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Updated: Feb 6, 2026

Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
Published on: November 29, 2024
Dysregulation of the calcium handling protein, CCDC47, is associated with diabetic cardiomyopathy
Khampaseuth Thapa1, Kai Connie Wu1, Aishwarya Sarma1
1Berg, LLC, 500 Old Connecticut Path, Bldg B (3rd Floor), Framingham, MA 01701 USA.
Insights
CCDC47 is a novel calcium-regulating protein implicated in diabetic cardiomyopathy (DCM). This study identified CCDC47 in a DCM model and confirmed its role in calcium handling and early hypertrophic cardiomyopathy.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Diabetic cardiomyopathy (DCM) is a serious complication of diabetes mellitus, characterized by cardiac dysfunction not explained by other vascular diseases.
- Calcium handling dysregulation is a known hallmark of cardiomyopathy, but specific alterations remain inconsistently defined.
- Modeling DCM in human cardiomyocytes exposed to high glucose, fatty acids, and L-carnitine provides a platform to identify novel contributing proteins.
Purpose of the Study:
- To identify novel calcium-regulating proteins involved in diabetic cardiomyopathy (DCM) using a proteomic approach.
- To investigate the cellular and functional role of identified proteins in cardiac myocytes.
- To assess the in vivo relevance of these proteins in a diet-induced obesity rat model of DCM.
Main Methods:
- Proteomic analysis (iTRAQ-coupled LC-MS/MS) of human cardiomyocytes exposed to a high-nutrient perturbation mimicking DCM.
- Comparison of identified proteins with the cardiovascular disease (CVD) gene ontology (GO) database to find novel CVD-associated proteins.
- Functional assessment of CCDC47 in rat H9C2 myocytes and evaluation of its expression in a diet-induced obese (DIO) rat model of DCM.
Main Results:
- CCDC47 (calumin) was identified as a novel calcium-regulating protein altered in the in vitro DCM model.
- Overexpression of CCDC47 in rat myocytes increased ionomycin-induced calcium release and reuptake.
- In DIO rats, CCDC47 mRNA increased in the atrium and ventricle, with significantly increased protein levels in the atrium.
Conclusions:
- CCDC47 is a unique calcium-regulating protein associated with early-onset hypertrophic cardiomyopathy.
- The findings highlight CCDC47 as a potential therapeutic target for DCM.
- This study provides new insights into the molecular mechanisms underlying DCM and cardiac hypertrophy.
Background:
Diabetes mellitus is associated with an increased risk in diabetic cardiomyopathy (DCM) that is distinctly not attributed to co-morbidities with other vasculature diseases. To date, while dysregulation of calcium handling is a key hallmark in cardiomyopathy, studies have been inconsistent in the types of alterations involved. In this study human cardiomyocytes were exposed to an environmental nutritional perturbation of high glucose, fatty acids, and l-carnitine to model DCM and iTRAQ-coupled LC-MS/MS proteomic analysis was used to capture proteins affected by the perturbation. The proteins captured were then compared to proteins currently annotated in the cardiovascular disease (CVD) gene ontology (GO) database to identify proteins not previously described as being related to CVD. Subsequently, GO analysis for calcium regulating proteins and endoplasmic/sarcoplasmic reticulum (ER/SR) associated proteins was carried out.
Results:
Here, we identified CCDC47 (calumin) as a unique calcium regulating protein altered in our in vitro nutritional perturbation model. The cellular and functional role of CCDC47 was then assessed in rat cardiomyocytes. In rat H9C2 myocytes, overexpression of CCDC47 resulted in increase in ionomycin-induced calcium release and reuptake. Of interest, in a diet-induced obese (DIO) rat model of DCM, CCDC47 mRNA expression was increased in the atrium and ventricle of the heart, but CCDC47 protein expression was significantly increased only in the atrium of DIO rats compared to lean control rats. Notably, no changes in ANP, BNP, or β-MHC were observed between DIO rats and lean control rats.
Conclusions:
Together, our in vitro and in vivo studies demonstrate that CCDC47 is a unique calcium regulating protein that is associated with early onset hypertrophic cardiomyopathy.
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