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Published on: June 14, 2016
An Investigation of Fibulin-2 in Hypertrophic Cardiomyopathy
Ayman M Ibrahim1,2, Mohamed Roshdy1, Sara Elshorbagy1
1Aswan Heart Center, Aswan 200, Egypt.
Insights
This study reveals abnormal fibulin-2 expression in hypertrophic cardiomyopathy (HCM) patients. Elevated fibulin-2 in heart tissue and serum may contribute to this common inherited heart muscle disease.
Area of Science:
- Cardiology
- Molecular Biology
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) is a prevalent inherited heart muscle disease affecting at least 1 in 500 individuals.
- HCM is characterized by myocardial stiffness and fibrosis, linked to extracellular matrix (ECM) alterations.
- The specific roles of many ECM components in HCM pathogenesis remain unclear.
Purpose of the Study:
- To investigate the expression and role of fibulin-2, an ECM glycoprotein, in the myocardium of patients with HCM.
- To compare fibulin-2 levels in HCM patients versus healthy controls.
Main Methods:
- Immunohistochemical analysis of myocardial tissue from HCM patients and controls.
- Enzyme-linked immunosorbent assay (ELISA) to quantify serum fibulin-2 levels.
Main Results:
- Abnormal fibulin-2 expression was observed in the cytoplasm of myocardial cells and interstitial fibroblasts in HCM patients.
- Serum fibulin-2 levels were significantly elevated in HCM patients compared to normal controls.
Conclusions:
- Fibulin-2 is abnormally expressed in the myocardium and elevated in the serum of patients with hypertrophic cardiomyopathy.
- These findings suggest a potential role for fibulin-2 in the pathophysiology of HCM.
Abstract:
Hypertrophic cardiomyopathy (HCM) is the most common inherited heart muscle disease, with a prevalence of at least 1 in 500 in the general population. The disease is pleiotropic and is characterized by an increased stiffness of the myocardium, partly due to changes in the extracellular matrix (ECM), with elevated levels of interstitial fibrosis. Myocardial fibrosis is linked to impaired diastolic function and possibly phenotypic heterogeneity of HCM. The ECM consists of a very large number of proteins, which actively interact with each other as well as with myocardial cells. The role of other multiple components of the ECM in HCM has not been defined. Fibulin-2 is a glycoprotein component of the ECM, which plays an important role during embryogenesis of the heart; however, its role in adult myocardium has not been adequately studied. We here describe, for the first time, abnormal expression of fibulin-2 in the myocardium in patients with HCM as compared to normal controls. This abnormal expression was localized in the cytoplasm of myocardial cells and in the interstitial fibroblasts. In addition, fibulin-2 levels, measured by ELISA, were significantly elevated in the serum of patients with HCM as compared to normal controls.
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