Atrial expression of the CCN1 and CCN2 proteins in chronic heart failure

Tomasz A Bonda1, Karol A Kamiński, Magdalena Dziemidowicz

  • 1Department of General and Experimental Pathology, Medical University of Bialystok, Mickiewicza Str. 2c, 15-222 Bialystok, Poland. tomasz.bonda@umb.edu.pl

Insights

In chronic heart failure, CCN1 protein increases in the atria, while CCN2 levels decrease. Angiotensin II signaling influences these CCN protein changes, suggesting a role in heart failure.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Biochemistry

Background:

  • CCN proteins (CCN1 and CCN2) are implicated in cellular responses to injury.
  • Previous research indicates CCN protein upregulation following acute cardiac damage.
  • The role of CCN proteins in chronic heart failure, particularly in atrial tissue, remains less understood.

Purpose of the Study:

  • To investigate the expression of CCN1 and CCN2 proteins in the atrial myocardium of mice with chronic heart failure.
  • To determine the regulatory role of angiotensin II in atrial CCN protein expression during heart failure.
  • To compare findings in mice with human atrial tissue to assess translational relevance.

Main Methods:

  • Myocardial infarction (MI) model in adult male mice, with or without telmisartan treatment (AT1 receptor antagonist).
  • Sham-operated mice served as controls.
  • Immunohistochemistry was used to evaluate CCN1 and CCN2 protein expression in atrial cardiomyocytes 12 weeks post-MI.
  • Human right atrial appendages were analyzed for comparison.

Main Results:

  • Constitutive expression of CCN1 and CCN2 was observed in atrial cardiomyocytes of control mice.
  • Myocardial infarction led to CCN1 upregulation and maintained CCN2 at basal levels in atrial tissue.
  • Telmisartan treatment prevented CCN1 upregulation and reduced CCN2 levels.
  • A non-significant inverse correlation between CCN1/CCN2 levels and left ventricular ejection fraction was found in human atrial samples.

Conclusions:

  • CCN1 and CCN2 proteins are constitutively expressed in murine atria.
  • Chronic heart failure is associated with altered CCN protein expression, with a tendency towards CCN1 upregulation.
  • Angiotensin II signaling, via the AT1 receptor, appears to modulate CCN1 and CCN2 expression in the atrial myocardium during heart failure.
  • Findings suggest a conserved atrial regulation of CCN proteins in both mice and humans, potentially linked to heart failure pathogenesis.

Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Heart Failure III: Clinical Manifestations01:26

Heart Failure III: Clinical Manifestations

Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...