Inhibition of myocardial cathepsin-L release during reperfusion following myocardial infarction improves cardiac function and reduces infarct size
Cardiovascular Research

Abstract
Identifying novel mediators of lethal myocardial reperfusion injury that can be targeted during primary percutaneous coronary intervention (PPCI) is key to limiting the progression of patients with ST-elevation myocardial infarction (STEMI) to heart failure. Here, we show through parallel clinical and integrative preclinical studies the significance of the protease cathepsin-L on cardiac function during reperfusion injury.
We found that direct cardiac release of cathepsin-L in STEMI patients (
Our findings suggest that cathepsin-L is a novel therapeutic target that could be exploited clinically to counteract the deleterious effects of acute reperfusion injury after an acute STEMI.
Contributors

Charlotte S McCarroll
Author

Katrin Nather
Author

Kristopher Ford
Author

Kenneth Mangion
Author
Golden Jubilee National Hospital Glasgow , United Kingdom of Great Britain & Northern Ireland

Alexandra Riddell
Author

Dylan O’Toole
Author

Ali Zaeri
Author

David Corcoran
Author

David Carrick
Author

Mathew M Y Lee
Author
University of Glasgow Glasgow , United Kingdom of Great Britain & Northern Ireland

Margaret McEntegart
Author

Andrew Davie
Author

Richard Good
Author

Mitchell M Lindsay
Author

Hany Eteiba
Author

Paul Rocchiccioli
Author

Stuart Watkins
Author

Stuart Hood
Author

Aadil Shaukat
Author

Lisa McArthur
Author

Elspeth B Elliott
Author

John McClure
Author

Catherine Hawksby
Author

Tamara Martin
Author

Mark C Petrie
Author

Keith G Oldroyd
Author

Godfrey L Smith
Author

Keith M Channon
Author

Colin Berry
Author
University of Glasgow Glasgow , United Kingdom of Great Britain & Northern Ireland

Stuart A Nicklin
Author

Christopher M Loughrey
Author
University of Glasgow Glasgow , United Kingdom of Great Britain & Northern Ireland



