Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility

Abstract Background About half of heart failure (HF) patients, while having preserved left ventricular function, suffer from diastolic dysfunction (so‐called HFpEF). No specific therapeutics are available for HFpEF in contrast to HF where reduced ejection fractions (HFrEF) can be treated pharmacolog...

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Main Authors: Volker Adams, Antje Schauer, Antje Augstein, Virginia Kirchhoff, Runa Draskowski, Anett Jannasch, Keita Goto, Gemma Lyall, Anita Männel, Peggy Barthel, Norman Mangner, Ephraim B. Winzer, Axel Linke, Siegfried Labeit
Format: Article
Language:English
Published: Wiley 2022-06-01
Series:Journal of Cachexia, Sarcopenia and Muscle
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Online Access:https://doi.org/10.1002/jcsm.12968
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author Volker Adams
Antje Schauer
Antje Augstein
Virginia Kirchhoff
Runa Draskowski
Anett Jannasch
Keita Goto
Gemma Lyall
Anita Männel
Peggy Barthel
Norman Mangner
Ephraim B. Winzer
Axel Linke
Siegfried Labeit
author_facet Volker Adams
Antje Schauer
Antje Augstein
Virginia Kirchhoff
Runa Draskowski
Anett Jannasch
Keita Goto
Gemma Lyall
Anita Männel
Peggy Barthel
Norman Mangner
Ephraim B. Winzer
Axel Linke
Siegfried Labeit
author_sort Volker Adams
collection DOAJ
description Abstract Background About half of heart failure (HF) patients, while having preserved left ventricular function, suffer from diastolic dysfunction (so‐called HFpEF). No specific therapeutics are available for HFpEF in contrast to HF where reduced ejection fractions (HFrEF) can be treated pharmacologically. Myocardial titin filament stiffening, endothelial dysfunction, and skeletal muscle (SKM) myopathy are suspected to contribute to HFpEF genesis. We previously described small molecules interfering with MuRF1 target recognition thereby attenuating SKM myopathy and dysfunction in HFrEF animal models. The aim of the present study was to test the efficacy of one small molecule (MyoMed‐205) in HFpEF and to describe molecular changes elicited by MyoMed‐205. Methods Twenty‐week‐old female obese ZSF1 rats received the MuRF1 inhibitor MyoMed‐205 for 12 weeks; a comparison was made to age‐matched untreated ZSF1‐lean (healthy) and obese rats as controls. LV (left ventricle) function was assessed by echocardiography and by invasive haemodynamic measurements until week 32. At week 32, SKM and endothelial functions were measured and tissues collected for molecular analyses. Proteome‐wide analysis followed by WBs and RT‐PCR was applied to identify specific genes and affected molecular pathways. MuRF1 knockout mice (MuRF1‐KO) SKM tissues were included to validate MuRF1‐specificity. Results By week 32, untreated obese rats had normal LV ejection fraction but augmented E/e′ ratios and increased end diastolic pressure and myocardial fibrosis, all typical features of HFpEF. Furthermore, SKM myopathy (both atrophy and force loss) and endothelial dysfunction were detected. In contrast, MyoMed‐205 treated rats had markedly improved diastolic function, less myocardial fibrosis, reduced SKM myopathy, and increased SKM function. SKM extracts from MyoMed‐205 treated rats had reduced MuRF1 content and lowered total muscle protein ubiquitination. In addition, proteomic profiling identified eight proteins to respond specifically to MyoMed‐205 treatment. Five out of these eight proteins are involved in mitochondrial metabolism, dynamics, or autophagy. Consistent with the mitochondria being a MyoMed‐205 target, the synthesis of mitochondrial respiratory chain complexes I + II was increased in treated rats. MuRF1‐KO SKM controls also had elevated mitochondrial complex I and II activities, also suggesting mitochondrial activity regulation by MuRF1. Conclusions MyoMed‐205 improved myocardial diastolic function and prevented SKM atrophy/function in the ZSF1 animal model of HFpEF. Mechanistically, SKM benefited from an attenuated ubiquitin proteasome system and augmented synthesis/activity of proteins of the mitochondrial respiratory chain while the myocardium seemed to benefit from reduced titin modifications and fibrosis.
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spelling doaj.art-d21b4d9a924d46088cf6607875f922132024-04-16T18:10:50ZengWileyJournal of Cachexia, Sarcopenia and Muscle2190-59912190-60092022-06-011331565158110.1002/jcsm.12968Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractilityVolker Adams0Antje Schauer1Antje Augstein2Virginia Kirchhoff3Runa Draskowski4Anett Jannasch5Keita Goto6Gemma Lyall7Anita Männel8Peggy Barthel9Norman Mangner10Ephraim B. Winzer11Axel Linke12Siegfried Labeit13Laboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyDepartment of Cardiac Surgery TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanySchool of Biomedical Sciences University of Leeds Leeds UKLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyLaboratory of Molecular and Experimental Cardiology TU Dresden, Heart Center Dresden Dresden GermanyMyomedix GmbH Neckargemünd GermanyAbstract Background About half of heart failure (HF) patients, while having preserved left ventricular function, suffer from diastolic dysfunction (so‐called HFpEF). No specific therapeutics are available for HFpEF in contrast to HF where reduced ejection fractions (HFrEF) can be treated pharmacologically. Myocardial titin filament stiffening, endothelial dysfunction, and skeletal muscle (SKM) myopathy are suspected to contribute to HFpEF genesis. We previously described small molecules interfering with MuRF1 target recognition thereby attenuating SKM myopathy and dysfunction in HFrEF animal models. The aim of the present study was to test the efficacy of one small molecule (MyoMed‐205) in HFpEF and to describe molecular changes elicited by MyoMed‐205. Methods Twenty‐week‐old female obese ZSF1 rats received the MuRF1 inhibitor MyoMed‐205 for 12 weeks; a comparison was made to age‐matched untreated ZSF1‐lean (healthy) and obese rats as controls. LV (left ventricle) function was assessed by echocardiography and by invasive haemodynamic measurements until week 32. At week 32, SKM and endothelial functions were measured and tissues collected for molecular analyses. Proteome‐wide analysis followed by WBs and RT‐PCR was applied to identify specific genes and affected molecular pathways. MuRF1 knockout mice (MuRF1‐KO) SKM tissues were included to validate MuRF1‐specificity. Results By week 32, untreated obese rats had normal LV ejection fraction but augmented E/e′ ratios and increased end diastolic pressure and myocardial fibrosis, all typical features of HFpEF. Furthermore, SKM myopathy (both atrophy and force loss) and endothelial dysfunction were detected. In contrast, MyoMed‐205 treated rats had markedly improved diastolic function, less myocardial fibrosis, reduced SKM myopathy, and increased SKM function. SKM extracts from MyoMed‐205 treated rats had reduced MuRF1 content and lowered total muscle protein ubiquitination. In addition, proteomic profiling identified eight proteins to respond specifically to MyoMed‐205 treatment. Five out of these eight proteins are involved in mitochondrial metabolism, dynamics, or autophagy. Consistent with the mitochondria being a MyoMed‐205 target, the synthesis of mitochondrial respiratory chain complexes I + II was increased in treated rats. MuRF1‐KO SKM controls also had elevated mitochondrial complex I and II activities, also suggesting mitochondrial activity regulation by MuRF1. Conclusions MyoMed‐205 improved myocardial diastolic function and prevented SKM atrophy/function in the ZSF1 animal model of HFpEF. Mechanistically, SKM benefited from an attenuated ubiquitin proteasome system and augmented synthesis/activity of proteins of the mitochondrial respiratory chain while the myocardium seemed to benefit from reduced titin modifications and fibrosis.https://doi.org/10.1002/jcsm.12968HFpEFZSF1MuRF1Diastolic dysfunctionSkeletal muscle dysfunctionMuscle atrophy
spellingShingle Volker Adams
Antje Schauer
Antje Augstein
Virginia Kirchhoff
Runa Draskowski
Anett Jannasch
Keita Goto
Gemma Lyall
Anita Männel
Peggy Barthel
Norman Mangner
Ephraim B. Winzer
Axel Linke
Siegfried Labeit
Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility
Journal of Cachexia, Sarcopenia and Muscle
HFpEF
ZSF1
MuRF1
Diastolic dysfunction
Skeletal muscle dysfunction
Muscle atrophy
title Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility
title_full Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility
title_fullStr Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility
title_full_unstemmed Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility
title_short Targeting MuRF1 by small molecules in a HFpEF rat model improves myocardial diastolic function and skeletal muscle contractility
title_sort targeting murf1 by small molecules in a hfpef rat model improves myocardial diastolic function and skeletal muscle contractility
topic HFpEF
ZSF1
MuRF1
Diastolic dysfunction
Skeletal muscle dysfunction
Muscle atrophy
url https://doi.org/10.1002/jcsm.12968
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