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Updated: Apr 3, 2026

An Experimental Model of Myocardial Infarction for Studying Cardiac Repair and Remodeling in Knockout Mice
Published on: July 14, 2023
Gadd45γ regulates cardiomyocyte death and post-myocardial infarction left ventricular remodelling
Alexandre Lucas1, Jeanne Mialet-Perez1, Danièle Daviaud1
1INSERM, UMR-1048, Institute of Metabolic and Cardiovascular Diseases, 1 Avenue Jean Poulhes, 31432 Toulouse, France University Paul Sabatier, CHU of Toulouse, 31432 Toulouse, France.
Aims:
Post-infarction remodelling is accompanied and influenced by perturbations in mitogen-activated protein kinase (MAPK) signalling. The growth arrest and DNA-damage-inducible 45 (Gadd45) proteins are small acidic proteins involved in DNA repair and modulation of MAPK activity. Little is known about the role of Gadd45 in the heart. Here, we explored the potential contribution of Gadd45 gamma (γ) isoform to the acute and late phase of heart failure (HF) after myocardial infarction (MI) and determined the mechanisms underlying Gadd45γ actions.
Methods And Results:
The Gadd45γ isoform is up-regulated in murine cardiomyocytes subjected to simulated ischaemia and in the mouse heart during MI. To mimic the situation observed during MI, we enhanced Gadd45γ content in cardiomyocytes with a single injection of an adeno-associated viral (AAV9) vector encoding Gadd45γ under the cTNT promoter. Gadd45γ overexpression induces cardiomyocyte apoptosis, fibrosis, left ventricular dysfunction, and HF. On the other hand, genetic deletion of Gadd45γ in knockout mice confers resistance to ischaemic injury, at least in part by limiting cardiomyocyte apoptosis. Mechanistically, Gadd45γ activates receptor-interacting protein 1 (RIP1) and caspase-8 in a p38 MAPK-dependent manner to promote cardiomyocyte death.
Conclusion:
This work is the first to demonstrate that Gadd45γ accumulation during MI promotes the development and persistence of HF by inducing cardiomyocyte apoptosis in a p38 MAPK-dependent manner. We clearly identify Gadd45γ as a therapeutic target in the development of HF.
Insights
Growth arrest and DNA-damage-inducible 45 gamma (Gadd45γ) protein promotes heart failure after myocardial infarction by inducing cardiomyocyte apoptosis. Targeting Gadd45γ may offer a new therapeutic strategy for heart failure.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Cellular Signaling
Background:
- Post-infarction remodeling involves altered mitogen-activated protein kinase (MAPK) signaling.
- Growth arrest and DNA-damage-inducible 45 (Gadd45) proteins modulate MAPK activity and are involved in DNA repair.
- The specific role of Gadd45 gamma (γ) in cardiac function after myocardial infarction (MI) remains largely unknown.
Purpose of the Study:
- To investigate the contribution of Gadd45γ to heart failure (HF) following MI.
- To elucidate the underlying mechanisms of Gadd45γ action in the context of cardiac injury.
Main Methods:
- Gadd45γ expression was analyzed in murine cardiomyocytes under simulated ischemia and in mouse hearts during MI.
- Adeno-associated viral vector (AAV9) was used to overexpress Gadd45γ in cardiomyocytes.
- Gadd45γ knockout mice were used to assess its role in ischemic injury resistance.
- Mechanisms involving receptor-interacting protein 1 (RIP1) and caspase-8 activation via p38 MAPK were investigated.
Main Results:
- Gadd45γ is upregulated in cardiomyocytes during ischemic conditions and MI.
- Gadd45γ overexpression led to cardiomyocyte apoptosis, fibrosis, left ventricular dysfunction, and HF.
- Gadd45γ deletion conferred resistance to ischemic injury by limiting cardiomyocyte apoptosis.
- Gadd45γ activates RIP1 and caspase-8 in a p38 MAPK-dependent pathway to induce cardiomyocyte death.
Conclusions:
- Gadd45γ accumulation post-MI promotes HF development and persistence through cardiomyocyte apoptosis.
- The p38 MAPK pathway is crucial for Gadd45γ-mediated cardiomyocyte death.
- Gadd45γ is identified as a potential therapeutic target for mitigating HF progression.
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