CTRP1 prevents sepsis-induced cardiomyopathy via Sirt1-dependent pathways

Wanli Jiang1, Wen Li2, Xiaoping Hu3

  • 1Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, 430060, China.

Insights

C1q/tumor necrosis factor-related protein 1 (CTRP1) protects against sepsis-induced cardiomyopathy by activating the Sirtuin 1 (Sirt1) pathway. CTRP1 overexpression improves survival and cardiac function, while CTRP1 deficiency worsens sepsis outcomes.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Pathophysiology

Background:

  • C1q/tumor necrosis factor-related protein 1 (CTRP1) is a regulator of cardio-metabolic diseases.
  • CTRP1 is known to inhibit hypertrophic responses but its role in sepsis-induced cardiomyopathy is unknown.

Purpose of the Study:

  • To investigate the role of CTRP1 in sepsis-induced cardiomyopathy.
  • To elucidate the underlying molecular mechanisms of CTRP1's effects on cardiac function during sepsis.

Main Methods:

  • Cardiomyocyte-specific CTRP1 overexpression using adeno-associated virus in mice.
  • Lipopolysaccharide (LPS) injection in CTRP1-overexpressing and CTRP1-deficiency mice.
  • In vitro studies using cultured cells and in vivo studies with recombinant CTRP1 infusion.
  • Assessment of cardiac function, survival rates, myocardial inflammation, oxidative damage, apoptosis, and Sirtuin 1 (Sirt1) pathway activation.

Main Results:

  • CTRP1 overexpression improved survival, cardiac function, and reduced myocardial inflammation, oxidative damage, and apoptosis in LPS-treated mice.
  • CTRP1 deficiency exacerbated sepsis-induced cardiac dysfunction and injury.
  • CTRP1 protected against LPS-induced cell injury in vitro by activating the Sirt1 signaling pathway.
  • Sirt1 inhibition or deficiency abrogated CTRP1-mediated cardioprotective effects.
  • Recombinant CTRP1 infusion ameliorated sepsis-induced cardiomyopathy in mice.

Conclusions:

  • CTRP1 plays a protective role against sepsis-induced cardiomyopathy.
  • CTRP1 exerts its cardioprotective effects via the activation of the Sirt1 signaling pathway.
  • CTRP1 represents a potential therapeutic target for managing sepsis-induced cardiac dysfunction.