Evidence map›Paper›PMID 40025327›Full record

ArticleESC heart failure2025

Calpain inhibition in a transgenic model of calpastatin overexpression facilitates reversal of myocardial hypertrophy.

Gregor Sachse, Johanna Tennigkeit, Nikolaos Pagonas, Philipp Hillmeister, Ivo Buschmann, Martin Czolbe, Peter Nordbeck, Joachim Schmitt, Daniel Patschan, Oliver Ritter

Abstract read
In one paragraph

Article in ESC heart failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Gregor SachseDepartment of Internal Medicine I, University Hospital Brandenburg, Brandenburg an der Havel, Germany.ORCID https://orcid.org/0000-0001-5096-4922
Johanna TennigkeitDepartment of Internal Medicine I, University Hospital Brandenburg, Brandenburg an der Havel, Germany.
Nikolaos PagonasBrandenburg Medical School, Neuruppin, Germany.
Philipp HillmeisterDepartment of Internal Medicine I, University Hospital Brandenburg, Brandenburg an der Havel, Germany.
Ivo BuschmannDepartment of Internal Medicine I, University Hospital Brandenburg, Brandenburg an der Havel, Germany.
Martin CzolbeDepartment of Internal Medicine I-Cardiology, University Hospital Würzburg, Würzburg, Germany.
Peter NordbeckDepartment of Internal Medicine I-Cardiology, University Hospital Würzburg, Würzburg, Germany.
Joachim SchmittInstitut für Pharmakologie und Toxikologie, Universität Düsseldorf, Düsseldorf, Germany.
Daniel PatschanDepartment of Internal Medicine I, University Hospital Brandenburg, Brandenburg an der Havel, Germany.
Oliver RitterDepartment of Internal Medicine I, University Hospital Brandenburg, Brandenburg an der Havel, Germany.

Funding

Federal Ministry of Education and Research VIP0014
6 · The paper itself

Abstract

aimsIt was recently demonstrated that the intracellular signalling phosphatase calcineurin is subject to cleavage by the protease calpain, resulting in a truncated calcineurin fragment that is a strong inductor of myocardial hypertrophy. We now address the question of whether inhibition of calpain function in cardiomyocytes, and thereby prevention of calcineurin truncation, attenuates development of myocardial hypertrophy. METHODS AND

resultsWe generated a transgenic mouse model with conditional cardiac calpastatin overexpression (CAST OE) and compared their cardiac hypertrophic response to angiotensin-II (AngII) with that of non-induced control animals. Angiotensin-II osmotic mini-pumps were removed 3 weeks after implantation and cardiac hypertrophy was re-evaluated 3 weeks after pump removal. Induction of calpastatin overexpression resulted in 88% inhibition of calpain activity and suppressed calcineurin truncation. In CAST OE mice, basal phenotype and AngII-induced myocardial hypertrophy were comparable with non-induced controls (mean heart to body weight ratios ± SD in milligrams per gram: CAST OE, 4.8 ± 0.4; CAST OE + AngII, 7.1 ± 0.5; non-induced, 4.9 ± 0.4; non-induced + AngII, 7.2 ± 0.4). However, CAST OE mice demonstrated a complete reversal of hypertrophy when angiotensin-II was removed, whereas hypertrophy persisted in non-induced controls (CAST OE 5.0 ± 0.5; non-induced 7.0 ± 0.4; P < 0.0001). Persistent hypertrophy in controls was accompanied by nuclear accumulation of truncated calcineurin and elevated activity of the Nuclear Factor of Activated T-cells pathway. Moreover, we found that truncated calcineurin was insufficiently ubiquitinylated compared with its full-length form and thus escaped degradation over several weeks in our in vivo experiments.

conclusionsOur data demonstrate that calpain-mediated cleavage results in nuclear accumulation of a truncated, constitutively active and degradation-resistant calcineurin isoform that sustains a long-term myocardial hypertrophic response to angiotensin-II beyond withdrawal of the stimulus. Cardiomyocyte specific calpain inhibition by transgenic calpastatin overexpression prevented the post-stimulus myocardial hypertrophic response.

Indexed as

Calcium-Binding ProteinsCalpainCardiomegalyAngiotensin IIAnimalsCalcineurinDisease Models, AnimalMiceMice, TransgenicMyocytes, CardiacAngiotensin IICalcineurinCalcium-Binding ProteinsCalpaincalpastatinHeart failureMyocardial hypertrophySignal transduction

Identifiers

PMID40025327
PMCPMC12055354

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.