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September 14, 2026Open Access

Fibroblast-specific ccn1 deletion ameliorates cardiac dysfunction in diabetic cardiomyopathy mice by restoring autophagic activity.

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Why the study?

The specific impact of fibroblast-derived CCN1 on cardiomyocyte function and diabetic cardiomyopathy progression was unclear.

Population

Diabetic cardiomyopathy mouse models and insulin-resistant cell models

Comparison

Fibroblast-specific ccn1 knockout vs wild-type mice

Design

Preclinical mechanistic study

Key result

Fibroblast-specific ccn1 deletion ameliorated cardiac dysfunction and restored autophagic activity in a diabetic cardiomyopathy mouse model.

Authors

BHBo‐ang HuLZLei ZhangMSMing Song

Discussion

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Member takes

Overview

Suggests CCN1 as a potential target in diabetic cardiomyopathy; leaves open its role in human disease and requires prospective validation.

Key Points

  • Investigate how cardiac fibroblast-derived CCN1 regulates cardiomyocyte autophagy and contributes to diabetic cardiomyopathy pathogenesis.
  • Assessed CCN1 expression across diabetic cardiomyopathy mouse models and insulin-resistant cellular assays.
  • Generated fibroblast-specific ccn1 knockout mice to evaluate diabetic cardiac remodeling and macroautophagy in vivo.
  • Performed proteomics, co-culture assays, molecular dynamics simulations, and co-immunoprecipitation to identify the interacting receptor and downstream pathway.
  • Elevated fibroblast-derived CCN1 bound cardiomyocyte integrin αvβ1 via its cysteine-knot-containing domain.
  • CCN1-integrin αvβ1 interaction activated downstream PTK2/FAK-MTOR signaling, which directly suppressed cardiomyocyte macroautophagy.
  • Targeted fibroblast-specific deletion of ccn1 restored autophagic flux and alleviated diabetic cardiac dysfunction in mice.

Structured PICO

P
Population
Diabetic cardiomyopathy mouse models, insulin-resistant cell models, and fibroblast-specific ccn1 knockout mice
I
Intervention
Fibroblast-specific ccn1 deletion
C
Comparator
Control/wild-type mice with diabetic cardiomyopathy
O
Outcome
Cardiac dysfunction and autophagic activitysurrogate

Fibroblast-derived CCN1 drives diabetic cardiomyopathy progression by suppressing cardiomyocyte autophagy via ITGAV-ITGB1/integrin αvβ1 signaling, identifying it as a potential therapeutic target.

Cite This Study

Hu et al. (2026) studied Diabetic cardiomyopathy. Fibroblast-specific ccn1 knockout vs. Control was evaluated on Cardiac dysfunction and autophagic activity. Fibroblast-specific ccn1 deletion ameliorated cardiac dysfunction and restored autophagic activity in a diabetic cardiomyopathy mouse model.

synapsesocial.com/papers/6aa7afef79e9260bc85aaceahttps://doi.org/10.1080/15548627.2026.2667721
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