Calpain inhibition modulates glycogen synthase kinase 3β pathways in ischemic myocardium: A proteomic and mechanistic

Brittany A Potz1, Ashraf A Sabe1, Nassrene Y Elmadhun1

  • 1Division of Cardiothoracic Surgery, Department of Surgery, Cardiovascular Research Center, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, RI.

Abstract

Insights

Calpain or GSK-3β inhibition enhances myocardial perfusion and vessel density in pigs with metabolic syndrome. These effects may involve modulating key signaling pathways, improving heart health.

Area of Science:

  • Cardiovascular Research
  • Molecular Cardiology
  • Metabolic Syndrome Research

Background:

  • Metabolic syndrome complicates chronic myocardial ischemia.
  • Calpain inhibition shows potential for improving cardiac function.
  • GSK-3β is implicated in cardiovascular disease pathways.

Purpose of the Study:

  • To investigate the effects of calpain and GSK-3β inhibition on myocardial perfusion and density.
  • To explore the underlying molecular mechanisms, including insulin/PI3K and WNT/β-catenin pathways.
  • To assess these effects in a pig model of chronic myocardial ischemia and metabolic syndrome.

Main Methods:

  • A pig model was established using a high-fat diet and ameroid constrictor.
  • Animals were treated with calpain inhibitors (high and low dose) or a GSK-3β inhibitor.
  • Myocardial tissue was analyzed for perfusion, vessel density, and protein expression via quantitative proteomics.

Main Results:

  • Both calpain and GSK-3β inhibition increased myocardial perfusion at rest and during pacing.
  • Vessel density increased in ischemic myocardium with calpain inhibition and in both ischemic and nonischemic myocardium with GSK-3β inhibition.
  • Proteomic analysis revealed modulation of pathways involved in cytoskeletal regulation, metabolism, respiration, and calcium binding.

Conclusions:

  • Calpain or GSK-3β inhibition improves myocardial vessel density in ischemic and nonischemic tissues within a metabolic syndrome context.
  • Calpain inhibition may act by inhibiting GSK-3β and activating insulin/PI3K and WNT/β-catenin pathways.
  • These findings suggest therapeutic potential for targeting calpain and GSK-3β in cardiovascular disease associated with metabolic syndrome.