Coronary disease & ACS

Targeting E3 Ubiquitin Ligase Hrd1 Prevents Myocardial Ischemia-Reperfusion Injury Through Enhancing ALDH2 Enzymatic Activity

CirculationPublished Mechanistic study

Authors' conclusion

Our findings demonstrated a previously unidentified crucial role of cardiac EC Hrd1 in myocardial I/R injury.

Study context

Population
Mouse hearts subjected to sham surgery or myocardial I/R injury; Hrd1 knockout, endothelial cell (EC)-specific Hrd1 deficiency and EC-specific Hrd1 overexpression mice

Main finding

As reported in the abstract

  • Protein ubiquitination exacerbates endothelial dysfunction after myocardial I/R injury
  • Significant upregulation of E3 ubiquitin-protein ligase Hrd1 in CD45+ ECs
  • Endothelial Hrd1 protein increased in response to I/R in vivo, in humans and mice
  • Genetic ablation of Hrd1 significantly alleviated MI, endothelial dysfunction and inflammatory cell infiltration after I/R
  • Hrd1 promoted K33-linked polyubiquitination of ALDH2, inhibiting formation of its active tetramers, acting via NO/cGMP/PKG signalling
  • Pharmacological inhibition of Hrd1 robustly ameliorated myocardial I/R injury and endothelial dysfunction

Original publication

Targeting E3 Ubiquitin Ligase Hrd1 Prevents Myocardial Ischemia-Reperfusion Injury Through Enhancing ALDH2 Enzymatic Activity. Circulation. Published 17 April 2026. doi:10.1161/circulationaha.125.074399

Summarised from the published abstract; every number is checked against it

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