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March 15, 2026European Journal of Heart Failure

Class IIa HDACs Inhibition reverses diastolic dysfunction and Increase Energy Expenditure in a murine HFpEF model

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Key result

HDAC4 inhibitor RT2 markedly improves diastolic function and exercise capacity in HFpEF mice.

Why the study?

It remained unclear which specific HDACs inhibited by pan-HDAC inhibitors drive improvements in HFpEF, prompting investigation into whether disrupting the class IIa HDAC4 corepressor complex rescues diastolic dysfunction.

Does the allosteric HDAC4 inhibitor RT2 improve diastolic dysfunction and metabolic health in a murine HFpEF model?

Population

Murine HFpEF model induced by high fat diet plus L-NAME treatment and HDAC4-cKO mice

Comparison

Allosteric HDAC4 inhibitor RT2 vs vehicle

Design

Preclinical animal study

Authors

HPHarikrishnareddy PaluvaiHeidelberg UniversityJHJ HuangHeidelberg UniversityASA SaadatmandHeidelberg University

Discussion

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Implication

Offers potential HFpEF target but should not yet change practice; extends preclinical evidence for allosteric HDAC4 inhibition.

Key Points

  • The study aims to explore the role of class IIa HDAC4 in diastolic dysfunction and its potential as a therapeutic target in HFpEF.
  • Utilized cardiomyocyte-specific HDAC4 knockout mice for diastolic dysfunction assessment.
  • Administered an allosteric HDAC4 inhibitor (RT2) to disrupt HDAC4-NCoR1/HDAC3 interactions.
  • Measured cardiopulmonary parameters, exercise capacity, and metabolic indicators post-treatment.
  • RT2 treatment significantly reduced diastolic dysfunction (E/E’ values improved, p<0.0001).
  • Improved exercise capacity observed in treated mice (327.0 ± 73.31 meters vs 200 ± 43.88, p=0.0246).
  • Decreased blood glucose levels and body weight linked to RT2 treatment (p<0.0001 for both metrics).
  • Increased energy expenditure noted in HFpEF mice after treatment with RT2.

Structured PICO

Does the allosteric HDAC4 inhibitor RT2 improve diastolic dysfunction and metabolic health in a murine HFpEF model?

P
Population
Murine HFpEF model induced by high fat diet + L-NAME treatment (HFD+LNM), and cardiomyocyte-specific HDAC4 knockout mice (HDAC4-cKO).
I
Intervention
Allosteric HDAC4 inhibitor (RT2)
C
Comparator
Vehicle (Veh)
O
Outcome
Diastolic dysfunction measured by E/E'surrogate

Inhibition of HDAC4 with the allosteric inhibitor RT2 reverses diastolic dysfunction and improves metabolic parameters in a murine model of HFpEF, highlighting a potential therapeutic target.

Cite This Study

Paluvai et al. (2026) studied this question. The allosteric HDAC4 inhibitor RT2 significantly improved diastolic dysfunction (E/E’: 26.32 vs 45.54), exercise capacity (327.0 vs 200), and reduced blood glucose levels in HFpEF mice.

synapsesocial.com/papers/69b64d48b42794e3e660e14ahttps://doi.org/10.1093/ejhf/xuag034.013

Topics

Molecular Mechanisms of Cardiac RemodelingHFpEF management
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