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Molecular Research on Cardiac Troponin

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Biology".

Deadline for manuscript submissions: 20 May 2024 | Viewed by 2752

Special Issue Editor


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Guest Editor
Department of Cardiology and Cardiovascular Surgery, Samara State Medical University, 443099 Samara, Russia
Interests: cardiac troponins; troponin T and troponin I; myocardial damage; cardiac troponin metabolism; molecular mechanisms; molecular biology; mechanisms of release; transportation of cardiac troponins; mechanisms of elimination; expression of cardiac troponins; regulation of myocardial contraction; post-translational modifications; folding; phosphorylation; glycosylation; proteolysis; myocarditis; Takotsubo syndrome; heart failure; cardiac amyloidosis; acute myocardial infarction; cardiomyopathies; cardiac arrhythmias; pulmonary embolism; diagnostics; non-invasive diagnostics; chronic renal failure
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Special Issue Information

Dear Colleagues,

Cardiac troponins (troponin T and troponin I) are cardiospecific proteins and one of the key criteria for detecting damage to the myocardial cells, which is always characteristic of ischemic necrosis of the cardiac muscle (acute myocardial infarction) and is quite often registered in case of many non-ischemic cardiac diseases (myocarditis, Takotsubo syndrome, cardiac amyloidosis, cardiomyopathies, cardiac arrhythmias) and non-cardiac (pulmonary embolism, chronic renal failure, sepsis, chronic obstructive pulmonary disease, strokes, oncological diseases and treatment with cardiotoxic chemotherapeutic drugs (Doxorubicin, Trastuzumab, etc.) and a number of others) pathological conditions. However, the molecular mechanisms underlying the release of cardiac troponin molecules from the myocardial cells have not been established conclusively or are of contradictory nature. This circumstance significantly limits the use of cardiac troponins in clinical practice for diagnostics and monitoring of the pathological conditions that cause damage to the myocardial cells. Besides, recently many of our ideas of the diagnostic value of cardiac troponins have changed quite significantly. Thus, due to the increased sensitivity of the methods for determining troponins T and I (highly sensitive immunoassays), it was shown that a number of biological factors (gender, age, circadian rhythms, stressful situations, physical activity, etc.) can have a significant effect on the serum levels of cardiac troponins, and, consequently, on the diagnostic value. However, the molecular mechanisms underlying the influence of biological factors on the levels of cardiac troponins T and I have not been established yet, and the diagnostic role, according to a number of authors, is of contradictory nature. Recent studies have reported the ability to detect cardiac troponins T and I in urine, oral fluid, and sweat. Despite the many advantages of these biomaterials (non-invasive, fast, atraumatic and painless collection), the diagnostic value of cardiac troponins in these biological fluids is understudied and controversial. Besides, the molecular mechanisms of transportation of cardiac troponins into these biological fluids are unknown. The processes of post-translational modifications (folding, phosphorylation, glycosylation, proteolysis, etc.), which can have an effect on the pathogenesis of cardiac pathologies (myocardial infarction, cardiomyopathies, cardiac insufficiency, cardiac arrhythmias, etc.), form an important and little-studied problem in molecular biology of cardiac troponins. Progress in the field of molecular genetic research methods has made it possible to establish a large number of mutations in cardiac troponins T, I and C, which are associated with congenital cardiomyopathies. Understanding the molecular mechanisms underlying congenital cardiomyopathies and post-translational troponin modifications will open up new targets for therapeutic intervention and optimize patient management. This special issue is intended for review and original manuscripts devoted to the molecular biology of cardiac troponins.

Dr. Aleksey Chaulin
Guest Editor

Manuscript Submission Information

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Keywords

  • cardiac troponins
  • troponin T and troponin I
  • myocardial damage
  • cardiac troponin metabolism
  • molecular mechanisms
  • molecular biology
  • mechanisms of release
  • transportation of cardiac troponins
  • mechanisms of elimination
  • expression of cardiac troponins
  • regulation of myocardial contraction
  • post-translational modifications
  • folding
  • phosphorylation
  • glycosylation
  • proteolysis
  • myocarditis
  • Takotsubo syndrome
  • heart failure
  • cardiac amyloidosis
  • acute myocardial infarction
  • cardiomyopathies
  • cardiac arrhythmias
  • pulmonary embolism
  • diagnostics
  • non-invasive diagnostics
  • chronic renal failure
 

Published Papers (3 papers)

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Research

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10 pages, 231 KiB  
Article
Differences in Troponin I and Troponin T Release in High-Performance Athletes Outside of Competition
by Jan C. Wuestenfeld, Tom Kastner, Judith Hesse, Leon Fesseler, Florian Frohberg, Cornelius Rossbach and Bernd Wolfarth
Int. J. Mol. Sci. 2024, 25(2), 1062; https://doi.org/10.3390/ijms25021062 - 15 Jan 2024
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Abstract
Troponin I and troponin T are critical biomarkers for myocardial infarction and damage and are pivotal in cardiological and laboratory diagnostics, including emergency settings. Rapid testing protocols have been developed for urgent care, particularly in emergency outpatient clinics. Studies indicate that strenuous physical [...] Read more.
Troponin I and troponin T are critical biomarkers for myocardial infarction and damage and are pivotal in cardiological and laboratory diagnostics, including emergency settings. Rapid testing protocols have been developed for urgent care, particularly in emergency outpatient clinics. Studies indicate that strenuous physical activity can cause transient increases in these troponin levels, which are typically considered benign. This research focused on 219 elite athletes from national teams, evaluating their troponin I and T levels as part of routine sports medical exams, independent of competition-related physical stress. The results showed that 9.2% (18 athletes) had elevated troponin I levels above the reporting threshold, while their troponin T levels remained within the normal range. Conversely, only 0.9% (two athletes) had normal troponin I but raised troponin T levels, and 2.3% (five athletes) exhibited increases in both markers. No significant cardiovascular differences were noted between those with elevated troponin levels and those without. This study concludes that elevated troponin I is a common response to the intense physical training endured by high-performance endurance athletes, whereas troponin T elevation does not seem to be directly linked to physical exertion in this group. For cardiac assessments, particularly when ruling out cardiac damage in these athletes, troponin T might be a more reliable indicator than troponin I. Full article
(This article belongs to the Special Issue Molecular Research on Cardiac Troponin)
10 pages, 1035 KiB  
Article
High-Sensitivity Troponin I and Cardiovascular Events in Stable Coronary Artery Disease: Insights from a Longitudinal Outpatient Study
by Celia Maria Cassaro Strunz, Whady Hueb, Paulo Cury Rezende, Sabrina Pacheco do Amaral Vendramini, Arthur Cicupira Rodrigues de Assis, Alessandra Roggerio, Maria Stanislavovna Tairova, Marcela Francisca Silva, Senili Avila Oliveira, Gyovanna de Cassia Agreste Kisser and Roberto Kalil Filho
Int. J. Mol. Sci. 2023, 24(24), 17286; https://doi.org/10.3390/ijms242417286 - 09 Dec 2023
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Abstract
Numerous studies have been published suggesting that troponin levels are related to adverse outcomes in chronic cardiac and non-cardiac conditions. Our study investigated whether troponin levels gathered from unselected blood samples taken during outpatient care are associated with adverse outcomes in a population [...] Read more.
Numerous studies have been published suggesting that troponin levels are related to adverse outcomes in chronic cardiac and non-cardiac conditions. Our study investigated whether troponin levels gathered from unselected blood samples taken during outpatient care are associated with adverse outcomes in a population with stable coronary artery disease. In a cohort of 949 patients with stable coronary artery disease, an average age of 67.5 ± 9.5 years, 69.5% male, 52.1% diabetics, 51.6% with previous myocardial infarction, and 57.9% with triple-vessel disease, 21.7% of patients encountered new events during an average period of monitoring of 2.07 ± 0.81 years. Troponin I/99th percentile categorized into tertiles emerged as an independent predictor of death and combined events risk (hazard ratio: 2.02 (1.13–3.60), p = 0.017; 2.30 (1.37–3.88, p = 0.002, respectively). A troponin ratio > 0.24 was able to identify 53.3% of patients at risk of death and heart failure hospitalization. In patients with stable coronary artery disease who are adherent to treatment, troponin levels are independently associated with death and heart failure hospitalization in a medium-term follow-up. Full article
(This article belongs to the Special Issue Molecular Research on Cardiac Troponin)
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Review

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12 pages, 464 KiB  
Review
Non-Canonical Localization of Cardiac Troponins: Expanding Functions or Causing Pathologies?
by Eugene A. Arifulin and Eugene V. Sheval
Int. J. Mol. Sci. 2024, 25(6), 3117; https://doi.org/10.3390/ijms25063117 - 08 Mar 2024
Viewed by 530
Abstract
The troponin complex—consisting of three subunits: troponin C (TnC), cardiac troponin I (cTnI) and cardiac troponin T (cTnT)—plays a key role in the regulation of myocardial contraction. Troponins are preferentially localized in the cytoplasm and bind to myofibrils. However, numerous, albeit scattered, studies [...] Read more.
The troponin complex—consisting of three subunits: troponin C (TnC), cardiac troponin I (cTnI) and cardiac troponin T (cTnT)—plays a key role in the regulation of myocardial contraction. Troponins are preferentially localized in the cytoplasm and bind to myofibrils. However, numerous, albeit scattered, studies have shown the presence of troponins in the nuclei of muscle cells. There is increasing evidence that the nuclear localization of troponins may be functionally important, making troponins an important nuclear player in the pathogenesis of various diseases including cancer and myopathies. Further studies in this area could potentially lead to the development of treatments for certain pathologies. In this review, we collected and discussed recent data on the properties of non-canonically localized cardiac troponins, the molecular mechanisms leading to this non-canonical localization, and the possible functions or pathological effects of these non-canonically localized troponins. Full article
(This article belongs to the Special Issue Molecular Research on Cardiac Troponin)
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