Cited by 32Cardiac Fibrosis and RemodelingProtease and Inhibitor MechanismsHeart Failure Treatment and Management

Cathepsin A inhibition attenuates myocardial infarction-induced heart failure on the functional and proteomic levels

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Petrera, Agnese, Gassenhuber, Johann, Ruf, Sven, Gunasekaran, Deepika, Esser, Jennifer, Shahinian, Jasmin Hasmik, Hübschle, Thomas, Rütten, Hartmut +2 more·2016·Journal of Translational Medicine

Abstract

BACKGROUND: Myocardial infarction (MI) is a major cause of heart failure. The carboxypeptidase cathepsin A is a novel target in the treatment of cardiac failure. We aim to show that recently developed inhibitors of the protease cathepsin A attenuate post-MI heart failure. METHODS: Mice were subjected to permanent left anterior descending artery (LAD) ligation or sham operation. 24 h post-surgery, LAD-ligated animals were treated with daily doses of the cathepsin A inhibitor SAR1 or placebo. After 4 weeks, the three groups (sham, MI-placebo, MI-SAR1) were evaluated. RESULTS: Compared to sham-operated animals, placebo-treated mice showed significantly impaired cardiac function and increased plasma BNP levels. Cathepsin A inhibition prevented the increase of plasma BNP levels and displayed a trend towards improved cardiac functionality. Proteomic profiling was performed for the three groups (sham, MI-placebo, MI-SAR1). More than 100 proteins were significantly altered in placebo-treated LAD ligation compared to the sham operation, including known markers of cardiac failure as well as extracellular/matricellular proteins. This ensemble constitutes a proteome fingerprint of myocardial infarction induced by LAD ligation in mice. Cathepsin A inhibitor treatment normalized the marked increase of the muscle stress marker CA3 as well as of Igγ 2b and fatty acid synthase. For numerous further proteins, cathepsin A inhibition partially dampened the LAD ligation-induced proteome alterations. CONCLUSIONS: Our proteomic and functional data suggest that cathepsin A inhibition has cardioprotective properties and support a beneficial effect of cathepsin A inhibition in the treatment of heart failure after myocardial infarction.

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  • Increased levels of cathepsin A induced upregulation of cathepsin B, D, and Z and downregulation of numerous protease inhibitors and antioxidative stress proteins in the murine cardiac proteome, and inhibition of cathepsin A activity has cardioprotective properties.

    “Interestingly, increased levels of cathepsin A induced the upregulation of cathepsin B, D and Z, and the downregulation of numerous protease inhibitors, as well as several antioxidative stress proteins 49.”

    From Galactosialidosis: historic aspects and overview of investigated and emerging treatment options (2017) · cites this paper as [50]

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Cited by

Sorted by citations

Authors
Petrera, A., Gassenhuber, J., Ruf, S., Gunasekaran, D., Esser, J., Shahinian, J. H., Hübschle, T., Rütten, H., Sadowski, T., & Schilling, O.
Affiliations
  • University of Freiburg (DE)
  • Sanofi (Germany) (DE)
  • University Hospital of Basel (CH)
Corresponding author
Schilling, Oliver
Venue
Journal of Translational Medicine
Published
2016-05-31
Volume
14
Issue
1
Pages
153-153
ISSN
1479-5876 (ISSN-L)
OpenAlex
W2409710693
Cited by
32
References
0
Citations by year
2026: 4 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 2
FWCI
2.06
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Translational Medicine (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
Funders
  • Deutsche Forschungsgemeinschaft (SCHI 871/2 and SCHI 871/5, SCHI 871/6, GR 1748/6, and INST 39/900-1)
  • European Research Council (ERC-2011- StG 282111-ProteaSys)
  • Excellence Initiative of the German Federal and State Governments (EXC 294, BIOSS)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
Keywords
cathepsin A, myocardial infarction, heart failure, cardiac proteome, brain natriuretic peptide, cardioprotection, extracellular matrix proteins, left anterior descending artery ligation, fatty acid synthase, IgG2b
MeSH terms
Animals, Cell Line, Disease Models, Animal, Heart Failure, Heart Ventricles, Ligation, Male, Mice, Inbred C57BL, Myocardial Infarction, Organ Size, Peptide Mapping, Protease Inhibitors, Proteome, Proteomics, Cathepsin A, Rats

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