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Published on: July 10, 2019
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.
Abstract:
C1q/tumor necrosis factor-related protein 1 (CTRP1) has recently been identified as a key regulator of cardio-metabolic diseases. It has been reported that CTRP1 could inhibit the hypertrophic response in mice. However, the effect of CTRP1 on sepsis-induced cardiomyopathy remains completely unknown. Cardiomyocyte-specific CTRP1 overexpression was achieved using an adeno associated virus system in mice. CTRP1 deficiency mice were also subjected to lipopolysaccharide (LPS) injection. We found that CTRP1 overexpression improved survival rate and cardiac function, and suppressed myocardial inflammation, oxidative damage and apoptosis without affecting metabolic disturbance in LPS-treated mice. CTRP1 depletion further decreased survival rate and cardiac function, and promoting myocardial inflammation, oxidative damage and apoptosis in sepsis mice. In addition, we showed that CTRP1 provided protection against LPS-induced cell injury in vitro. CTRP1 activated sirtuin 1 (Sirt1) signaling pathway, and Sirt1 inhibition or deficiency blocked CTRP1-mediated cardioprotective effects in vivo and in vitro. More importantly, our study found that recombinant human globular domain of CTRP1 infusion was also capable of blocking sepsis-induced cardiomyopathy in mice. In conclusion, CTRP1 improved survival rate and attenuated LPS-induced cardiac injury via activating Sirt1 signaling pathway.
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