Key result
Cardiac-specific silencing of MYOCD in a rat model of cardiorenal syndrome significantly improved left ventricular ejection fraction and attenuated cardiac hypertrophy and fibrosis.
Why the study?
Expression levels of MYOCD in cardiac tissues of cardiorenal syndrome patients and the effects of MYOCD inhibition in cardiorenal syndrome models remained to be explored.
Does cardiac-specific silencing of MYOCD improve cardiac remodeling and function in a cardiorenal rat model?
Does cardiac-specific silencing of MYOCD improve cardiac remodeling and function in a cardiorenal rat model?
Cardiac-specific silencing of MYOCD attenuates cardiac hypertrophy and fibrosis and restores left ventricular function in a rat model of cardiorenal syndrome, suggesting a novel therapeutic target.
Cardiorenal syndrome is defined by primary heart failure conditions influencing or leading to renal injury or dysfunction. Dilated cardiomyopathy (DCM) is a major co-existing form of heart failure (HF) with renal diseases. Myocardin (MYOCD), a cardiac-specific co-activator of serum response factor (SRF), is increased in DCM porcine and patient cardiac tissues and plays a crucial role in the pathophysiology of DCM. Inhibiting the increased MYOCD has shown to be partially rescuing the DCM phenotype in porcine model. However, expression levels of MYOCD in the cardiac tissues of the cardiorenal syndromic patients and the effect of inhibiting MYOCD in a cardiorenal syndrome model remains to be explored. Here, we analyzed the expression levels of MYOCD in the DCM patients with and without renal diseases. We also explored, whether cardiac specific silencing of MYOCD expression could ameliorate the cardiac remodeling and improve cardiac function in a renal artery ligated rat model (RAL). We observed an increase in MYOCD levels in the endomyocardial biopsies of DCM patients associated with renal failure compared to DCM alone. Silencing of MYOCD in RAL rats by a cardiac homing peptide conjugated MYOCD siRNA resulted in attenuation of cardiac hypertrophy, fibrosis and restoration of the left ventricular functions. Our data suggest hyper-activation of MYOCD in the pathogenesis of the cardiorenal failure cases. Also, MYOCD silencing showed beneficial effects by rescuing cardiac hypertrophy, fibrosis, size and function in a cardiorenal rat model.
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Mittal et al. (2019) studied Dilated cardiomyopathy and cardiorenal syndrome (n=85). Cardiac-specific MYOCD siRNA vs. Scrambled siRNA or untreated renal artery ligation was evaluated on Left ventricular ejection fraction (LVEF) in rats (p=<0.05). Cardiac-specific silencing of MYOCD in a rat model of cardiorenal syndrome significantly improved left ventricular ejection fraction and attenuated cardiac hypertrophy and fibrosis.
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