PMID- 37866806 OWN - NLM STAT- MEDLINE DCOM- 20231120 LR - 20231206 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 334 DP - 2023 Dec 1 TI - Vericiguat alleviates ventricular remodeling and arrhythmias in mouse models of myocardial infarction via CaMKII signaling. PG - 122184 LID - S0024-3205(23)00819-6 [pii] LID - 10.1016/j.lfs.2023.122184 [doi] AB - AIMS: Maladaptive ventricular remodeling is a major cause of ventricular arrhythmias following myocardial infarction (MI) and adversely impacts the quality of life of affected patients. Vericiguat is a new soluble guanylate cyclase (sGC) activator with cardioprotective properties. However, its effects on MI-induced ventricular remodeling and arrhythmias are not fully comprehended; hence, our research evaluated the effect of vericiguat on mice post-MI. MATERIALS AND METHODS: Mice were divided into four treatment groups: Sham, Sham+Veri, MI, and MI + Veri. For the MI groups and MI + Veri groups, the left anterior descending (LAD) coronary artery was occluded to induce MI. Conversely, the Sham group underwent mock surgery. Vericiguat was administered orally daily for 28 days to the Sham+Veri and MI + Veri groups. Additionally, H9c2 cells were cultured for further mechanistic studies. Assessment methods included echocardiography, pathological analysis, electrophysiological analysis, and Western blotting. KEY FINDINGS: Vericiguat reduced cardiac dysfunction and infarct size after MI. It also mitigated MI-induced left ventricular fibrosis and cardiomyocyte apoptosis. Vericiguat normalized the expression of ion channel proteins (Kv4.3, Kv4.2, Kv2.1, Kv1.5, Kv7.1, KCNH2, Cav1.2) and the gap junction protein connexin 43, reducing the susceptibility to ventricular arrhythmia. Vericiguat significantly inhibited MI-induced calcium/calmodulin-dependent protein kinase II (CaMKII) pathway activation in mice. SIGNIFICANCE: Vericiguat alleviated MI-induced left ventricular adverse remodeling and arrhythmias through modulation of the CamkII signaling pathway. CI - Copyright (c) 2023. Published by Elsevier Inc. FAU - Chen, Tao AU - Chen T AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei, PR China. FAU - Kong, Bin AU - Kong B AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei, PR China. FAU - Shuai, Wei AU - Shuai W AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei, PR China. FAU - Gong, Yang AU - Gong Y AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei, PR China. FAU - Zhang, Jingjing AU - Zhang J AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei, PR China. FAU - Huang, He AU - Huang H AD - Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan 430060, Hubei, PR China; Cardiovascular Research Institute of Wuhan University, Wuhan 430060, Hubei, PR China; Hubei Key Laboratory of Cardiology, Wuhan 430060, Hubei, PR China. Electronic address: huanghe1977@whu.edu.cn. LA - eng PT - Journal Article DEP - 20231020 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - EC 2.7.11.17 (Calcium-Calmodulin-Dependent Protein Kinase Type 2) RN - LV66ADM269 (vericiguat) SB - IM MH - Humans MH - Mice MH - Animals MH - *Calcium-Calmodulin-Dependent Protein Kinase Type 2/metabolism MH - Ventricular Remodeling MH - Quality of Life MH - *Myocardial Infarction/complications/drug therapy/metabolism MH - Arrhythmias, Cardiac/drug therapy/etiology/metabolism MH - Signal Transduction OTO - NOTNLM OT - Calcium/calmodulin-dependent protein kinase II OT - Myocardial infarction OT - Ventricular arrhythmia OT - Ventricular remodeling OT - Vericiguat COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/10/23 00:43 MHDA- 2023/11/20 06:54 CRDT- 2023/10/22 19:35 PHST- 2023/06/26 00:00 [received] PHST- 2023/10/04 00:00 [revised] PHST- 2023/10/15 00:00 [accepted] PHST- 2023/11/20 06:54 [medline] PHST- 2023/10/23 00:43 [pubmed] PHST- 2023/10/22 19:35 [entrez] AID - S0024-3205(23)00819-6 [pii] AID - 10.1016/j.lfs.2023.122184 [doi] PST - ppublish SO - Life Sci. 2023 Dec 1;334:122184. doi: 10.1016/j.lfs.2023.122184. Epub 2023 Oct 20.