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Updated: May 31, 2025

Saturated Fatty Acids Induce Ceramide-associated Macrophage Cell Death
Published on: October 31, 2017
Palmitic acid induces cardiomyocyte apoptosis by enhancing the KLF4/cMLCK signaling pathway
Rumeng Zhu1, Lei Xiong1, Zhangyong Dan1
1Laboratory of Molecular Biology, Department of Biochemistry, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Abstract:
Hyperlipidemia and myocardial apoptosis caused by myocardial ischemia are the main causes of high mortality rates in cardiovascular diseases. Previous studies have indicated that Krüppel-like factor 4 (KLF4) is involved in the induction of cardiac myocyte apoptosis under various stress conditions. In current study, we discovered that KLF4 also participates in palmitic acid (PA)-induced cardiac myocyte apoptosis. However, the specific mechanisms by which KLF4 regulates cardiac myocyte apoptosis remain unclear. Cardiac myosin light-chain kinase (cMLCK) is a crucial enzyme involved in regulating cardiac myocyte contraction and is closely associated with the regulation of apoptosis. Here, we employed the lipotoxicity in vitro and in vivo models to explore the potential synergistic role of KLF4 and cMLCK in cardiac myocyte apoptosis. Our findings demonstrate that under the influence of PA, upregulation of KLF4 expression accompanied by downregulation of cMLCK expression leads to cardiomyocyte apoptosis and cell proliferation inhibition. Selective knockdown and overexpression of KLF4 in cardiomyocytes further confirmed the involvement of KLF4 in PA-induced cardiomyocyte apoptosis. Likewise, overexpression of cMLCK alleviated PA-induced cardiac myocyte apoptosis. Our study reveals the pro-apoptotic effect of KLF4 and elucidates the specific mechanism by which the KLF4/cMLCK signaling pathway is involved in PA-induced cardiac myocyte apoptosis, providing new therapeutic targets for cardiovascular disease treatment.
Insights
Krüppel-like factor 4 (KLF4) promotes palmitic acid-induced heart cell death by decreasing cardiac myosin light-chain kinase (cMLCK). Targeting this KLF4/cMLCK pathway may offer new treatments for cardiovascular diseases.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Cellular Apoptosis
Background:
- Cardiovascular diseases, driven by hyperlipidemia and myocardial apoptosis, are leading causes of mortality.
- Krüppel-like factor 4 (KLF4) is implicated in cardiac myocyte apoptosis under stress.
- Palmitic acid (PA) induces cardiac myocyte apoptosis, but the underlying mechanisms involving KLF4 are not fully understood.
Purpose of the Study:
- To investigate the role and mechanism of Krüppel-like factor 4 (KLF4) in palmitic acid (PA)-induced cardiac myocyte apoptosis.
- To explore the potential synergistic interaction between KLF4 and cardiac myosin light-chain kinase (cMLCK) in lipotoxicity-induced apoptosis.
- To identify novel therapeutic targets for cardiovascular disease treatment.
Main Methods:
- Utilized in vitro and in vivo models of lipotoxicity using palmitic acid (PA).
- Investigated the expression levels of KLF4 and cMLCK under PA influence.
- Employed selective knockdown and overexpression of KLF4 and cMLCK in cardiomyocytes.
Main Results:
- Palmitic acid (PA) exposure led to increased KLF4 expression and decreased cMLCK expression in cardiomyocytes.
- KLF4 upregulation correlated with cardiomyocyte apoptosis and inhibited cell proliferation.
- Overexpression of cMLCK attenuated PA-induced cardiac myocyte apoptosis, while KLF4 knockdown confirmed its pro-apoptotic role.
Conclusions:
- KLF4 exhibits a pro-apoptotic effect in PA-induced cardiac myocyte apoptosis.
- The KLF4/cMLCK signaling pathway plays a critical role in PA-induced cardiac myocyte apoptosis and cell proliferation inhibition.
- This study highlights the KLF4/cMLCK pathway as a potential therapeutic target for cardiovascular diseases.
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