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Compound J27 alleviates obesity-induced cardiomyopathy by targeting JNK2
Hui Dong1, Ao Wang2, Jiaxi Ye3
1Cangnan Hospital of Wenzhou Medical University, Wenzhou 325899, Zhejiang, China; Department of Endocrinology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325035, Zhejiang, China; Wenzhou Key Laboratory of Diabetes Research, Wenzhou 325035, Zhejiang, China.
Background:
With the global prevalence of obesity continuing to rise, obesity-induced cardiomyopathy (OCM) has emerged as an important independent driver of heart failure. However, current clinical management remains limited to indirect metabolic interventions, such as weight loss and lipid-lowering therapies, with no disease-modifying treatments that specifically target the pathological mechanisms of OCM. We previously developed J27, a highly selective small-molecule inhibitor of c-Jun N-terminal kinase 2 (JNK2). In this study, we aimed to delineate the isoform-specific role of JNK2 in OCM pathogenesis and to evaluate the therapeutic efficacy and translational potential of J27.
Methods:
A high-fat diet (HFD) -induced mouse model of OCM was established to assess the therapeutic effects of J27. Cardiac structural and functional alterations were comprehensively evaluated using multimodal histological analyses, biochemical assays, and echocardiography. In parallel, in vitro experiments were performed in cardiomyocytes and macrophages challenged with palmitic acid (PA) to investigate the regulatory effects of J27 on cardiomyocyte injury, calcium homeostasis, and inflammatory activation of immune cells.
Results:
In HFD-fed mice, J27 markedly attenuated cardiac hypertrophy and interstitial fibrosis while significantly improving cardiac function in a dose-dependent manner. Mechanistically, J27 partially restored cardiomyocyte calcium handling by inhibiting the JNK2/CaMKIIδ signaling axis, thereby alleviating calcium dysregulation-associated myocardial injury. Concurrently, J27 suppressed macrophage-driven inflammatory responses through inhibition of the JNK2/c-Jun pathway, thereby attenuating cardiomyocyte hypertrophy induced by macrophage-cardiomyocyte crosstalk. Importantly, genetic knockdown of JNK2 abolished the cardioprotective effects of J27, establishing JNK2 as the obligatory molecular target mediating its therapeutic actions and highlighting the central pathological role of the JNK2 isoform in OCM progression.
Conclusions:
JNK2 acts as a critical nodal regulator of OCM by coordinately controlling cardiomyocyte calcium homeostasis and macrophage-mediated inflammatory responses. As a potent and highly selective JNK2 inhibitor, J27 confers robust protection against HFD-induced OCM, supporting its promise as a targeted therapeutic candidate for obesity-induced cardiac dysfunction.
Insights
Obesity-induced cardiomyopathy (OCM) is a growing concern. A new drug, J27, effectively targets c-Jun N-terminal kinase 2 (JNK2) to protect the heart from OCM damage by improving calcium handling and reducing inflammation.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Obesity is a rising global health issue, contributing significantly to heart failure through obesity-induced cardiomyopathy (OCM).
- Current treatments for OCM are indirect, lacking disease-modifying therapies targeting specific pathological mechanisms.
- J27, a selective inhibitor of c-Jun N-terminal kinase 2 (JNK2), was developed to address these limitations.
Purpose of the Study:
- To investigate the specific role of JNK2 in the development of OCM.
- To evaluate the therapeutic potential of J27 in preclinical models of OCM.
- To explore the molecular mechanisms underlying J27's efficacy.
Main Methods:
- A high-fat diet (HFD) mouse model was used to induce OCM and test J27.
- Cardiac structure and function were assessed via histology, biochemical assays, and echocardiography.
- In vitro studies in cardiomyocytes and macrophages examined J27's effects on injury, calcium handling, and inflammation.
Main Results:
- J27 treatment dose-dependently improved cardiac function, reduced hypertrophy, and attenuated fibrosis in HFD-fed mice.
- J27 normalized cardiomyocyte calcium handling by inhibiting the JNK2/CaMKIIδ pathway, reducing injury.
- J27 suppressed macrophage inflammation via the JNK2/c-Jun pathway, mitigating OCM progression.
Conclusions:
- JNK2 is a key regulator in OCM, influencing both cardiomyocyte calcium balance and inflammatory responses.
- J27 demonstrates significant cardioprotective effects against HFD-induced OCM.
- J27 shows promise as a targeted therapy for obesity-related cardiac dysfunction.
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