Why the study?
Diabetes can directly cause cardiac injury leading to cardiomyopathy, but treatment strategies for diabetic cardiomyopathy remain limited.
Does ZNF593-AS overexpression improve cardiac dysfunction and reduce apoptosis and inflammation in mouse models of diabetic cardiomyopathy?
Does ZNF593-AS overexpression improve cardiac dysfunction and reduce apoptosis and inflammation in mouse models of diabetic cardiomyopathy?
LncRNA ZNF593-AS protects against diabetic cardiomyopathy by suppressing the IRF3 signaling pathway, highlighting a potential novel therapeutic target.
Hypothesis-generating for ZNF593-AS in diabetic cardiomyopathy; leaves open translation to human therapy.
Diabetes could directly induce cardiac injury, leading to cardiomyopathy. However, treatment strategies for diabetic cardiomyopathy remain limited. ZNF593-AS knockout and cardiomyocyte-specific transgenic mice were constructed. In addition, high-fat diet (HFD)-induced diabetic mouse model and db/db mice, another classic diabetic mouse model, were employed. ZNF593-AS was silenced using GapmeR, a modified antisense oligonucleotide, while overexpressed using a recombinant adeno-associated virus serotype 9-mediated gene delivery system. Transcriptome sequencing, RNA pull-down assays, and RNA immunoprecipitation assays were also performed to investigate the underlying mechanisms. ZNF593-AS expression was decreased in diabetic hearts. ZNF593-AS attenuated the palmitic acid-induced apoptosis of cardiomyocytes in vitro . In HFD-induced diabetic mice, ZNF593-AS deletion aggravated cardiac dysfunction and enhanced cardiac apoptosis and inflammation. In contrast, HFD-induced cardiac dysfunction was improved in ZNF593-AS transgenic mice. Consistently, ZNF593-AS exerted the same cardioprotective effects in db/db mice. Mechanistically, ZNF593-AS directly interacted with the functional domain of interferon regulatory factor 3 (IRF3), and suppressed fatty acid-induced phosphorylation and activation of IRF3, contributing to the amelioration of cardiac cell death and inflammation. In conclusion, our results identified the protective role of ZNF593-AS in diabetic cardiomyopathy, suggesting a novel potential therapeutic target.
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Xie et al. (2023) studied this question.
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