Transient gene therapy using cell cycle factors reverses renin-angiotensin-aldosterone system activation in heart failure rat model

Mol Cell Biochem. 2023 Jun;478(6):1245-1250. doi: 10.1007/s11010-022-04590-2. Epub 2022 Oct 25.

Abstract

The loss of cardiomyocytes after myocardial infarction (MI) leads to heart failure. Recently, we demonstrated that transient overexpression of 4 cell cycle factors (4F), using a polycistronic non-integrating lentivirus (TNNT2-4F-NIL) resulted in significant improvement in cardiac function in a rat model of MI. Yet, it is crucial to demonstrate the reversal of the heart failure-related pathophysiological manifestations, such as renin-angiotensin-aldosterone system activation (RAAS). To assess that, Fisher 344 rats were randomized to receive TNNT2-4F-NIL or control virus seven days after coronary occlusion for 2 h followed by reperfusion. 4 months after treatment, N-terminal pro-brain natriuretic peptide, plasma renin activity, and aldosterone levels returned to the normal levels in rats treated with TNNT2-4F-NIL but not in vehicle-treated rats. Furthermore, the TNNT2-4F-NIL-treated group showed significantly less liver and kidney congestion than vehicle-treated rats. Thus, we conclude that in rat models of MI, TNNT2-4F-NIL reverses RAAS activation and subsequent systemic congestion.

Keywords: Basic science research; Gene therapy; Heart failure; Translational studies.

MeSH terms

  • Aldosterone / metabolism
  • Animals
  • Cell Cycle
  • Heart Failure* / genetics
  • Heart Failure* / metabolism
  • Heart Failure* / therapy
  • Kidney / metabolism
  • Myocardial Infarction* / metabolism
  • Rats
  • Renin / genetics
  • Renin / metabolism
  • Renin-Angiotensin System

Substances

  • Aldosterone
  • Renin