Pleiotropic Role of TNIK in Sepsis-Induced Cardiomyopathy

Wenwen Yang1, Aizhen Zhao1, Wangrui Lei1

  • 1Xi'an Key Laboratory of Innovative Drug Research for Heart Failure, Faculty of Life Sciences and Medicine, Northwest University, Xi'an, China.

PubMed

Insights

Sepsis-induced heart failure is a major ICU mortality cause. This study reveals Tumor Necrosis Factor Receptor-Associated Factor-2 and Nck-Interacting Protein Kinase (TNIK) as a key player in septic myocardial damage, suggesting it as a therapeutic target.

Area of Science:

  • Molecular mechanisms of sepsis-induced myocardial damage.
  • Cardiovascular research and critical care medicine.

Background:

  • Sepsis-induced heart failure is a leading cause of mortality in intensive care units (ICUs).
  • The precise molecular pathways underlying septic myocardial injury remain incompletely understood.
  • Tumor Necrosis Factor Receptor-Associated Factor-2 and Nck-Interacting Protein Kinase (TNIK) is a conserved modulator of glucose and lipid homeostasis.

Purpose of the Study:

  • To investigate the direct role of TNIK in sepsis-induced myocardial damage.
  • To determine if TNIK regulates the NLRP3 inflammasome pathway in septic cardiomyopathy.
  • To explore TNIK as a potential therapeutic target for sepsis-induced myocardial injury.

Main Methods:

  • Construction of a cecal ligation and puncture (CLP) mouse model for sepsis.
  • Utilizing lipopolysaccharide (LPS)-induced injury in HL-1 cardiomyocytes.
  • Employing TNIK inhibitor (TNIK-IN-7) and small interfering RNA (siRNA) to assess TNIK's role.
  • Measuring TNIK, NLRP3, and IL-1β mRNA and protein levels.

Main Results:

  • TNIK levels were significantly upregulated in both CLP-induced septic mice and LPS-treated cardiomyocytes.
  • Inhibition or knockdown of TNIK attenuated LPS-induced cardiomyocyte injury.
  • TNIK knockdown notably decreased the expression of NLRP3 and IL-1β at both mRNA and protein levels.
  • TNIK was identified as crucial in septic myocardial injury.

Conclusions:

  • TNIK plays a significant role in the pathogenesis of sepsis-induced myocardial damage.
  • TNIK inhibition or knockdown mitigates cardiac injury in a sepsis model.
  • TNIK may exert its protective effects by modulating the NLRP3 inflammasome pathway.
  • TNIK represents a promising therapeutic target for sepsis-induced cardiomyopathy.