Key result
Intravenous administration of the exosomally derived Y RNA fragment YF1 improved ambulation and reduced cardiac hypertrophy and fibrosis in a transgenic mouse model of hypertrophic cardiomyopathy.
Why the study?
Cardiosphere-derived cell exosomes and their derived non-coding RNA YF1 show therapeutic bioactivity in other models, prompting investigation into whether YF1 could alleviate HCM-associated hypertrophy, inflammation, and fibrosis.
Does intravenous YF1 improve ambulatory and cardiac function and reduce hypertrophy and fibrosis in a transgenic mouse model of hypertrophic cardiomyopathy?
Does intravenous YF1 improve ambulatory and cardiac function and reduce hypertrophy and fibrosis in a transgenic mouse model of hypertrophic cardiomyopathy?
YF1, a non-coding RNA fragment derived from cardiosphere-derived cell exosomes, reverses hypertrophic and fibrotic signaling and improves function in a mouse model of HCM.
May alleviate hypertrophy, inflammation, and fibrosis in HCM mice; hypothesis-generating for RNA-based therapies and requires human validation.
Cardiosphere-derived cell exosomes (CDC exo ) and YF1, a CDC exo -derived non-coding RNA, elicit therapeutic bioactivity in models of myocardial infarction and hypertensive hypertrophy. Here we tested the hypothesis that YF1, a 56-nucleotide Y RNA fragment, could alleviate cardiomyocyte hypertrophy, inflammation, and fibrosis associated with hypertrophic cardiomyopathy (HCM) in transgenic mice harboring a clinically relevant mutation in cardiac troponin I (cTnI Gly146 ). By quantitative PCR, YF1 was detectable in bone marrow, spleen, liver, and heart 30 min after intravenous (i.v.) infusion. For efficacy studies, mice were randomly allocated to receive i.v. YF1 or vehicle, monitored for ambulatory and cardiac function, and sacrificed at 4 weeks. YF1 (but not vehicle) improved ambulation and reduced cardiac hypertrophy and fibrosis. In parallel, peripheral mobilization of neutrophils and proinflammatory monocytes was decreased, and fewer macrophages infiltrated the heart. RNA-sequencing of macrophages revealed that YF1 confers substantive and broad changes in gene expression, modulating pathways associated with immunological disease and inflammatory responses. Together, these data demonstrate that YF1 can reverse hypertrophic and fibrotic signaling pathways associated with HCM, while improving function, raising the prospect that YF1 may be a viable novel therapeutic candidate for HCM.
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Huang et al. (2021) studied Hypertrophic cardiomyopathy. YF1 (exosomally derived Y RNA fragment) vs. Vehicle (saline) was evaluated on Ambulatory capacity, cardiac hypertrophy, and fibrosis (p=<0.05). Intravenous administration of the exosomally derived Y RNA fragment YF1 improved ambulation and reduced cardiac hypertrophy and fibrosis in a transgenic mouse model of hypertrophic cardiomyopathy.
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