Targeting KDM4C Prevents Heart Failure after Acute Myocardial Infarction Via Activation of SOS2

Caiping Tan1, Xiaoqi Chen2, Lingqi Xu1

  • 1Department of Emergency, Suzhou Hospital of Integrated Traditional Chinese and Western Medicine, Suzhou, 215101, Jiangsu, P.R. China.

Insights

Lysine-specific demethylase 4C (KDM4C) protects against heart failure (HF) after acute myocardial infarction (AMI) by restoring SOS2 expression and activating PI3K/Akt signaling, reducing cardiomyocyte apoptosis and inflammation.

Area of Science:

  • Cardiovascular Biology
  • Molecular Mechanisms of Disease
  • Epigenetics

Background:

  • Heart failure (HF) following acute myocardial infarction (AMI) remains a significant clinical challenge.
  • Understanding the molecular pathways regulating cardiac function post-AMI is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the role of SOS2 in HF post-AMI.
  • To elucidate the underlying molecular mechanisms involving KDM4C and PI3K/Akt signaling.

Main Methods:

  • Utilized oxygen-glucose deprivation (OGD) in HL-1 cardiomyocytes and a mouse model of myocardial infarction (MI) via left anterior descending coronary artery ligation.
  • Assessed SOS2 and KDM4C expression, H3K9Me3 modification, cardiomyocyte apoptosis, and inflammatory responses.
  • Employed PI3K/Akt signaling inhibitor LY294002 and manipulated KDM4C and SOS2 levels through overexpression and knockdown.

Main Results:

  • SOS2 was downregulated in cardiac tissues of AMI mice and OGD-treated cells.
  • SOS2 activation of PI3K/Akt signaling alleviated cardiomyocyte apoptosis and inflammation.
  • KDM4C overexpression upregulated SOS2 by demethylating H3K9Me3 on the SOS2 promoter.
  • KDM4C deficiency exacerbated HF, while SOS2 knockdown counteracted KDM4C's protective effects.

Conclusions:

  • KDM4C protects against HF post-AMI by upregulating SOS2 expression via epigenetic modification (H3K9Me3 demethylation).
  • Restoration of SOS2 and subsequent activation of the PI3K/Akt pathway are key mechanisms mediating KDM4C's cardioprotective effects.
  • Targeting the KDM4C-SOS2-PI3K/Akt axis may offer a novel therapeutic strategy for HF post-AMI.

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