Depletion of Vasohibin 1 Speeds Contraction and Relaxation in Failing Human Cardiomyocytes

Christina Yingxian Chen1, Alexander K Salomon1, Matthew A Caporizzo1

  • 1From the Department of Physiology, Pennsylvania Muscle Institute (C.Y.C., A.K.S., M.A.C., S.C., N.A.K., A.I.B., K.B.M., B.L.P.), University of Pennsylvania Perelman School of Medicine, Philadelphia.

Circulation Research
|April 11, 2020
PubMed

Insights

In heart failure, detyrosinated microtubules stiffen heart cells. Inhibiting VASH1-SVBP complexes or activating TTL enzymes can reduce stiffness and improve relaxation in failing cardiomyocytes.

Area of Science:

  • Cardiovascular Biology
  • Cellular Mechanics
  • Molecular Cardiology

Background:

  • Impaired myocardial relaxation is a key feature of heart failure (HF).
  • Detyrosinated microtubules contribute to cardiomyocyte stiffening and impaired relaxation in human HF.
  • The enzymes responsible for detyrosination have remained unclear, limiting therapeutic development.

Purpose of the Study:

  • To investigate if the VASH1/2-SVBP complex acts as an active detyrosinase in cardiomyocytes.
  • To determine if inhibiting VASH-SVBP can reduce stiffness and improve contractility in HF.

Main Methods:

  • Transcriptional profiling to assess VASH1 and VASH2 abundance in human hearts.
  • Short hairpin RNA (shRNA) mediated knockdown of VASH1, VASH2, and SVBP.
  • Enzymatic assays using a catalytically dead TTL mutant (TTL-E331Q) to differentiate detyrosination from microtubule depolymerization.
  • Assessment of cardiomyocyte contractility and calcium transients.
  • Atomic force microscopy to measure cardiomyocyte stiffness.

Main Results:

  • VASH1 transcript is significantly more abundant than VASH2 in human hearts.
  • VASH1-SVBP and VASH2-SVBP complexes function as tubulin carboxypeptidases, with VASH1 playing a dominant role.
  • VASH1 depletion improved contractile kinetics in failing cardiomyocytes and reduced stiffness.
  • TTL, but not TTL-E331Q, accelerated relaxation, indicating enzymatic activity is crucial.
  • VASH1 depletion improved kinetics independently of calcium cycling alterations.

Conclusions:

  • VASH-SVBP complexes are active tubulin carboxypeptidases in cardiomyocytes.
  • Inhibiting VASH1 or activating TTL can decrease cardiomyocyte stiffness and enhance relaxation in HF.
  • Targeting detyrosination presents a potential therapeutic strategy for diastolic dysfunction in heart failure.
Abstract

Related Concept Videos

Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
594
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
366
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
283
Imbalances in Cardiac Output01:26

Imbalances in Cardiac Output

The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
2.2K
Cardiomyopathy II: Dilated Cardiomyopathy01:30

Cardiomyopathy II: Dilated Cardiomyopathy

Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
343
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.6K