1. Linagliptin, A Xanthine-Based Dipeptidyl Peptidase-4 Inhibitor, Ameliorates Experimental Autoimmune Myocarditis
- Author
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Mitsuaki Isobe, Yasuhiro Maejima, Natsuko Tamura, Yusuke Ito, Shun Nakagama, Takeshi Kasama, Kenzo Hirao, Yuka Shiheido-Watanabe, and Tetsuo Sasano
- Subjects
0301 basic medicine ,heart failure ,Inflammation ,Dipeptidyl peptidase-4 inhibitor ,EAM, experimental autoimmune myocarditis ,030204 cardiovascular system & hematology ,Pharmacology ,Cathepsin G ,Linagliptin ,medicine.disease_cause ,Dipeptidyl peptidase ,03 medical and health sciences ,chemistry.chemical_compound ,dipeptidyl peptidase 4 ,0302 clinical medicine ,ICIM, immune checkpoint inhibitor–induced myocarditis ,medicine ,Dipeptidyl peptidase-4 ,LVDd, left ventricular end-diastolic dimension ,RORγt, RAR-related orphan nuclear receptor gamma ,TMT, tandem mass tag ,OHdG, hydroxyguanosine ,ELISA, enzyme-linked immunosorbent assay ,Xanthine ,autoimmune myocarditis ,030104 developmental biology ,chemistry ,inflammation ,DPP, dipeptidyl peptidase ,Preclinical Research ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Oxidative stress ,medicine.drug - Abstract
Visual Abstract, Highlights • Treatment with linagliptin, a DPP-4 inhibitor, alleviates not only EAM but also ICIM. • DPP-4 physically interacts with cathepsin G and enhances its activity. • Linagliptin promotes SerpinA3N activity, thereby suppressing cathepsin G activity. • Cathepsin G aggravates EAM through upregulating angiotensin II. • Linagliptin suppresses oxidative stress in EAM hearts., Summary This study sought to show the mechanism of how to ameliorate experimental autoimmune myocarditis (EAM) by administering dipeptidyl peptidase (DPP)-4 inhibitor linagliptin. The number of RAR-related orphan nuclear receptor gamma–positive Th17 cells infiltrated to the EAM myocardium was significantly attenuated by linagliptin treatment. Tandem mass spectrometry–based analysis demonstrated that DPP-4 binds to cathepsin G in EAM hearts, thereby protecting cathepsin G activity through inhibiting SerpinA3N activity. Linagliptin suppresses oxidative stress in EAM hearts as well. Thus, we found that DPP-4 plays a detrimental role in the progression of EAM by interacting with cathepsin G, which, in turn, suppresses SerpinA3N activity.
- Published
- 2021
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