TY - JOUR
T1 - Administration of a TLR9 inhibitor attenuates the development and progression of heart failure in mice
AU - Ueda, Hiromichi
AU - Yamaguchi, Osamu
AU - Taneike, Manabu
AU - Akazawa, Yasuhiro
AU - Wada-Kobayashi, Haruko
AU - Sugihara, Ryuta
AU - Yorifuji, Hiroki
AU - Nakayama, Hiroyuki
AU - Omiya, Shigemiki
AU - Murakawa, Tomokazu
AU - Sakata, Yasushi
AU - Otsu, Kinya
PY - 2019/6
Y1 - 2019/6
N2 - Mitochondrial deoxyribonucleic acid, containing the unmethylated cytidine-phosphate-guanosine motif, stimulates Toll-like receptor 9 to induce inflammation and heart failure. A small chemical, E6446 [(6-[3-(pyrrolidin-1-yl)propoxy)-2-(4-(3-(pyrrolidin-1-yl)propoxy)phenyl]benzo[d]oxazole)], is a specific Toll-like receptor 9 inhibitor in cardiomyocytes. In this study, we showed that E6446 exerts beneficial effects for the prevention and treatment of pressure overload–induced heart failure in mice. When administered before the operation and chronically thereafter, E6446 prevented the development of left ventricular dilatation as well as cardiac dysfunction, fibrosis, and inflammation. Furthermore, when administered after the manifestation of cardiac dysfunction, E6446 slowed progression of cardiac remodeling. Thus, the inhibitor may be a novel therapeutic agent for treating patients with heart failure.
AB - Mitochondrial deoxyribonucleic acid, containing the unmethylated cytidine-phosphate-guanosine motif, stimulates Toll-like receptor 9 to induce inflammation and heart failure. A small chemical, E6446 [(6-[3-(pyrrolidin-1-yl)propoxy)-2-(4-(3-(pyrrolidin-1-yl)propoxy)phenyl]benzo[d]oxazole)], is a specific Toll-like receptor 9 inhibitor in cardiomyocytes. In this study, we showed that E6446 exerts beneficial effects for the prevention and treatment of pressure overload–induced heart failure in mice. When administered before the operation and chronically thereafter, E6446 prevented the development of left ventricular dilatation as well as cardiac dysfunction, fibrosis, and inflammation. Furthermore, when administered after the manifestation of cardiac dysfunction, E6446 slowed progression of cardiac remodeling. Thus, the inhibitor may be a novel therapeutic agent for treating patients with heart failure.
KW - Toll-like receptor 9
KW - heart failure
KW - mitochondria
KW - pressure overload
UR - http://www.scopus.com/inward/record.url?scp=85067246604&partnerID=8YFLogxK
U2 - 10.1016/j.jacbts.2019.01.002
DO - 10.1016/j.jacbts.2019.01.002
M3 - Article
SN - 2452-302X
VL - 4
SP - 348
EP - 363
JO - JACC: Basic to Translational Science
JF - JACC: Basic to Translational Science
IS - 3
M1 - 10
ER -