Key result
KLK11 knockdown attenuates pressure overload-induced cardiac hypertrophy in mice by suppressing AKT-mTOR signaling.
Why the study?
Cardiac hypertrophy is a core mechanism underlying heart failure, but its underlying mechanisms are not fully understood.
p-value: p=<0.01
KLK11 promotes cardiomyocyte hypertrophy by activating AKT-mTOR signaling, identifying a potential novel mechanism and therapeutic target for cardiac hypertrophy.
Does not support clinical use of KLK11 modulation; leaves open its therapeutic potential in human cardiac hypertrophy.
Background Cardiovascular diseases have become the leading cause of death worldwide, and cardiac hypertrophy is the core mechanism underlying cardiac defect and heart failure. However, the underlying mechanisms of cardiac hypertrophy are not fully understood. Here we investigated the roles of Kallikrein 11 (KLK11) in cardiac hypertrophy. Methods Human and mouse hypertrophic heart tissues were used to determine the expression of KLK11 with quantitative real-time PCR and western blot. Mouse cardiac hypertrophy was induced by transverse aortic constriction (TAC), and cardiomyocyte hypertrophy was induced by angiotensin II. Cardiac function was analyzed by echocardiography. The signaling pathway was analyzed by western blot. Protein synthesis was monitored by the incorporation of [3H]-leucine. Gene expression was analyzed by quantitative real-time PCR. Results The mRNA and protein levels of KLK11 were upregulated in human hypertrophic hearts. We also induced cardiac hypertrophy in mice and observed the upregulation of KLK11 in hypertrophic hearts. Our in vitro experiments demonstrated that KLK11 overexpression promoted whereas KLK11 knockdown repressed cardiomyocytes hypertrophy induced by angiotensin II, as evidenced by cardiomyocyte size and the expression of hypertrophy-related fetal genes. Besides, we knocked down KLK11 expression in mouse hearts with adeno-associated virus 9. Knockdown of KLK11 in mouse hearts inhibited TAC-induced decline in fraction shortening and ejection fraction, reduced the increase in heart weight, cardiomyocyte size, and expression of hypertrophic fetal genes. We also observed that KLK11 promoted protein synthesis, the key feature of cardiomyocyte hypertrophy, by regulating the pivotal machines S6K1 and 4EBP1. Mechanism study demonstrated that KLK11 promoted the activation of AKT-mTOR signaling to promote S6K1 and 4EBP1 pathway and protein synthesis. Repression of mTOR with rapamycin blocked the effects of KLK11 on S6K1 and 4EBP1 as well as protein synthesis. Besides, rapamycin treatment blocked the roles of KLK11 in the regulation of cardiomyocyte hypertrophy. Conclusions Our findings demonstrated that KLK11 promoted cardiomyocyte hypertrophy by activating AKT-mTOR signaling to promote protein synthesis.
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Wang et al. (2021) studied Cardiac hypertrophy (n=10). KLK11 knockdown or overexpression vs. Control (sham surgery, control vectors, or control siRNA) was evaluated on Cardiomyocyte hypertrophy and cardiac function (fractional shortening, ejection fraction) (p=<0.01). KLK11 promotes cardiomyocyte hypertrophy by activating AKT-mTOR signaling to promote protein synthesis, and its knockdown attenuates pressure overload-induced cardiac hypertrophy in mice.
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