Combined TRPC3 and TRPC6 blockade by selective small-molecule or genetic deletion inhibits pathological cardiac

Kinya Seo1, Peter P Rainer, Virginia Shalkey Hahn

  • 1Division of Cardiology, Department of Medicine, Johns Hopkins Medical Institutions, Baltimore, MD 21205.

Insights

Dual inhibition of TRPC3 and TRPC6 channels shows promise for treating heart disease. Combined genetic deletion protected against pressure overload, suggesting therapeutic potential for dual TRPC3/6 antagonists.

Area of Science:

  • Cardiovascular Biology
  • Ion Channel Physiology
  • Pharmacology

Background:

  • Chronic stress in heart disease involves neurohormonal and mechanical factors.
  • Transient receptor potential canonical (TRPC) channels TRPC3 and TRPC6 are implicated in heart pathophysiology.
  • Increased TRPC3/TRPC6 expression correlates with cardiac hypertrophy and dysfunction.

Purpose of the Study:

  • To investigate the therapeutic potential of dual TRPC3/6 inhibition for heart disease.
  • To evaluate selective TRPC3/6 antagonists (GSK2332255B and GSK2833503A) in cellular and in vivo models.
  • To assess the impact of combined TRPC3 and TRPC6 genetic deletion on cardiac function.

Main Methods:

  • Tested selective TRPC3/6 antagonists (GSK2332255B, GSK2833503A) in HEK293T cells, neonatal and adult cardiac myocytes.
  • Administered antagonists to mice and rats subjected to pressure overload.
  • Utilized gene deletion models for TRPC3 and TRPC6, both individually and in combination.

Main Results:

  • Antagonists dose-dependently blocked angiotensin II- or endothelin-1-triggered hypertrophy signaling in cardiac cells.
  • In vivo efficacy was limited by rapid metabolism and high protein binding, but antifibrotic effects were observed.
  • Combined TRPC3/TRPC6 gene deletion, but not single deletion, protected against pressure overload-induced hypertrophy and dysfunction.

Conclusions:

  • Dual inhibition of TRPC3 and TRPC6 channels is a viable strategy for managing heart disease.
  • Selective TRPC3/6 antagonists demonstrated cellular efficacy but faced pharmacokinetic challenges in vivo.
  • Combined genetic deletion supports the therapeutic value of targeting both TRPC3 and TRPC6 channels concurrently.

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