[HTML][HTML] Rationally engineered Troponin C modulates in vivo cardiac function and performance in health and disease

V Shettigar, B Zhang, SC Little, HE Salhi… - Nature …, 2016 - nature.com
V Shettigar, B Zhang, SC Little, HE Salhi, BJ Hansen, N Li, J Zhang, SR Roof, HT Ho
Nature communications, 2016nature.com
Abstract Treatment for heart disease, the leading cause of death in the world, has
progressed little for several decades. Here we develop a protein engineering approach to
directly tune in vivo cardiac contractility by tailoring the ability of the heart to respond to the
Ca2+ signal. Promisingly, our smartly formulated Ca2+-sensitizing TnC (L48Q) enhances
heart function without any adverse effects that are commonly observed with positive
inotropes. In a myocardial infarction (MI) model of heart failure, expression of TnC L48Q …
Abstract
Treatment for heart disease, the leading cause of death in the world, has progressed little for several decades. Here we develop a protein engineering approach to directly tune in vivo cardiac contractility by tailoring the ability of the heart to respond to the Ca2+ signal. Promisingly, our smartly formulated Ca2+-sensitizing TnC (L48Q) enhances heart function without any adverse effects that are commonly observed with positive inotropes. In a myocardial infarction (MI) model of heart failure, expression of TnC L48Q before the MI preserves cardiac function and performance. Moreover, expression of TnC L48Q after the MI therapeutically enhances cardiac function and performance, without compromising survival. We demonstrate engineering TnC can specifically and precisely modulate cardiac contractility that when combined with gene therapy can be employed as a therapeutic strategy for heart disease.
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