Key result
PPARα activation attenuates cardiac fibrosis in preclinical arrhythmogenic cardiomyopathy.
Why the study?
Existing therapeutic modalities for arrhythmogenic cardiomyopathy are mostly palliative, prompting investigation into cardiac fibrosis and its underlying mechanisms in a Dsg2-deficient model.
Does PPARα activation reduce cardiac fibrosis in a mouse model of Dsg2-deficient arrhythmogenic cardiomyopathy?
Does PPARα activation reduce cardiac fibrosis in a mouse model of Dsg2-deficient arrhythmogenic cardiomyopathy?
PPARα activation represents a potential therapeutic strategy to ameliorate cardiac fibrosis in arrhythmogenic cardiomyopathy.
PPARα activation attenuated fibrosis in a Dsg2-deficient arrhythmogenic cardiomyopathy mouse model; hypothesis-generating and should not yet change practice.
Background: Arrhythmogenic cardiomyopathy (ACM) is a genetic heart muscle disease characterized by progressive fibro-fatty replacement of cardiac myocytes. Up to now, the existing therapeutic modalities for ACM are mostly palliative. About 50% of ACM is caused by mutations in genes encoding desmosomal proteins including Desmoglein-2 (Dsg2). In the current study, the cardiac fibrosis of ACM and its underlying mechanism were investigated by using a cardiac-specific knockout of Dsg2 mouse model. Methods: Cardiac-specific Dsg2 knockout (CS-Dsg2−/−) mice and wild-type (WT) mice were respectively used as the animal model of ACM and controls. The myocardial collagen volume fraction was determined by histological analysis. The expression levels of fibrotic markers such as α-SMA and Collagen I as well as signal transducers such as STAT3, SMAD3, and PPARα were measured by Western blot and quantitative real-time PCR. Results: Increased cardiac fibrosis was observed in CS-Dsg2−/− mice according to Masson staining. PPARα deficiency and hyperactivation of STAT3 and SMAD3 were observed in the myocardium of CS-Dsg2−/− mice. The biomarkers of fibrosis such as α-SMA and Collagen I were upregulated after gene silencing of Dsg2 in HL-1 cells. Furthermore, STAT3 gene silencing by Stat3 siRNA inhibited the expression of fibrotic markers. The activation of PPARα by fenofibrate or AAV9-Pparα improved the cardiac fibrosis and decreased the phosphorylation of STAT3, SMAD3, and AKT in CS-Dsg2−/− mice. Conclusions: Activation of PPARα alleviates the cardiac fibrosis in ACM.
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Qiu et al. (2022) studied Arrhythmogenic cardiomyopathy (ACM). PPARα activation (fenofibrate or AAV9-Pparα) vs. Untreated CS-Dsg2−/− mice or AAV9-GFP was evaluated on Cardiac fibrosis (myocardial collagen volume fraction). Activation of PPARα by fenofibrate or AAV9-Pparα significantly improved cardiac fibrosis and decreased the phosphorylation of STAT3, SMAD3, and AKT in a mouse model of arrhythmogenic cardiomyopathy.
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