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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