Enhanced p122RhoGAP/DLC-1 Expression Can Be a Cause of Coronary Spasm

Coronary Artery Spasm-Related Heart Failure Syndrome: Literature Review

Although heart failure (HF) is a clinical syndrome that becomes worse over time, certain cases can be reversed with appropriate treatments. While coronary artery spasm (CAS) is still underappreciated and may be misdiagnosed, ischemia due to coronary artery disease and CAS is becoming the single most frequent cause of HF worldwide. CAS could lead to syncope, HF, arrhythmias, and myocardial ischemic syndromes such as asymptomatic ischemia, rest and/or effort angina, myocardial infarction, and sudden death. Albeit the clinical significance of asymptomatic CAS has been undervalued, affected individuals compared with those with classic Heberden's angina pectoris are at higher risk of syncope, life-threatening arrhythmias, and sudden death. As a result, a prompt diagnosis implements appropriate treatment strategies, which have significant life-changing consequences to prevent CAS-related complications, such as HF. Although an accurate diagnosis depends mainly on coronary angiography and provocative testing, clinical characteristics may help decision-making. Because the majority of CAS-related HF (CASHF) patients present with less severe phenotypes than overt HF, it underscores the importance of understanding risk factors correlated with CAS to prevent the future burden of HF. This narrative literature review summarises and discusses separately the epidemiology, clinical features, pathophysiology, and management of patients with CASHF.

Screening for the Biomarkers Associated with Myocardial Infarction by Bioinformatics Analysis

We aimed to find novel biomarkers associated with myocardial infarction (MI). The array data of GSE62646 were downloaded from the Gene Expression Omnibus database. The differentially expressed genes (DEGs) were analyzed with limma package. Functional enrichment analyses were performed by DAVID v6.7 online tool. The micro-RNA-messenger RNA (miRNA-mRNA) pairs were predicted by miRWalk database, and the protein-mRNA interactions were predicted by StarBase. Then, miRNA-mRNA-protein regulatory network was constructed. Antigen processing and presentation were only the pathway enriched by DEG1 set such as KLRC4 (killer cell lectin-like receptor subfamily C, member 4) and KLRC2 (killer cell lectin-like receptor subfamily C, member 2). KLRC4 and KLRC2 were differentially expressed in MI patients. DLC1 (DLC1 Rho GTPase activating protein, degree = 179) was the most significant node in miRNA-mRNA-protein network. EIF4AIII (eukaryotic translation initiation factor 4A3) and FUS (FUS RNA binding protein) were the key proteins that regulated the most DEGs. KLRC4, KLRC2, and DLC1 were the biomarkers and may play important roles in the progression of MI. Furthermore, EIF4AIII and FUS may also be involved in MI progression.

IQGAP1 activates PLC-δ1 by direct binding and moving along microtubule with DLC-1 to cell surface

Phospholipase C (PLC)-δ1, activated by p122RhoGTPase-activating protein (GAP)/deleted in liver cancer-1 (p122RhoGAP/DLC-1), contributes to the coronary spastic angina (CSA) pathogenesis. The present study aims to further investigate the p122RhoGAP/DLC-1 protein. We examined molecules assisting this protein and identified a scaffold protein-IQ motif-containing GTPase-activating protein 1 (IQGAP1). IQGAP1-C binds to the steroidogenic acute regulatory-related lipid transfer (START) domain of p122RhoGAP/DLC-1, and PLC-δ1 binds to IQGAP1-N, forming a complex. In fluorescence microscopy, small dots of PLC-δ1 created fine linear arrays like microtubules, and IQGAP1 and p122RhoGAP/DLC-1 were colocated in the cytoplasm with PLC-δ1. Ionomycin induced the raft recruitment of the PLC-δ1, IQGAP1, and p122RhoGAP/DLC-1 complex by translocation to the plasma membrane (PM), indicating the movement of this complex is along microtubules with the motor protein kinesin. Moreover, the IQGAP1 protein was elevated in skin fibroblasts obtained from patients with CSA, and it enhanced the PLC activity and peak intracellular calcium concentration in response to acetylcholine. IQGAP1, a novel stimulating protein, forms a complex with p122RhoGAP/DLC-1 and PLC-δ1 that moves along microtubules and enhances the PLC activity.