Contribution of hypoxia-inducible factor 1alpha to pathogenesis of sarcomeric hypertrophic cardiomyopathy

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Authors

RAJ MURTHI Sarala PETRY Andreas SHASHIKADZE Bachuki STOECKL Jan B. SCHMID Manuel SANTAMARIA Gianluca KLINGEL Karin KRACUN Damir CHEN Xinpei BAUER Sabine SCHMITT Joachim P. FLENKENTHALER Florian GORHAM Josh TOEPFER Christopher N. POTĚŠIL David HRUŠKA Pavel ZDRÁHAL Zbyněk MAYER Zsuzsanna KLOP Mathieu LEHMANN Luisa QIN Yishi PAPANAKLI Laura SPIELMANN Nadine MORETTI Alessandra FROEHLICH Thomas EWERT Peter HOLDENRIEDER Stefan SEIDMAN Jonathan G. SEIDMAN Christine E. GOERLACH Agnes WOLF Cordula M.

Year of publication 2025
Type Article in Periodical
Magazine / Source SCIENTIFIC REPORTS
MU Faculty or unit

Central European Institute of Technology

Citation
web fulltext
Doi http://dx.doi.org/10.1038/s41598-025-85187-9
Keywords Hypertrophic cardiomyopathy;Hypoxia;HIF1A;Hypertrophy;Myocardial fibrosis
Description Hypertrophic cardiomyopathy (HCM) caused by autosomal-dominant mutations in genes coding for structural sarcomeric proteins, is the most common inherited heart disease. HCM is associated with myocardial hypertrophy, fibrosis and ventricular dysfunction. Hypoxia-inducible transcription factor-1? (Hif-1?) is the central master regulators of cellular hypoxia response and associated with HCM. Yet its exact role remains to be elucidated. Therefore, the effect of a cardiomyocyte-specific Hif-1a knockout (cHif1aKO) was studied in an established ?-MHC719/+ HCM mouse model that exhibits the classical features of human HCM. The results show that Hif-1? protein and HIF targets were upregulated in left ventricular tissue of ?-MHC719/+ mice. Cardiomyocyte-specific abolishment of Hif-1a blunted the disease phenotype, as evidenced by decreased left ventricular wall thickness, reduced myocardial fibrosis, disordered SRX/DRX state and ROS production. cHif1aKO induced normalization of pro-hypertrophic and pro-fibrotic left ventricular remodeling signaling evidenced on whole transcriptome and proteomics analysis in ?-MHC719/+ mice. Proteomics of serum samples from patients with early onset HCM revealed significant modulation of HIF. These results demonstrate that HIF signaling is involved in mouse and human HCM pathogenesis. Cardiomyocyte-specific knockout of Hif-1a attenuates disease phenotype in the mouse model. Targeting Hif-1? might serve as a therapeutic option to mitigate HCM disease progression.
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