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NOBEL PRIZE 2026

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NIHNATIONAL HEART, LUNG, AND BLOOD INSTITUTE

Sex-dependent regulation of cardiac cAMP, ECC, and arrhythmia by phosphodiesterases

Active
Institution
UNIVERSITY OF CALIFORNIA LOS ANGELES, CA
Principal investigator
Yang Kevin Xiang
Funding
$650K
Duration
2025–2029
Open portfolio

Moonbase score

Still being scored

Abstract

Abstract Autonomic dysregulation and aberrant intracellular signaling are hallmarks of both heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF). Cyclic AMP (cAMP) is a key second messenger that transduces extracellular autonomic adrenergic signals to control downstream contractility and electrophysiology on a beat-to-beat basis. Aberrant cAMP signaling likely plays an important role in Ca2+ mishandling, contractile dysfunction, and arrhythmias in HF. cAMP is highly compartmentalized by b-adrenoceptor (b-AR)-induced cAMP synthesis and phosphodiesterase (PDE)-mediated degradation. The overall goal of this project is to determine the differential role of heterogeneous PDE4D signaling in contributing to dysfunctional excitation-contraction coupling (ECC) and arrhythmias in HFpEF vs. HFrEF in a sex-dependent manner. The main hypothesis that will be tested in this project is that either too much or too little PDE activity in cardiomyocytes can impair ECC and promote arrhythmias, and that underlying sex differences in PDE activity modulate sex-dependent responses. Using a novel integrated whole-heart imaging approach combined with single cell analysis and detailed subcellular signaling studies and FRET-based reporters, we will comprehensively determine signaling responses and functional outcomes from the molecular, cellular, to whole- heart level, which may ultimately suggest more personalized treatment strategies for men and women with HF.

Research team

  • Crystal May RipplingerPI
  • Yang Kevin XiangPI

LOADING MOONBASE SCORE

NATIONAL HEART, LUNG, AND BLOOD INSTITUTER01Integrative Myocardial Physiology/Pathophysiology A Study Section [MPPA]arrhythmiassex-dependentejection fractioneccpdecamphfpefhfref

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