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Cardiac-Specific Overexpression of Catalytically Inactive Corin Reduces Edema, Contractile Dysfunction, and Death in
Ranjana Tripathi1,2, Ryan D Sullivan1,3, Tai-Hwang M Fan2
1Department of Internal Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, AZ 85004, USA.
Insights
Corin
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Dilated cardiomyopathy (DCM) and heart failure (HF) are associated with reduced corin levels.
- Corin, a cardiac-selective serine protease, regulates natriuretic peptides and fluid balance.
- Experimental corin restoration shows promise in attenuating HF progression.
Purpose of the Study:
- To investigate whether the beneficial effects of corin in HF are dependent on its catalytic activity.
- To assess the impact of enzymatically inactive corin overexpression in a genetic DCM model.
Main Methods:
- Engineered cardiac overexpression of an enzymatically inactive corin transgene (corin-Tg(i)) in mice.
- Utilized a well-established genetic model of DCM for experimental studies.
- Evaluated survival rates, physiological parameters, cardiac function, and molecular markers.
Main Results:
- Inactive corin (corin-Tg(i)) significantly increased survival in DCM mice compared to controls.
- Reduced pleural effusion, lung edema, and systemic fluid retention were observed with inactive corin.
- Improved cardiac ejection fraction and fractional shortening, with decreased ventricular dilation.
- Decreased plasma levels of atrial natriuretic peptide, cyclic guanosine monophosphate, and neprilysin.
- Increased cardiac phosphorylated glycogen synthase kinase-3β (pSer9-GSK3β) levels.
Conclusions:
- Catalytically inactive corin demonstrates protective effects in experimental DCM.
- The beneficial impact of cardiac corin on HF progression and survival does not require its serine protease activity.
- Inactive corin mitigates fluid retention, enhances cardiac function, and modulates key HF biomarkers.
Abstract:
Humans with dilated cardiomyopathy (DCM) and heart failure (HF) develop low levels of corin, a multi-domain, cardiac-selective serine protease involved in natriuretic peptide cleavage and sodium and water regulation. However, experimental restoration of corin levels markedly attenuates HF progression. To determine whether the beneficial effects of corin in HF require catalytic activity, we engineered cardiac overexpression of an enzymatically inactive corin transgene (corin-Tg(i)). On a wild-type (WT) background, corin-Tg(i) had no evident phenotypic effects. However, in a well-established genetic model of DCM, corin-Tg(i)/DCM mice had increased survival (p < 0.01 to 0.001) vs. littermate corin-WT/DCM controls. Pleural effusion (p < 0.01), lung edema (p < 0.05), systemic extracellular free water (p < 0.01), and heart weight were decreased (p < 0.01) in corin-Tg(i)/DCM vs. corin-WT/DCM mice. Cardiac ejection fraction and fractional shortening improved (p < 0.01), while ventricular dilation decreased (p < 0.0001) in corin-Tg(i)/DCM mice. Plasma atrial natriuretic peptide, cyclic guanosine monophosphate, and neprilysin were significantly decreased. Cardiac phosphorylated glycogen synthase kinase-3β (pSer9-GSK3β) levels were increased in corin(i)-Tg/DCM mice (p < 0.01). In summary, catalytically inactive corin-Tg(i) decreased fluid retention, improved contractile function, decreased HF biomarkers, and diminished cardiac GSK3β activity. Thus, the protective effects of cardiac corin on HF progression and survival in experimental DCM do not require the serine protease activity of the molecule.
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