2. Academic Validation
  3. Glimepiride, a novel soluble epoxide hydrolase inhibitor, protects against heart failure via increasing epoxyeicosatrienoic acids

Glimepiride, a novel soluble epoxide hydrolase inhibitor, protects against heart failure via increasing epoxyeicosatrienoic acids

  • J Mol Cell Cardiol. 2023 Oct 21:185:13-25. doi: 10.1016/j.yjmcc.2023.10.009.
Chengcheng Zhao 1,  Xiangrui Jiang 2,  Liyuan Peng 1,  Yan Zhang 3,  Huihui Li 1,  Qiumeng Zhang 3,  Yinhui Wang 1,  Feipu Yang 3,  Junfang Wu 1,  Zheng Wen 1,  Zuowen He 1,  Jingshan Shen 4,  Chen Chen 5,  Dao Wen Wang 6
Affiliations

Affiliations

  • 1 Division of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Wuhan, China.
  • 2 State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China; Shandong Laboratory of Yantai Drug Discovery, Bohai Rim Advanced Research Institute for Drug Discovery, Yantai, China. Electronic address: jiangxiangrui@simm.ac.cn.
  • 3 State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China.
  • 4 State Key Laboratory of Drug Research, Shanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai 201203, China. Electronic address: shenjingshan@simm.ac.cn.
  • 5 Division of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Wuhan, China. Electronic address: chenchen@tjh.tjmu.edu.cn.
  • 6 Division of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Hubei Key Laboratory of Genetics and Molecular Mechanisms of Cardiological Disorders, Wuhan, China. Electronic address: dwwang@tjh.tjmu.edu.cn.
PMID: 37871528 DOI: 10.1016/j.yjmcc.2023.10.009
Abstract

Background: Epoxyeicosatrienoic acids (EETs), which exert multiple endogenous protective effects, are hydrolyzed into less active dihydroxyeicosatrienoic acids (DHETs) by soluble Epoxide Hydrolase (sEH). However, commercial drugs related to EETs or sEH are not yet in clinical use.

Methods: Firstly, the plasma concentration of EETs and DHETs of 316 patients with heart failure (HF) were detected and quantitated by liquid chromatography-tandem mass spectrometry. Then, transverse aortic constriction (TAC)-induced HF was introduced in cardiomyocyte-specific Ephx2-/- mice. Moreover, Western blot, Real-Time PCR, luciferase reporter, ChIP assays were employed to explore the underlying mechanism. Finally, multiple sEH inhibitors were designed, synthesized, and validated in vitro and in vivo.

Results: The ratios of DHETs/EETs were increased in the plasma from patients with HF. Meanwhile, the expression of sEH was upregulated in the heart of patients and mice with HF, especially in cardiomyocytes. Cardiomyocyte-specific Ephx2-/- mice ameliorated cardiac dysfunction induced by TAC. Consistently, Ephx2 knockdown protected Angiotensin II (AngII)-treated cardiomyocytes via increasing EETs in vitro. Mechanistically, AngII could enhance the expression of transcript factor Krüppel-like factor 15 (KLF15), which in turn upregulated sEH. Importantly, glimepiride was identified as a novel sEH inhibitor, which benefited from the elevated EETs during HF.

Conclusions: Glimepiride attenuates HF in mice in part by increasing EETs.

Clinical trial identifier: NCT03461107 (https://clinicaltrials.gov).

Keywords

Epoxyeicosatrienoic acids; Heart failure; Hypertrophy; Soluble epoxide hydrolase.

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