Efthymios Ziogos, Tarek Harb, Ines Valenta, Michael A Vavuranakis, Palmer L Foran, Marlene S Williams, Michael J Blaha, Allison G Hays, Steven R Jones, Thomas H Schindler, Steven P Schulman, Gary Gerstenblith, Thorsten M Leucker
{"title":"Impact of In-Hospital PCSK9 Inhibition on Myocardial Inflammation After Myocardial Infarction: A Randomized Clinical Trial.","authors":"Efthymios Ziogos, Tarek Harb, Ines Valenta, Michael A Vavuranakis, Palmer L Foran, Marlene S Williams, Michael J Blaha, Allison G Hays, Steven R Jones, Thomas H Schindler, Steven P Schulman, Gary Gerstenblith, Thorsten M Leucker","doi":"10.1016/j.jacbts.2025.03.010","DOIUrl":"https://doi.org/10.1016/j.jacbts.2025.03.010","url":null,"abstract":"<p><p>In a randomized trial with 55 participants from the Evolocumab in Acute Coronary Syndrome trials, patients with non-ST-segment elevation myocardial infarction (MI) or ST-segment elevation MI received a single dose of evolocumab or placebo, with myocardial inflammation assessed via <sup>18</sup>F-fluorodeoxyglucose positron emission tomography scans at baseline and at 30 days. Evolocumab significantly reduced inflammation (SUV<sub>mean</sub>) compared with placebo. PCSK9 levels at 30 days correlated with SUV<sub>mean</sub>, and higher SUV<sub>mean</sub> was linked to increased end-systolic volume at 6 months. These findings suggest that early PCSK9 inhibition reduces post-MI myocardial inflammation and may influence cardiac remodeling in the months following the acute event.</p>","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":" ","pages":""},"PeriodicalIF":8.4,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hao Cui PhD , Hao Nie MD, PhD , Congrui Wang MD , Ningning Zhang MSc , Yifan Wang MD, PhD , Wendao Liu PhD , Siyuan Huang MD, PhD , Xiao Chen PhD , Hao Jia MD, PhD , Songren Shu MD, PhD , Mengxia Fu MD, PhD , Qian Zhao MSc , Xiumeng Hua MD, PhD , Yuan Chang MD, PhD , Yunhu Song MD, PhD , Jiangping Song MD, PhD
{"title":"Phenotype-Based Classification of Obstructive Hypertrophic Cardiomyopathy Undergoing Myectomy","authors":"Hao Cui PhD , Hao Nie MD, PhD , Congrui Wang MD , Ningning Zhang MSc , Yifan Wang MD, PhD , Wendao Liu PhD , Siyuan Huang MD, PhD , Xiao Chen PhD , Hao Jia MD, PhD , Songren Shu MD, PhD , Mengxia Fu MD, PhD , Qian Zhao MSc , Xiumeng Hua MD, PhD , Yuan Chang MD, PhD , Yunhu Song MD, PhD , Jiangping Song MD, PhD","doi":"10.1016/j.jacbts.2024.12.016","DOIUrl":"10.1016/j.jacbts.2024.12.016","url":null,"abstract":"<div><div>This study partitioned variables derived from clinical and pathological information in patients who received septal reduction therapy to identify obstructive hypertrophic cardiomyopathy subtypes. Subtype 1 was characterized by a high percentage of sarcomere mutation carriers and the highest interventricular septal thickness. Subtype 2 was featured by left atrial enlargement and a high percentage of patients with atrial fibrillation. Subtype 3 was characterized by a high left ventricular outflow tract gradient, serious inflammatory cell infiltration, and a high incidence of postoperative adverse events. This finding has been well replicated in 2 validation cohorts with short- and long-term follow-up.</div></div>","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 5","pages":"Pages 568-583"},"PeriodicalIF":8.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhaoyue Li MD, PhD , Yutong Guo MD , Jie Xiong MD , Liyan Bai MD , Hao Tang MD, PhD , Bo Wang MD , Bingchen Guo MD , Yi Qiu MD , Guanghui Li MD , Manyu Gong MD, PhD , Lin Lv MD, PhD , Zengxiang Dong MD, PhD , Yingfeng Tu MD, PhD
{"title":"β-Hydroxybutyrate Facilitates Homeostasis of Hypoxic Endothelial Cells After Myocardial Infarction via Histone Lysine β-Hydroxybutyrylation of CPT1A","authors":"Zhaoyue Li MD, PhD , Yutong Guo MD , Jie Xiong MD , Liyan Bai MD , Hao Tang MD, PhD , Bo Wang MD , Bingchen Guo MD , Yi Qiu MD , Guanghui Li MD , Manyu Gong MD, PhD , Lin Lv MD, PhD , Zengxiang Dong MD, PhD , Yingfeng Tu MD, PhD","doi":"10.1016/j.jacbts.2024.11.004","DOIUrl":"10.1016/j.jacbts.2024.11.004","url":null,"abstract":"<div><div>Myocardial infarction (MI) initiates a robust angiogenic response crucial for tissue repair. β-hydroxybutyrate (BHB) is an essential circulating metabolite, and its role in angiogenesis under pathological conditions remains unclear. We evaluated the coronary collateral circulation in 114 patients with MI and investigated its correlation with serum BHB levels. High BHB levels were found to correlate with better collateral circulation. Moreover, BHB promotes angiogenesis post-MI in vivo and in vitro. Mechanistically, BHB modulates the epigenetic landscape in hypoxic endothelial cells by increasing H3K9bhb levels associated with the transcriptional activation of angiogenesis-related genes and enhancing chromatin accessibility at loci associated with these genes. The integrated analysis of RNA sequencing, cleavage under targets and tagmentation, and assay for transposase-accessible chromatin with sequencing identified carnitine palmitoyltransferase 1a as a key proangiogenic target. Thus, BHB nutritional supplementation may represent a promising therapeutic strategy for ischemic heart disease, with high potential for clinical translation.</div></div>","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 5","pages":"Pages 588-607"},"PeriodicalIF":8.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Satish Singh PhD , Pardeep Kumar MSc , Sudesh K. Yadav PhD , Farouc A. Jaffer MD, PhD , Guy L. Reed MD
{"title":"Recent Pathophysiological Insights Are Advancing the Treatment of Venous Thromboembolism","authors":"Satish Singh PhD , Pardeep Kumar MSc , Sudesh K. Yadav PhD , Farouc A. Jaffer MD, PhD , Guy L. Reed MD","doi":"10.1016/j.jacbts.2024.12.004","DOIUrl":"10.1016/j.jacbts.2024.12.004","url":null,"abstract":"<div><div>Venous thromboembolism, defined as deep vein thrombosis and pulmonary embolism, is the third leading cause of cardiovascular deaths globally. Long-term complications of unresolved venous thrombi include post-thrombotic syndrome in the legs and chronic thromboembolic pulmonary hypertension. As the venous thrombus ages, the acute, fibrin, and red blood cell-rich composition changes to a chronic cellular, fibrotic mass that does not respond to presently available therapeutic approaches. Standard anticoagulation treatment does not fully prevent recurrent thrombosis and may cause serious bleeding. Thrombolytic therapy may resolve thrombi but it has unacceptable bleeding risks. Recent drug discovery for acute venous thromboembolism has focused on novel targets that may provide enhanced safety and efficacy. Additional therapeutic strategies have focused on the transition phase of acute-to-chronic venous thromboembolism with anti-inflammatory agents, statins, and vasodilator drugs. In this review, we discuss the mechanisms of venous thrombus aging, its clinical implications, and the latest developments in pharmacotherapeutic approaches for venous thromboembolism.</div></div>","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 5","pages":"Pages 689-703"},"PeriodicalIF":8.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Douglas L. Mann MD (Editor-in-Chief, JACC: Basic to Translational Science)
{"title":"Editor’s Cut","authors":"Douglas L. Mann MD (Editor-in-Chief, JACC: Basic to Translational Science)","doi":"10.1016/j.jacbts.2025.04.002","DOIUrl":"10.1016/j.jacbts.2025.04.002","url":null,"abstract":"","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 5","pages":"Pages 706-707"},"PeriodicalIF":8.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Simon Jønck MD, PhD , Malte Lund Adamsen MD , Iben E. Rasmussen MSc , Anna A. Lytzen MSc , Mathilde Løk BSc , Morten Asp Vonsild Lund MD , Lene Dreyer MD, PhD , Peter G. Jørgensen MD PhD , Niels Vejlstrup MD , Lars Køber MD, DMSc , Robin Christensen MSc, PhD , Søren Jacobsen MD, DMSc , Bente Klarlund Pedersen MD, DMSc , Helga Ellingsgaard MSc, PhD , Pil Højgaard MD, PhD , Ronan M.G. Berg MD, DMSc , Regitse Højgaard Christensen MD, PhD
{"title":"IL-6 Inhibitors and TNF Inhibitors","authors":"Simon Jønck MD, PhD , Malte Lund Adamsen MD , Iben E. Rasmussen MSc , Anna A. Lytzen MSc , Mathilde Løk BSc , Morten Asp Vonsild Lund MD , Lene Dreyer MD, PhD , Peter G. Jørgensen MD PhD , Niels Vejlstrup MD , Lars Køber MD, DMSc , Robin Christensen MSc, PhD , Søren Jacobsen MD, DMSc , Bente Klarlund Pedersen MD, DMSc , Helga Ellingsgaard MSc, PhD , Pil Højgaard MD, PhD , Ronan M.G. Berg MD, DMSc , Regitse Højgaard Christensen MD, PhD","doi":"10.1016/j.jacbts.2024.11.010","DOIUrl":"10.1016/j.jacbts.2024.11.010","url":null,"abstract":"<div><div>Interleukin-6 inhibitors (IL-6i) are commonly used in patients with rheumatoid arthritis to reduce inflammation from chronically increased IL-6. IL-6 levels increase transiently following exercise, exerting numerous positive effects. This study examined if beneficial exercise-induced cardiac adaptations were attenuated in patients with rheumatoid arthritis in concomitant IL-6i treatment compared with tumor necrosis factor inhibitors. Compared with control, we found that the tumor necrosis factor inhibitor–treated group, but not the IL-6i group, had a significant increase in left ventricular mass following 12 weeks of supervised exercise. However, the interaction effect of treatment modalities on exercise-induced cardiac adaptations was insignificant. (Exercise-induced Cardiac Adaptions in Rheumatoid Arthritis Patients During IL-6 vs TNF Antibody Therapy; <span><span>NCT05215509</span><svg><path></path></svg></span>)</div></div>","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 5","pages":"Pages 551-563"},"PeriodicalIF":8.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144137998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In Memory of Dr Gary D. Lopaschuk, PhD (1955–2025)","authors":"Jason R.B. Dyck PhD","doi":"10.1016/j.jacbts.2025.04.001","DOIUrl":"10.1016/j.jacbts.2025.04.001","url":null,"abstract":"","PeriodicalId":14831,"journal":{"name":"JACC: Basic to Translational Science","volume":"10 5","pages":"Pages 704-705"},"PeriodicalIF":8.4,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}