15 expression was found to be reduced in cardiac hypertrophy models and patient samples.
- Overexpression of KLF15 in cardiomyocytes inhibited hypertrophy, reducing cell size and hypertrophic gene expression.
- KLF15-null mice exhibited exacerbated cardiac hypertrophy, including ventricular dilatation and impaired systolic function, upon pressure overload.
- KLF15 was shown to inhibit the function of transcription factors GATA4 and myocyte enhancer factor 2.
Conclusions:
- KLF15 acts as a critical inhibitor of cardiac hypertrophy.
- KLF15 functions by suppressing key hypertrophic signaling pathways involving GATA4 and MEF2.
- These findings reveal a novel pathway regulating the cardiac response to hemodynamic stress, with KLF15 as a potential therapeutic target.
Abstract:
Cardiac hypertrophy is a common response to injury and hemodynamic stress and an important harbinger of heart failure and death. Herein, we identify the Kruppel-like factor 15 (KLF15) as an inhibitor of cardiac hypertrophy. Myocardial expression of KLF15 is reduced in rodent models of hypertrophy and in biopsy samples from patients with pressure-overload induced by chronic valvular aortic stenosis. Overexpression of KLF15 in neonatal rat ventricular cardiomyocytes inhibits cell size, protein synthesis and hypertrophic gene expression. KLF15-null mice are viable but, in response to pressure overload, develop an eccentric form of cardiac hypertrophy characterized by increased heart weight, exaggerated expression of hypertrophic genes, left ventricular cavity dilatation with increased myocyte size, and reduced left ventricular systolic function. Mechanistically, a combination of promoter analyses and gel-shift studies suggest that KLF15 can inhibit GATA4 and myocyte enhancer factor 2 function. These studies identify KLF15 as part of a heretofore unrecognized pathway regulating the cardiac response to hemodynamic stress.
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