MyoMed205 counteracts titin hyperphosphorylation and the expression of contraction-regulating proteins in a rat model of HFpEF

Background Heart failure with preserved ejection fraction (HFpEF) is associated with exercise intolerance, accompanied by alterations in the peripheral skeletal muscle (SKM). We have recently shown that titin, a giant sarcomere protein, is hyperphosphorylated in HFpEF. MuRF1 is a muscle-specific ubi...

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Hauptverfasser: Vahle, Beatrice (VerfasserIn) , Schauer, Antje (VerfasserIn) , Augstein, Antje (VerfasserIn) , Jarabo, Maria-Elisa Prieto (VerfasserIn) , Friedrich, Janet (VerfasserIn) , Barthel, Peggy (VerfasserIn) , Männel, Anita (VerfasserIn) , Mangner, Norman (VerfasserIn) , Labeit, Siegfried (VerfasserIn) , Bowen, T. Scott (VerfasserIn) , Linke, Axel (VerfasserIn) , Adams, Volker (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: June 2025
In: Journal of cachexia, sarcopenia and muscle
Year: 2025, Jahrgang: 16, Heft: 3, Pages: 1-12
ISSN:2190-6009
DOI:10.1002/jcsm.13843
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1002/jcsm.13843
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1002/jcsm.13843
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Verfasserangaben:Beatrice Vahle, Antje Schauer, Antje Augstein, Maria-Elisa Prieto Jarabo, Janet Friedrich, Peggy Barthel, Anita Männel, Norman Mangner, Siegfried Labeit, T. Scott Bowen, Axel Linke, Volker Adams

MARC

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520 |a Background Heart failure with preserved ejection fraction (HFpEF) is associated with exercise intolerance, accompanied by alterations in the peripheral skeletal muscle (SKM). We have recently shown that titin, a giant sarcomere protein, is hyperphosphorylated in HFpEF. MuRF1 is a muscle-specific ubiquitin E3-ligase that interacts with titin. Blocking this interaction via small molecules (MyoMed205) can improve muscle function and mitochondrial activity in HFpEF. This study aimed to investigate the impact of MyoMed205 on titin phosphorylation and its association with changes in muscle structure and function. Methods Obese ZSF1 rats with established HFpEF received rat chow with (n = 15) or without (n = 15) MyoMed205 and were compared with lean littermates (n = 15), serving as controls. After 12 weeks, in vitro SKM force, atrophy and titin—as well as contractile protein expression—were evaluated (soleus and extensor digitorum longus [EDL]). Statistical analysis was performed via multiple unpaired t-test or one-way ANOVA. Results In HFpEF, titin hyperphosphorylation by 13% in the EDL (p = 0.09) and 14% (p = 0.03) in the soleus muscle was evident. This hyperphosphorylation was driven in part by an increase in S11878 phosphorylation (EDL: +68%, p = 0.004; Sol: +23.8%, p = 0.03), which was linked to myofiber atrophy (r = −0.68, p = 0.006) and a decline in maximal specific muscle force (r = −0.54, p = 0.008). In the EDL, significant changes in protein expression related to atrophy (MuRF1 [+24.9%, p = 0.02], GDF8 [+20.6%, p = 0.09]) and calcium handling (slow troponin C [−46%, p = 0.02], fast troponin I [+35.8%, p = 0.02]) were found in HFpEF. All of the above-mentioned effects in HFpEF were almost completely abolished by MyoMed205 treatment, and significantly elevated titin expression was visible (+19.7%, pcon = 0.04, pHFpEF = 0.01). Conclusions Titin hyperphosphorylation may negatively impact skeletal muscle integrity and function in HFpEF. MyoMed205 reduced titin hyperphosphorylation and was associated with preserved skeletal muscle function and mass. Further studies are necessary to confirm the direct role of titin hyperphosphorylation on muscle function and to evaluate the therapeutic potential of MyoMed205 in HFpEF. 
650 4 |a atrophy 
650 4 |a contractile proteins 
650 4 |a HFpEF 
650 4 |a MuRF1 
650 4 |a MyoMed205 
650 4 |a sarcopenia 
650 4 |a skeletal muscle function 
650 4 |a titin 
650 4 |a ZSF1 
700 1 |a Schauer, Antje  |e VerfasserIn  |4 aut 
700 1 |a Augstein, Antje  |e VerfasserIn  |4 aut 
700 1 |a Jarabo, Maria-Elisa Prieto  |e VerfasserIn  |4 aut 
700 1 |a Friedrich, Janet  |e VerfasserIn  |4 aut 
700 1 |a Barthel, Peggy  |e VerfasserIn  |4 aut 
700 1 |a Männel, Anita  |e VerfasserIn  |4 aut 
700 1 |a Mangner, Norman  |e VerfasserIn  |4 aut 
700 1 |a Labeit, Siegfried  |d 1960-  |e VerfasserIn  |0 (DE-588)1033566837  |0 (DE-627)741562375  |0 (DE-576)381187314  |4 aut 
700 1 |a Bowen, T. Scott  |e VerfasserIn  |4 aut 
700 1 |a Linke, Axel  |e VerfasserIn  |4 aut 
700 1 |a Adams, Volker  |e VerfasserIn  |4 aut 
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