Key result
Cyclophilin A expression was higher in right ventricle sections from arrhythmogenic cardiomyopathy patients compared to healthy controls and positively correlated with adipose replacement.
Why the study?
The involvement of cyclophilin A in arrhythmogenic cardiomyopathy cardiac remodeling had not yet been investigated.
Case-Control
May identify Cyclophilin A as a therapeutic target in arrhythmogenic cardiomyopathy; leaves open confirmation in prospective trials.
Arrhythmogenic cardiomyopathy (ACM) is a genetic disorder characterized by the progressive substitution of functional myocardium with noncontractile fibro-fatty tissue contributing to ventricular arrhythmias and sudden cardiac death. Cyclophilin A (CyPA) is a ubiquitous protein involved in several pathological mechanisms, which also characterize ACM (i.e., fibrosis, inflammation, and adipogenesis). Nevertheless, the involvement of CyPA in ACM cardiac remodeling has not been investigated yet. Thus, we first evaluated CyPA expression levels in the right ventricle (RV) tissue specimens obtained from ACM patients and healthy controls (HC) by immunohistochemistry. Then, we took advantage of ACM- and HC-derived cardiac mesenchymal stromal cells (C-MSC) to assess CyPA modulation during adipogenic differentiation. Interestingly, CyPA was more expressed in the RV sections obtained from ACM vs. HC subjects and positively correlated with the adipose replacement extent. Moreover, CyPA was upregulated at early stages of C-MSC adipogenic differentiation and was secreted at higher level over time in ACM- derived C-MSC. Our study provides novel ex vivo and in vitro information on CyPA expression in ACM remodeling paving the way for future C-MSC-based mechanistic and therapeutic investigations.
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Rurali et al. (2019) conducted a case-control in Arrhythmogenic cardiomyopathy. Arrhythmogenic cardiomyopathy vs. Healthy controls was evaluated on Cyclophilin A (CyPA) expression levels. Cyclophilin A expression was higher in right ventricle sections from arrhythmogenic cardiomyopathy patients compared to healthy controls and positively correlated with adipose replacement.
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