Key result
Corin and PCSK6 expression rises in compensated HF but falls during decompensation in rat models.
Why the study?
Simultaneous alterations in corin and PCSK6 in cardiac and renal tissues in cardiorenal syndrome had not been studied.
Upregulation of cardiac and renal PCSK6/corin in compensated CHF may represent a compensatory response for sodium balance, while their decline in decompensated CHF may contribute to avid sodium retention and cardiac hypertrophy.
Corin/PCSK6 upregulation may compensate in rat CHF; leaves open human therapeutic relevance.
Congestive heart failure (CHF) often leads to progressive cardiac hypertrophy and salt/water retention. However, its pathogenesis remains largely unclarified. Corin, a cardiac serine protease, is responsible for converting proANP and proBNP to biologically active peptides. Although the involvement of corin in cardiac hypertrophy and heart failure was extensively studied, the alterations in corin and proprotein convertase subtilisin/kexin-6 (PCSK6), a key enzyme in the conversion of procorin to corin, has not been studied simultaneously in the cardiac and renal tissues in cardiorenal syndrome. Thus, this study aims to examine the status of PCSK6/corin in the cardiac and renal tissues of rats with CHF induced by the creation of aorto-caval fistula (ACF). We divided rats with ACF into two subgroups based on the pattern of their urinary sodium excretion, namely, compensated and decompensated. Placement of ACF led to cardiac hypertrophy, pulmonary congestion, and renal dysfunction, which were more profound in the decompensated subgroup. Corin immunoreactive peptides were detected in all heart chambers at the myocyte membranal and cytosolic localization and in the renal tissue, especially in the apical membrane of the proximal tubule, mTAL, and the collecting duct. Interestingly, the expression and abundance of corin in both the cardiac ventricles and renal tissues were significantly increased in compensated animals as compared with the decompensated state. Noteworthy, the abundance of PCSK6 in these tissues followed a similar pattern as corin. In contrast, furin expression was upregulated in the cardiac and renal tissues in correlation with CHF severity. We hypothesize that the obtained upregulation of cardiac and renal PCSK6/corin in rats with compensated CHF may represent a compensatory response aiming at maintaining normal Na + balance, whereas the decline in these two enzymes may contribute to the pathogenesis of avid sodium retention, cardiac hypertrophy, and blunted atrial natriuretic peptide/brain natriuretic peptide actions in decompensated CHF.
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Khoury et al. (2021) studied Congestive heart failure (Cardio-Renal Syndrome). Aorto-caval fistula (ACF) vs. Sham operation was evaluated on Cardiac and renal expression of corin and PCSK6. In a rat model of congestive heart failure, cardiac and renal expression of corin and PCSK6 were significantly increased in compensated animals but decreased in the decompensated state.
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