Key result
Cardiomyocyte-specific transgenic overexpression of GCH1 significantly reduced infarct size (19% vs 38%) and attenuated adverse cardiac remodeling 4 weeks after myocardial infarction in mice.
Why the study?
Does transgenic overexpression of GCH1 in cardiomyocytes ameliorate post-infarction cardiac remodeling in a mouse model?
Does transgenic overexpression of GCH1 in cardiomyocytes ameliorate post-infarction cardiac remodeling in a mouse model?
Cardiomyocyte-specific overexpression of GCH1 attenuates adverse cardiac remodeling and dysfunction after myocardial infarction by preserving nNOS and sarcoplasmic reticulum Ca2+ handling proteins.
Answers are grounded in this paper and cite their sources.
GCH1 overexpression merits further target validation; this Level 5 mouse finding leaves open human translation and should not change practice.
GTP cyclohydrolase 1 (GCH1) and its product tetrahydrobiopterin play crucial roles in cardiovascular health and disease, yet the exact regulation and role of GCH1 in adverse cardiac remodeling after myocardial infarction are still enigmatic. Here we report that cardiac GCH1 is degraded in remodeled hearts after myocardial infarction, concomitant with increases in the thickness of interventricular septum, interstitial fibrosis, and phosphorylated p38 mitogen-activated protein kinase and decreases in left ventricular anterior wall thickness, cardiac contractility, tetrahydrobiopterin, the dimers of nitric oxide synthase, sarcoplasmic reticulum Ca 2+ release, and the expression of sarcoplasmic reticulum Ca 2+ handling proteins. Intriguingly, transgenic overexpression of GCH1 in cardiomyocytes reduces the thickness of interventricular septum and interstitial fibrosis and increases anterior wall thickness and cardiac contractility after infarction. Moreover, we show that GCH1 overexpression decreases phosphorylated p38 mitogen-activated protein kinase and elevates tetrahydrobiopterin levels, the dimerization and phosphorylation of neuronal nitric oxide synthase, sarcoplasmic reticulum Ca 2+ release, and sarcoplasmic reticulum Ca 2+ handling proteins in post-infarction remodeled hearts. Our results indicate that the pivotal role of GCH1 overexpression in post-infarction cardiac remodeling is attributable to preservation of neuronal nitric oxide synthase and sarcoplasmic reticulum Ca 2+ handling proteins, and identify a new therapeutic target for cardiac remodeling after infarction.
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Liu et al. (2017) studied Myocardial infarction (n=399). Transgenic overexpression of human GCH1 gene vs. Wild-type (WT) mice was evaluated on Infarct size (percentage of infarct circumference/LV circumference) (p=<0.05). Cardiomyocyte-specific transgenic overexpression of GCH1 significantly reduced infarct size (19% vs 38%) and attenuated adverse cardiac remodeling 4 weeks after myocardial infarction in mice.
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