FOXO1 regulates RUNX2 ubiquitination through SMURF2 in calcific aortic valve disease

Chen Jiang1, Dingyi Yao1, Zongtao Liu1

  • 1Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 430022, China.

Redox Biology
|May 29, 2024
PubMed

Insights

Forkhead box O1 (FOXO1) is down-regulated in calcific aortic valve disease (CAVD), promoting valve calcification by stabilizing RUNX2. Targeting the FOXO1/SMURF2/RUNX2 pathway may offer new therapies for CAVD.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Pathogenesis of Valve Disease

Background:

  • Calcific aortic valve disease (CAVD) is prevalent with no current medical treatments.
  • Forkhead box O1 (FOXO1) is implicated in cardiovascular diseases, but its role in CAVD is unclear.

Purpose of the Study:

  • To elucidate the specific role of FOXO1 in the pathogenesis of CAVD.
  • To identify potential therapeutic targets for CAVD based on FOXO1's function.

Main Methods:

  • Analysis of clinical specimens and GEO database to assess FOXO1 expression in CAVD.
  • In vitro experiments involving FOXO1 silencing in valve interstitial cells (VICs).
  • In vivo studies using Apoe-/- mice to evaluate the impact of FOXO1 inhibition on aortic valve calcification.

Main Results:

  • FOXO1 was significantly downregulated in VICs from calcified aortic valves.
  • FOXO1 silencing or inhibition accelerated VIC osteogenic differentiation and aortic valve calcification.
  • FOXO1 promotes RUNX2 ubiquitination and degradation, mediated by SMURF2.

Conclusions:

  • A novel mechanism involving the FOXO1/SMURF2/RUNX2 axis in CAVD pathogenesis was uncovered.
  • FOXO1 or SMURF2 modulation presents a potential therapeutic strategy to inhibit CAVD progression.

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