Accumulation of 5-oxoproline in myocardial dysfunction and the protective effects of OPLAH

作者:van der Pol Atze; Gil Andres; Sillje Herman H W; Tromp Jasper; Ovchinnikova Ekaterina S; Vreeswijk Baudoin Inge; Hoes Martijn; Domian Ibrahim J; van de Sluis Bart; van Deursen Jan M; Voors Adriaan A; van Veldhuisen Dirk J; van Gilst Wiek H; Berezikov Eugene; van der Harst Pim; de Boer Rudolf A; Bischoff Rainer; van der Meer Peter
来源:Science Translational Medicine, 2017, 9(415): eaam8574.
DOI:10.1126/scitranslmed.aam8574

摘要

In response to heart failure (HF), the heart reacts by repressing adult genes and expressing fetal genes, thereby returning to a more fetal-like gene profile. To identify genes involved in this process, we carried out transcriptional analysis on murine hearts at different stages of development and on hearts from adult mice with HF. Our screen identified Oplah, encoding for 5-oxoprolinase, a member of the g-glutamyl cycle that functions by scavenging 5-oxoproline. OPLAH depletion occurred as a result of cardiac injury, leading to elevated 5-oxoproline and oxidative stress, whereas OPLAH overexpression improved cardiac function after ischemic injury. In HF patients, we observed elevated plasma 5-oxoproline, which was associated with a worse clinical outcome. Understanding and modulating fetal-like genes in the failing heart may lead to potential diagnostic, prognostic, and therapeutic options in HF.

  • 出版日期2017-11-8