Inhibition of nuclear factor κB regresses cardiac hypertrophy by modulating the expression of extracellular matrix

Sandeep Kumar1, Rachid Seqqat, Sravanthi Chigurupati

  • 1Division of Molecular Cardiology, Department of Medicine, College of Medicine, Texas A&M Health Science Center, College Station, TX 77840, USA.

Insights

Pyrrolidine dithiocarbamate (PDTC) reduces cardiac remodeling by inhibiting nuclear factor-κB (NF-κB) and decreasing profibrotic gene expression. This antioxidant therapy shows promise for treating heart failure and cardiac hypertrophy.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Pathology

Background:

  • Myocardial remodeling, characterized by dysfunctional myocardium, is central to cardiac hypertrophy (CH) and heart failure (HF).
  • Reactive oxygen species (ROS) and nuclear factor-κB (NF-κB) activation drive extracellular matrix (ECM) deposition and fibrosis in cardiac remodeling.
  • Pyrrolidine dithiocarbamate (PDTC) is an NF-κB inhibitor and antioxidant with potential therapeutic benefits.

Purpose of the Study:

  • To investigate the role of NF-κB inhibition by PDTC in preventing maladaptive cardiac remodeling.
  • To evaluate the therapeutic potential of PDTC in a mouse model of cardiac hypertrophy and heart failure.

Main Methods:

  • Utilized a transgenic mouse model (Myo-Tg) with cardiac-specific myotrophin overexpression, leading to CH and HF.
  • Administered PDTC to Myo-Tg mice to inhibit NF-κB and assess its effects on cardiac remodeling.
  • Quantified profibrotic gene expression (collagen I, III, fibronectin) and measured cardiac mass, NF-κB activity, and cardiac function.

Main Results:

  • Myo-Tg mice exhibited upregulation of profibrotic genes and increased NF-κB activity compared to wild-type controls.
  • PDTC treatment significantly reduced cardiac mass, NF-κB activity, and profibrotic gene expression in Myo-Tg mice.
  • PDTC administration led to improved cardiac function in the cardiac remodeling model.

Conclusions:

  • Inhibition of NF-κB activation by PDTC effectively reduces cardiac remodeling and fibrosis.
  • PDTC demonstrates therapeutic benefits in mitigating maladaptive cardiac remodeling and improving cardiac function.
  • Highlights the critical role of the NF-κB pathway in cardiac remodeling and the potential of PDTC as a therapeutic agent.

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