Key result
PDI inhibitor E64FC26 improves cardiac function and reduces fibrosis in mice with Flnc-deleted dilated cardiomyopathy.
Why the study?
FLNC loss-of-function variants cause dilated cardiomyopathy with high risk of life-threatening arrhythmias, but therapies targeting the underlying mechanism remain limited.
Does the PDI inhibitor E64FC26 improve cardiac function and reduce fibrosis in male mice with Flnc-deletion-induced dilated cardiomyopathy?
Does the PDI inhibitor E64FC26 improve cardiac function and reduce fibrosis in male mice with Flnc-deletion-induced dilated cardiomyopathy?
Inhibition of protein disulfide isomerase improves cardiac function and reduces fibrosis in a mouse model of FLNC-related dilated cardiomyopathy, identifying a potential novel therapeutic target.
Hypothesis-generating for PDI inhibition in FLNC cardiomyopathy; requires human validation before any clinical consideration.
Loss-of-function variants in the FLNC gene, which encodes Filamin C, cause dilated cardiomyopathy with a high risk of life-threatening arrhythmias. Therapies targeting the underlying mechanism of FLNC-related dilated cardiomyopathy remain limited. In this study, we observed that deletion of Flnc in cardiomyocytes of mice led to prominent ventricular dilation, cardiac dysfunction, and cardiac fibrosis. This phenotype closely resembles FLNC-related dilated cardiomyopathy in humans. RNA sequencing analysis revealed activation of protein disulfide isomerase (PDI) in Flnc-deleted cardiac tissues, as confirmed by immunoblotting. Treatment with the specific PDI inhibitor E64FC26 improved cardiac function, reduced cardiac fibrosis, and decreased cardiomyocyte apoptosis in cardiomyocyte-specific Flnc-deleted mice. We provide evidence that PDI is involved in the cardiac remodeling induced by Filamin C deficiency, and that treatment with the PDI inhibitor resulted in beneficial effects in mice with dilated cardiomyopathy caused by Flnc deletion. Our findings suggest that PDI could be a promising therapeutic target for FLNC-related dilated cardiomyopathy.
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He et al. (2025) studied Dilated cardiomyopathy caused by Filamin C deficiency. PDI inhibitor E64FC26 was evaluated on Cardiac function, cardiac fibrosis, and cardiomyocyte apoptosis. Treatment with the specific PDI inhibitor E64FC26 improved cardiac function, reduced cardiac fibrosis, and decreased cardiomyocyte apoptosis in male mice with Flnc-deleted dilated cardiomyopathy.
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