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Updated: May 22, 2026

Gene Transfer for Ischemic Heart Failure in a Preclinical Model
Published on: May 15, 2011
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
Abstract:
Previous studies have reported the upregulation of CCN proteins early after acute heart injury. The aim of the present work was to evaluate the expression of the CCN1 and CCN2 proteins and their regulation by angiotensin II in the atrial myocardium of a chronically failing heart. Male adult mice were subjected to ligation of the left coronary artery to produce myocardial infarction (the MI group), and 16 of them were treated for 12 weeks with the AT1 receptor antagonist telmisartan (the MI-Tel group). Sham-operated mice served as controls. The expression of proteins was evaluated by immunohistochemistry 12 weeks after the operation. In shamoperated mice, stainings for CCN1 and CCN2 proteins were positive within atrial cardiomyocytes. CCN1-positive reaction revealed diffused cytoplasmic localization, while CCN2 was present mainly within the perinuclear cytoplasm. CCN1 was upregulated in the MI group, while CCN2 remained at basal level. Telmisartan prevented the upregulation of CCN1 and decreased CCN2 level. We compared the experimental data with the expression of CCN1 and CCN2 proteins in human right atrial appendages. We found an inverse, but not significant, relation between the level of either protein and the left ventricular ejection fraction. This suggests a similar atrial regulation of CCN1 and CCN2 expression also in humans. We conclude that in the murine atria, CCN1 and CCN2 proteins are expressed constitutively. In chronic heart failure, CCN proteins tend to be upregulated, which may be related to the action of angiotensin II.
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.
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