Coronary disease & ACS

Identification of Secreted Modular Calcium-Binding Protein 1 as a Novel Endogenous Protective Molecule Against Acute Myocardial Infarction–Induced Cardiac Rupture

CirculationPublished Mechanistic study

Authors' conclusion

Our study provides the first evidence that the transient upregulation and secretion of cardiomyocyte-derived SMOC-1 constitute an intrinsic profibrotic and antirupture response to severe ischemic injury.

Study context

Population
Patients with acute myocardial infarction (AMI) and AMI animal models (mice)
Comparison
AMI with cardiac rupture vs without; cardiomyocyte-specific SMOC-1 knockout and AAV9-mediated SMOC-1 overexpression
Outcome
Plasma proteins altered in AMI with vs without cardiac rupture (proteomics); SMOC-1 role in post-AMI cardiac rupture
Methodological detailsunbiased proteomics, loss- and gain-of-function animal models
  • Unbiased proteomics
  • Loss- and gain-of-function animal models

Main finding

As reported in the abstract

Proteins significantly upregulated in AMI with vs without cardiac rupture

9

Proteins significantly downregulated in AMI with vs without cardiac rupture

24

Original publication

Identification of Secreted Modular Calcium-Binding Protein 1 as a Novel Endogenous Protective Molecule Against Acute Myocardial Infarction–Induced Cardiac Rupture. Circulation. Published 29 September 2026. doi:10.1161/circulationaha.126.079324

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