Pharmacological targeting of CDK9 in cardiac hypertrophy
Vladimír Krystof1, Ivo Chamrád, Radek Jorda
1Faculty of Science, Laboratory of Growth Regulators, Palacký University & Institute of Experimental Botany AS CR, Slechtitelů 11, Olomouc 783 71, Czech Republic. vladimir.krystof@upol.cz
Insights
Cyclin-dependent kinase 9 (CDK9) drives cardiac hypertrophy, leading to heart failure. Inhibiting CDK9 shows promise for developing new cardiac hypertrophy drugs.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Cardiac hypertrophy is an adaptive response to increased workload, but chronic or abnormal stimuli can lead to heart failure.
- Cellular growth in cardiac hypertrophy involves increased transcription and translation.
- Cyclin-dependent kinases (CDKs) regulate transcription, with CDK9 playing a key role.
Purpose of the Study:
- To investigate the role of CDK9 in cardiac hypertrophy.
- To explore the potential of CDK9 inhibitors as a therapeutic strategy for cardiac hypertrophy.
Main Methods:
- Analysis of molecular mechanisms linking CDK9 to cardiac myocyte enlargement.
- Review of existing small-molecule CDK9 inhibitors developed for oncology.
- Consideration of CDK9 crystal structure for selective inhibitor design.
Main Results:
- CDK9 activation leads to cardiac myocyte enlargement and heart failure predisposition.
- Small-molecule CDK9 inhibitors are available, with potential for optimization.
- CDK9's crystal structure facilitates the development of selective inhibitors.
Conclusions:
- CDK9 is a critical regulator of cardiac hypertrophy.
- Targeting CDK9 with small-molecule inhibitors represents a novel therapeutic approach for cardiac hypertrophy and heart failure.
Abstract:
Cardiac hypertrophy allows the heart to adapt to workload, but persistent or unphysiological stimulus can result in pump failure. Cardiac hypertrophy is characterized by an increase in the size of differentiated cardiac myocytes. At the molecular level, growth of cells is linked to intensive transcription and translation. Several cyclin-dependent kinases (CDKs) have been identified as principal regulators of transcription, and among these CDK9 is directly associated with cardiac hypertrophy. CDK9 phosphorylates the C-terminal domain of RNA polymerase II and thus stimulates the elongation phase of transcription. Chronic activation of CDK9 causes not only cardiac myocyte enlargement but also confers predisposition to heart failure. Due to the long interest of molecular oncologists and medicinal chemists in CDKs as potential targets of anticancer drugs, a portfolio of small-molecule inhibitors of CDK9 is available. Recent determination of CDK9's crystal structure now allows the development of selective inhibitors and their further optimization in terms of biochemical potency and selectivity. CDK9 may therefore constitute a novel target for drugs against cardiac hypertrophy.
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