PTMA overexpression significantly enhanced survival following myocardial infarction in adult mice, reducing the mortality rate to 14.3% compared to 40% in the control group at 14 days.
PTMA overexpression promotes cardiomyocyte proliferation and improves cardiac repair and function following myocardial infarction in preclinical models.
Absolute Event Rate: 14.3% vs 40%
The adult mammalian heart has limited regenerative capacity due to the low proliferative ability of cardiomyocytes, whereas embryonic cardiomyocytes exhibit robust proliferative potential. Using single-cell RNA sequencing of embryonic hearts, we identified prothymosin α (PTMA) as a key factor driving cardiomyocyte proliferation. Overexpression of PTMA in primary mouse and rat cardiomyocytes significantly promoted cardiomyocyte proliferation and similarly enhanced proliferation in human iPSC–derived cardiomyocytes. Conditional knockout of Ptma in cardiomyocytes impaired neonatal heart regeneration. AAV9-mediated overexpression of Ptma extended the neonatal proliferative window and showed therapeutic promise for enhancing adult heart regeneration. Mechanistically, PTMA interacted with MBD3, inhibiting its deacetylation activity within the MBD3/HDAC1 NuRD complex. This inhibition increased STAT3 acetylation, which positively regulated STAT3 phosphorylation and activation of its target genes. These findings establish PTMA as a critical regulator of heart regeneration and suggest its potential as a therapeutic target for ischemic myocardial injury.
Liu et al. (Fri,) conducted a other in Myocardial Infarction. PTMA overexpression vs. AAV9-Luciferase (control) was evaluated on Mortality rate at 14 days post-myocardial infarction. PTMA overexpression significantly enhanced survival following myocardial infarction in adult mice, reducing the mortality rate to 14.3% compared to 40% in the control group at 14 days.