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A Selective Inhibitor of Cardiac Troponin I Phosphorylation by Delta Protein Kinase C (δPKC) as a Treatment for
Nir Qvit1,2, Amanda J Lin1, Aly Elezaby1
1Center for Clinical Sciences Research, Department of Chemical & Systems Biology, Stanford University School of Medicine, 269 Campus Dr. Room 3145, Stanford, CA 94305, USA.
Abstract:
Myocardial infarction is the leading cause of cardiovascular mortality, with myocardial injury occurring during ischemia and subsequent reperfusion (IR). We previously showed that the inhibition of protein kinase C delta (δPKC) with a pan-inhibitor (δV1-1) mitigates myocardial injury and improves mitochondrial function in animal models of IR, and in humans with acute myocardial infarction, when treated at the time of opening of the occluded blood vessel, at reperfusion. Cardiac troponin I (cTnI), a key sarcomeric protein in cardiomyocyte contraction, is phosphorylated by δPKC during reperfusion. Here, we describe a rationally-designed, selective, high-affinity, eight amino acid peptide that inhibits cTnI's interaction with, and phosphorylation by, δPKC (ψTnI), and prevents tissue injury in a Langendorff model of myocardial infarction, ex vivo. Unexpectedly, we also found that this treatment attenuates IR-induced mitochondrial dysfunction. These data suggest that δPKC phosphorylation of cTnI is critical in IR injury, and that a cTnI/δPKC interaction inhibitor should be considered as a therapeutic target to reduce cardiac injury after myocardial infarction.
Insights
A new peptide inhibitor targeting protein kinase C delta (PKCδ) phosphorylation of cardiac troponin I (cTnI) effectively prevents heart tissue injury and mitochondrial dysfunction following myocardial infarction (MI). This offers a potential therapeutic strategy for reducing damage after heart attacks.
Area of Science:
- Cardiovascular Science
- Biochemistry
- Pharmacology
Background:
- Myocardial infarction (MI) is a primary cause of cardiovascular mortality.
- Myocardial injury during ischemia-reperfusion (IR) is a significant contributor to MI outcomes.
- Protein kinase C delta (PKCδ) plays a role in IR-induced myocardial injury.
Purpose of the Study:
- To investigate a novel peptide inhibitor targeting the interaction between cardiac troponin I (cTnI) and PKCδ.
- To evaluate the efficacy of this peptide in preventing myocardial injury and mitochondrial dysfunction in an ex vivo model of MI.
- To explore a new therapeutic target for reducing cardiac damage post-MI.
Main Methods:
- Development of a selective peptide inhibitor (ψTnI) targeting cTnI phosphorylation by PKCδ.
- Utilized a Langendorff model for ex vivo myocardial infarction.
- Assessed myocardial tissue injury and mitochondrial function post-treatment with ψTnI.
Main Results:
- The ψTnI peptide successfully inhibited cTnI interaction with and phosphorylation by PKCδ.
- ψTnI treatment prevented myocardial tissue injury in the ex vivo MI model.
- Unexpectedly, ψTnI also attenuated IR-induced mitochondrial dysfunction.
Conclusions:
- PKCδ-mediated phosphorylation of cTnI is a critical factor in IR-induced myocardial injury.
- The developed ψTnI peptide demonstrates therapeutic potential for reducing cardiac damage.
- Inhibiting the cTnI/PKCδ interaction represents a promising therapeutic strategy for myocardial infarction.
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