Cpxm2 as a novel candidate for cardiac hypertrophy and failure in hypertension

Treatment of hypertension-mediated cardiac damage with left ventricular (LV) hypertrophy (LVH) and heart failure remains challenging. To identify novel targets, we performed comparative transcriptome analysis between genetic models derived from stroke-prone spontaneously hypertensive rats (SHRSP). H...

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Published in:Hypertension research 2022-02, Vol.45 (2), p.292-307
Main Authors: Grabowski, Katja, Herlan, Laura, Witten, Anika, Qadri, Fatimunnisa, Eisenreich, Andreas, Lindner, Diana, Schädlich, Martin, Schulz, Angela, Subrova, Jana, Mhatre, Ketaki Nitin, Primessnig, Uwe, Plehm, Ralph, van Linthout, Sophie, Escher, Felicitas, Bader, Michael, Stoll, Monika, Westermann, Dirk, Heinzel, Frank R, Kreutz, Reinhold
Format: Article
Language:English
Subjects:
Animals
Carboxypeptidases
Cardiomegaly - genetics
Cardiomyocytes
Ejection fraction
Heart failure
Humans
Hypertension
Hypertrophy, Left Ventricular
Mice
Myocytes, Cardiac
Precision medicine
Rats
Rodents
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Summary:Treatment of hypertension-mediated cardiac damage with left ventricular (LV) hypertrophy (LVH) and heart failure remains challenging. To identify novel targets, we performed comparative transcriptome analysis between genetic models derived from stroke-prone spontaneously hypertensive rats (SHRSP). Here, we identified carboxypeptidase X 2 (Cpxm2) as a genetic locus affecting LV mass. Analysis of isolated rat cardiomyocytes and cardiofibroblasts indicated Cpxm2 expression and intrinsic upregulation in genetic hypertension. Immunostaining indicated that CPXM2 associates with the t-tubule network of cardiomyocytes. The functional role of Cpxm2 was further investigated in Cpxm2-deficient (KO) and wild-type (WT) mice exposed to deoxycorticosterone acetate (DOCA). WT and KO animals developed severe and similar systolic hypertension in response to DOCA. WT mice developed severe LV damage, including increases in LV masses and diameters, impairment of LV systolic and diastolic function and reduced ejection fraction. These changes were significantly ameliorated or even normalized (i.e., ejection fraction) in KO-DOCA animals. LV transcriptome analysis showed a molecular cardiac hypertrophy/remodeling signature in WT but not KO mice with significant upregulation of 1234 transcripts, including Cpxm2, in response to DOCA. Analysis of endomyocardial biopsies from patients with cardiac hypertrophy indicated significant upregulation of CPXM2 expression. These data support further translational investigation of CPXM2.
ISSN:0916-9636
1348-4214
DOI:10.1038/s41440-021-00826-8