Heart failure & cardiomyopathies

Vaccine Therapy for Heart Failure Targeting the Inflammatory Cytokine Igfbp7

CirculationPublished Mechanistic study

Authors' conclusion

Igfbp7 produced by senescent ECs causes cardiac dysfunction and vaccine therapy targeting Igfbp7 may be useful to prevent the development of heart failure.

Study context

Population
Mice with pressure overload (transverse aortic constriction); tissue from HF patients

Main finding

As reported in the abstract

  • Pressure overload induced intricately entwined blood vessels, with accumulation of replication stress and DNA damage in cardiac endothelial cells (ECs)
  • Cyclin-dependent kinase inhibitor reduced DNA damage in ECs and ameliorated TAC-induced cardiac dysfunction
  • Igfbp7 upregulated in senescent ECs; insulin signalling and oxidative phosphorylation downregulated in cardiomyocytes of murine and human failing hearts
  • AAV9 overexpression of Igfbp7 exacerbated cardiac dysfunction
  • EC-specific Igfbp7 deletion and vaccine targeting Igfbp7 ameliorated cardiac dysfunction with increased oxidative phosphorylation in cardiomyocytes under pressure overload

Original publication

Vaccine Therapy for Heart Failure Targeting the Inflammatory Cytokine Igfbp7. Circulation. Published 11 July 2024. doi:10.1161/circulationaha.123.064719

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