Why the study?
The roles of the receptor for advanced glycation end-products (RAGE) and the small GTPase Rap1a in angiotensin II-induced cardiac remodeling remain unclear.
Does genetic deletion of RAGE or Rap1a attenuate angiotensin II-induced cardiac hypertrophy, remodeling, and myocardial fibrosis in male mice?
Does genetic deletion of RAGE or Rap1a attenuate angiotensin II-induced cardiac hypertrophy, remodeling, and myocardial fibrosis in male mice?
Genetic deletion of Rap1a or RAGE protects male mice against angiotensin II-induced cardiac hypertrophy and myocardial fibrosis, highlighting the RAGE-Rap1a signaling axis as a potential therapeutic target for hypertensive cardiac remodeling.
Answers are grounded in this paper and cite their sources.
Rap1a knockout attenuates AngII-induced cardiac fibrosis in mice; leaves open whether Rap1a inhibition merits testing in hypertensive heart disease.
Hypertension is a leading risk factor for cardiovascular disease and is associated with maladaptive cardiac remodeling, including hypertrophy and fibrosis. The roles of the receptor for advanced glycation end-products (RAGE) and the small GTPase Rap1a in angiotensin II (AngII)-induced remodeling remain unclear. This study examined how RAGE and Rap1a influence cardiac responses to AngII using wild-type (WT), RAGE knockout (RAGE KO), and Rap1a knockout (RapKO) mice. Cardiac structure and function were evaluated following AngII infusion. RapKO mice were protected from AngII-induced hypertrophy, whereas RAGE KO mice exhibited altered remodeling patterns. AngII consistently increased left ventricular wall thickness across all genotypes, indicating that structural remodeling is primarily treatment-driven. Measures of cardiac output and stroke volume also changed significantly with AngII, suggesting hemodynamic load as a key driver of functional adaptation. In contrast, diastolic functional parameters were genotype-dependent and remained stable with AngII exposure, demonstrating an intrinsic influence of RAGE and Rap1a on myocardial relaxation. These findings highlight distinct roles for RAGE and Rap1a in modulating hypertensive cardiac remodeling and may parallel human hypertensive heart disease, where increased RAGE and Rap1a expression associate with fibrosis and impaired relaxation. Targeting the crosstalk between the RAGE-AT1R axis and the cAMP-EPAC-Rap1a pathway may offer therapeutic potential to reduce adverse cardiac remodeling in hypertension.
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Brown et al. (2025) studied this question.
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