Key result
Nogo-C deficiency significantly improved post-myocardial infarction cardiac function, increasing ejection fraction to 58.1% compared to 39.52% in wild-type mice, and ameliorated cardiac fibrosis.
Absolute Event Rate: 58.1% vs 39.52%
p-value: p=<0.001
Nogo-C regulates post-myocardial infarction cardiac fibrosis by interacting with the ER Ca2+ leakage channel Sec61α, presenting a novel therapeutic target for adverse cardiac remodeling.
Nogo-C promotes post-MI fibroblast activation via Sec61α-Ca²⁺; leaves open its role as a therapeutic target in human remodeling.
Cardiac fibrosis is an independent risk factor for heart failure and even the leading cause of death in myocardial infarction patients. However, molecular mechanisms associated with the pathogenesis of cardiac fibrosis following myocardial infarction are not yet fully understood. Nogo-C protein ubiquitously expresses in tissues including in the heart. Our previous study found that Nogo-C regulated cardiomyocyte apoptosis during myocardial infarction. In the present study, we found that Nogo-C was upregulated in fibrotic hearts after myocardial infarction and in Ang II- or TGF-β1-stimulated cardiac fibroblasts. Overexpression of Nogo-C in cardiac fibroblasts increased expression of pro-fibrogenic proteins, while knockdown of Nogo-C inhibited the fibrotic responses of cardiac fibroblasts to Ang II- or TGF-β1 stimulation. Functionally, Nogo-C deficiency suppressed pro-fibrogenic proteins in post-myocardial infarction hearts and ameliorated post-myocardial infarction cardiac function. Mechanistically, we found that Nogo-C increased intracellular Ca2+concentration and buffering Ca2+totally abolished Nogo-C-induced fibrotic responses. Moreover, overexpression of Nogo-C caused increased Sec61α, the Ca2+leakage channel on endoplasmic reticulum membrane. Nogo-C interacted with Sec61α on endoplasmic reticulum and stabilized Sec61α protein by inhibiting its ubiquitination. Inhibition or knockdown of Sec61α blocked Nogo-C-induced increase of cytosolic Ca2+concentration and inhibited Nogo-C- and TGF-β1-induced fibrotic responses in cardiac fibroblasts, suggesting that Nogo-C regulates cardiac fibrosis through interacting with Sec61α to mediate the Ca2+leakage from endoplasmic reticulum. Thus, our results reveal a novel mechanism underlying cardiac fibrosis following myocardial infarction, and provide a therapeutic strategy for cardiac remodeling related heart diseases.
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Weng et al. (2018) studied Myocardial infarction and cardiac fibrosis. Nogo-C deficiency (knockout) vs. Wild-type mice was evaluated on Cardiac ejection fraction (EF) at 28 days post-myocardial infarction (p=<0.001). Nogo-C deficiency significantly improved post-myocardial infarction cardiac function, increasing ejection fraction to 58.1% compared to 39.52% in wild-type mice, and ameliorated cardiac fibrosis.
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