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通过GDP-状态稳定抑制RhoA激活以缓解心力衰竭。
Inhibiting RhoA Activation Via GDP-State Stabilization to Relieve Heart Failure.
👥 作者
Mengzhu Xue (Innovation Center for AI and Drug Discovery/H.L.))
Yingquan Liang (Innovation Center for AI and Drug Discovery/H.L.))
Zhen Yuan (Shanghai Key Laboratory of New Drug Design/H.L.))
Xiangning Liu (Modern Research Center for Traditional Chinese Med/C. Li))
Longfeng Chang (Innovation Center for AI and Drug Discovery/H.L.))
Yongzhi Wang (Innovation Center for AI and Drug Discovery/H.L.))
Peijia Xu (Innovation Center for AI and Drug Discovery/H.L.))
Tingting Zhang (Innovation Center for AI and Drug Discovery/H.L.))
Hewei Jiang (Lingang Laboratory/China (H.J.))
Zijie Zhao (State Key Laboratory of Natural and Biomimetic Dru/Jing Wang))
Jingqiu Liu (Drug Discovery and Design Center/C. Luo))
Shanshan Ruan (Shanghai Key Laboratory of New Drug Design/H.L.))
Tianyu Ye (Shanghai Key Laboratory of New Drug Design/H.L.))
Xuelian Pang (Shanghai Key Laboratory of New Drug Design/H.L.))
Wenyi Mei (Shanghai Key Laboratory of New Drug Design/H.L.))
Jiawen Wang
Xiaoqian Sun
Huijuan Wang
Jian Cui
Yao Zu
Xudong Lin
Zhenjiang Zhao
Rui Wang
Hong Huang
Cheng Luo
Shengce Tao
Jing Wang
Yajun Duan
Lili Zhu
Huifang Tang
Jian Zhang
Yong Wang
Chun Li
Honglin Li
📋 发表信息
📖 Circ Res
📅 2026-03-20
🧬 PMID: 41859798
📂 分类:心衰
📝 摘要
Given the persistently high morbidity and mortality of heart failure (HF), targeting myocardial remodeling, particularly pathological hypertrophy and fibrosis, has become a major therapeutic priority. RhoA (Ras homolog gene family member A), a small GTPase governing cytoskeletal reorganization and cell migration, plays a pivotal role in this process. However, RhoA has long been considered undruggable because of its high-affinity binding to GDP/GTP and the absence of well-defined druggable pockets. Structural analyses comparing RhoA-GTP and RhoA-GDP conformations, combined with surface plasmon resonance-based screening, were used to identify a RhoA inhibitor. The underlying mechanism was validated in cultured cells and 3-dimensional myocardial tissue models. Therapeutic efficacy was assessed across multiple species of HF models and supported by multiomics analyses linking RhoA activation to human HF. Key findings were further confirmed by multiplex immunohistochemistry and pulldown assays in human heart specimens. We identified an unrecognized cryptic pocket adjacent to GDP in RhoA. A natural product, AH001, selectively occupied this pocket and interacted with GDP, thereby stabilizing the interaction between RhoA and its endogenous inhibitor, RhoGDIα (Rho GDP-dissociation inhibitor 1). AH001 suppressed downstream signaling by reducing MRTFA (myocardin-related transcription factor A) nuclear translocation and downregulating fibrosis- and hypertrophy-related proteins. Moreover, AH001 disrupted pathological crosstalk between These findings establish pharmacological inhibition of RhoA activation as a viable strategy to mitigate myocardial remodeling in HF and provide a conceptual framework for developing reversible inhibitors against previously undruggable small GTPases.
🏷️ 关键词
fibrosis heart failure hypertrophy morbidity transcription factors
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