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Sacubitril Ameliorates Cardiac Fibrosis Through Inhibiting TRPM7 Channel.

Abstract
Heart failure caused by cardiac fibrosis has become a major challenge of public health worldwide. Cardiomyocyte programmed cell death (PCD) and activation of fibroblasts are crucial pathological features, both of which are associated with aberrant Ca2+ influx. Transient receptor potential cation channel subfamily M member 7 (TRPM7), the major Ca2+ permeable channel, plays a regulatory role in cardiac fibrosis. In this study, we sought to explore the mechanistic details for sacubitril, a component of sacubitril/valsartan, in treating cardiac fibrosis. We demonstrated that sacubitril/valsartan could effectively ameliorate cardiac dysfunction and reduce cardiac fibrosis induced by isoprotereno (ISO) in vivo. We further investigated the anti-fibrotic effect of sacubitril in fibroblasts. LBQ657, the metabolite of sacubitril, could significantly attenuate transforming growth factor-β 1 (TGF-β1) induced cardiac fibrosis by blocking TRPM7 channel, rather than suppressing its protein expression. In addition, LBQ657 reduced hypoxia-induced cardiomyocyte PCD via suppression of Ca2+ influx regulated by TRPM7. These findings suggested that sacubitril ameliorated cardiac fibrosis by acting on both fibroblasts and cardiomyocytes through inhibiting TRPM7 channel.
AuthorsTian Jia, Xiaozhi Wang, Yiqun Tang, Wenying Yu, Chenhui Li, Shufang Cui, Juanjuan Zhu, Wei Meng, Chen Wang, Quanyi Wang
JournalFrontiers in cell and developmental biology (Front Cell Dev Biol) Vol. 9 Pg. 760035 ( 2021) ISSN: 2296-634X [Print] Switzerland
PMID34778271 (Publication Type: Journal Article)
CopyrightCopyright © 2021 Jia, Wang, Tang, Yu, Li, Cui, Zhu, Meng, Wang and Wang.

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