Protein kinase N promotes cardiac fibrosis in heart failure by fibroblast-to-myofibroblast conversion
Chronic fibrotic tissue disrupts various organ functions. Despite significant advances in therapies, mortality and morbidity due to heart failure remain high, resulting in poor quality of life. Beyond the cardiomyocyte-centric view of heart failure, it is now accepted that alterations in the interstitial extracellular matrix (ECM) also play a major role in the development of heart failure. Here, we show that protein kinase N (PKN) is expressed in cardiac fibroblasts. Furthermore, PKN mediates the conversion of fibroblasts into myofibroblasts, which plays a central role in secreting large amounts of ECM proteins via p38 phosphorylation signaling. Fibroblast-specific deletion of PKN led to a reduction of myocardial fibrotic changes and cardiac dysfunction in mice models of ischemia-reperfusion or heart failure with preserved ejection fraction. Our results indicate that PKN is a therapeutic target for cardiac fibrosis in heart failure.
Authors
- Atsushi Enomoto (ORCID: https://orcid.org/0000-0002-9206-6116)
- Mikito Takefuji (ORCID: https://orcid.org/0000-0003-4870-7913)
- Yoshimitsu Yura (ORCID: https://orcid.org/0000-0003-2618-8569)
- Toyoaki Murohara (ORCID: https://orcid.org/0000-0003-2723-6243)
- Nina Wettschureck (ORCID: https://orcid.org/0000-0001-6858-1460)
- Noriyuki Ouchi (ORCID: https://orcid.org/0009-0003-8598-3498)
- Tomoki Hattori
- Katsuhiro Kato (ORCID: https://orcid.org/0000-0002-9710-1451)
- Tatsuya Yoshida (ORCID: https://orcid.org/0000-0003-0364-4680)
- Koji Ohashi (ORCID: https://orcid.org/0000-0002-9666-026X)
- Takahiro Okumura (ORCID: https://orcid.org/0000-0001-5076-2052)
- Haruya Kawase (ORCID: https://orcid.org/0000-0002-8927-0896)
- Kohei Inukai
- Stefan Offermanns (ORCID: https://orcid.org/0000-0001-8676-6805)
- Satoya Yoshida
Institutions
- Nagoya University Hospital (JP)
- Max Planck Institute for Heart and Lung Research (DE)
- Nagoya University (JP)
Publication Details
- Journal
- Nature Communications
- Published
- 2024-09-12
- DOI
- https://doi.org/10.1038/s41467-024-52068-0
- Citations
- 12
- Primary Topic
- Cardiac Fibrosis and Remodeling
- Type
- article
- Field-Weighted Citation Impact
- 4.82
Funders
- Hori Sciences and Arts Foundation
- Japan Science Society
- Japan Society for the Promotion of Science