The lysosomal cysteine peptidase cathepsin L (CTSL) is an important lysosomal proteinase involved in a variety of cellular
functions including intracellular protein turnover, epidermal homeostasis, and hair development. Deficiency of CTSL in mice
results in a progressive dilated cardiomyopathy. In the present study, we tested the hypothesis that cardiac overexpression
of human CTSL in the murine heart would protect against cardiac hypertrophy in vivo. The effects of constitutive human CTSL
expression on cardiac hypertrophy were investigated using
in vitro and
in vivo models. Cardiac hypertrophy was produced by aortic banding (AB) in CTSL transgenic mice and control animals. The extent of
cardiac hypertrophy was quantitated by two-dimensional and M-mode echocardiography as well as by molecular and pathological
analyses of heart samples. Constitutive overexpression of human CTSL in the murine heart attenuated the hypertrophic response,
markedly reduced apoptosis, and fibrosis. Cardiac function was also preserved in hearts with increased CTSL levels in response
to hypertrophic stimuli. These beneficial effects were associated with attenuation of the Akt/GSK3β signaling cascade. Our
in vitro studies further confirmed that CTSL expression in cardiomyocytes blunts cardiac hypertrophy through blocking of Akt/GSK3β
signaling. The study indicates that CTSL improves cardiac function and inhibits cardiac hypertrophy, inflammation, and fibrosis
through blocking Akt/GSK3β signaling.
Keywords Cathepsin L - cardiac remodeling - AKT - Fibrosis - GSK3β
Qizhu Tang, Jun Cai and Wei Wang contributed equally to this work.