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The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
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Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
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Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
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Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
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GPLD1 Attenuates Heart Failure via Dual-Membrane Localization to Inhibit uPAR.

Wenjing Yu1,2, Zhen Guo1,2, Huimin Liang1

  • 1National and Local United Engineering Laboratory of Druggability and New Drugs Evaluation, Guangdong Provincial Key Laboratory of New Drug Design and Evaluation, Guangdong Province Engineering Laboratory for Druggability and New Drug Evaluation, School of Pharmaceutical Sciences (W.Y., Z.G., H.L., D.M., C.L., Z. Li, J.Y., P.L., J.L.), Sun Yat-sen University, Guangzhou, China.

Circulation Research
|July 9, 2025
PubMed
Summary
This summary is machine-generated.

Glycosylphosphatidylinositol-specific phospholipase D1 (GPLD1) protects against heart failure (HF) by maintaining cellular homeostasis and mitochondrial function. Urokinase-type plasminogen activator receptor (uPAR) interaction is key to GPLD1’s protective effects in cardiac dysfunction.

Keywords:
cell membraneheart failuremyocytes, cardiacplasminogenventricular remodeling

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Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Biochemistry

Background:

  • The role of glycosylphosphatidylinositol-specific phospholipase D1 (GPLD1) in age-related impairments is known, but its function in cardiovascular diseases, particularly heart failure (HF), is not well understood.
  • Investigating GPLD1's involvement in HF is crucial for identifying novel therapeutic targets.

Purpose of the Study:

  • To elucidate the role and mechanism of GPLD1 in the pathogenesis of heart failure.
  • To determine if GPLD1 can serve as a therapeutic target for cardiac dysfunction.

Main Methods:

  • Analysis of GPLD1 and uPAR (urokinase-type plasminogen activator receptor) levels in human HF patients and murine HF models.
  • Genetic manipulation of GPLD1 and uPAR in cardiac-specific mouse models of HF.
  • Proteomic analysis to identify GPLD1 binding partners and mechanistic studies involving cellular signaling pathways, membrane localization, and mitochondrial function.

Main Results:

  • GPLD1 levels were elevated in HF patients and models. Cardiac-specific GPLD1 depletion worsened HF, while overexpression improved cardiac function.
  • GPLD1 interacts with uPAR, and this interaction is essential for its protective effects. GPLD1 localizes to the plasma and mitochondrial membranes to cleave uPAR's anchor, preserving calcium and mitochondrial homeostasis.
  • uPAR overexpression disrupted GPLD1 localization and function, exacerbating cardiac dysfunction.

Conclusions:

  • GPLD1 acts as an endogenous protective factor against heart failure.
  • Targeting GPLD1 represents a potential therapeutic strategy for treating cardiac dysfunction and HF.