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Updated: Oct 3, 2025

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Cereblon contributes to cardiac dysfunction by degrading Cav1.2α.

Nammi Park1, Jubert Marquez1, Trong Kha Pham1

  • 1Basic Research Laboratory, Department of Physiology, College of Medicine, Smart Marine Therapeutic Center, Cardiovascular and Metabolic Disease Center, Inje University, Busan 614-735, Republic of Korea.

European Heart Journal
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PubMed
Summary

Cereblon (CRBN) degrades Cav1.2α, worsening heart failure. Reducing CRBN levels or using CRBN degraders enhances cardiac function and may treat heart failure with reduced ejection fraction (HFrEF).

Keywords:
Cav1.2αCereblonHeart failurePROTACUbiquitination

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Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • E3 Ubiquitin Ligase Biology

Background:

  • Cereblon (CRBN) targets proteins for degradation via the E3 ubiquitin ligase complex.
  • L-type voltage-dependent Ca2+ channel (LTCC) dysfunction is key in heart failure with reduced ejection fraction (HFrEF).
  • The role of CRBN in regulating LTCC Cav1.2α during cardiac dysfunction is not well understood.

Purpose of the Study:

  • To investigate the role of CRBN in HFrEF.
  • To explore CRBN's direct regulatory role in Cav1.2α activity.
  • To assess CRBN as a therapeutic target for myocardial dysfunction.

Main Methods:

  • Analysis of cardiac tissues from HFrEF patients and controls.
  • In vivo and ex vivo studies using CRBN knockout mouse models.
  • Investigation of CRBN-Cav1.2α interaction using genetic and pharmacological approaches, including a PROTAC degrader (TD-165).

Main Results:

  • Increased CRBN levels were observed in HFrEF cardiac tissues.
  • CRBN knockout mice showed enhanced cardiac contractility and LTCC current (ICaL).
  • CRBN directly interacts with Cav1.2α, promoting its ubiquitination and degradation, thereby reducing ICaL. Depletion of CRBN increased ICaL and protected against cardiomyopathy.

Conclusions:

  • Cereblon selectively degrades Cav1.2α, contributing to cardiac dysfunction in HFrEF.
  • Reducing CRBN levels or targeting CRBN degradation presents a promising therapeutic strategy for HFrEF.