FKBPL, a novel angiogenesis-related protein, is downregulated in response to myocardial stress
- Publisher:
- Springer Science and Business Media LLC
- Publication Type:
- Conference Proceeding
- Citation:
- Irish journal of medical science, 2017, 186, (Suppl 9), pp. 343-385
- Issue Date:
- 2017-09
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People with diabetes show five-fold higher incidence of cardiovascular disease,
the leading causes of death globally. FKBPL is a novel angiogenesisrelated
protein, with a critical role in physiological and pathological angiogenesis.
A first-in-class clinical FKBPL peptide mimetic, ALM201, is currently
in phase I/II clinical trials for treatment of solid tumours. More recently,
in FKBPL knockdown (FKBPL+/-) mice, a pro-angiogenic phenotype
was observed, accompanied by vascular dysfunction and a propensity to
become overweight and glucose intolerant when fed a high fat diet. We
now investigate a specific role for FKBPL in myocardial angiogenesis associated
with diabetes. In streptozotocin (STZ) mice, cardiac FKBPL mRNA
levels were significantly downregulated at 12 weeks post STZ injection
versus vehicle controls (p<0.05, n=5), in association with diastolic dysfunction
(e.g. mitral valve E/A ratio). This was in concert with a reduction of
FKBPL protein in hearts from STZ-induced vs. control diabetic rats (p<0.01,
n=3), also at 12 weeks. Complementary in vitro studies in cultured endothelial
cells (HUVEC) demonstrated two-fold reduction in FKBPL protein
levels following exposure to hypoxia (1%) for 24 h (p<0.01, n=6), indicating
that reduced FKBPL levels observed in vivo may be, at least in part, driven
by impaired oxygenation. Indeed, in an experimental mouse model of myocardial
infarction (MI), associated with severe cardiac ischaemia/hypoxia and
increased angiogenesis, FKBPL mRNA (p<0.05) and protein levels
(p<0.01) were downregulated versus sham controls (n≥3). In conclusion,
FKBPL may be a key early regulator of cardiac angiogenesis in diabetes,
and may thereby hold novel biomarker and therapeutic potential.
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