Accumulation of 5-oxoproline in myocardial dysfunction and the protective effects of OPLAH

Atze Van Der Pol, Andres Gil, Herman H.W. Silljé, Jasper Tromp, Ekaterina S. Ovchinnikova, Inge Vreeswijk-Baudoin, Martijn Hoes, Ibrahim J. Domian, Bart Van De Sluis, Jan M. Van Deursen, Adriaan A. Voors, Dirk J. Van Veldhuisen, Wiek H. Van Gilst, Eugene Berezikov, Pim Van Der Harst, Rudolf A. De Boer, Rainer Bischoff, Peter Van Der Meer

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


In response to heart failure (HF), the heart reacts by repressing adult genes and expressing fetal genes, thereby returning to a more fetal-like gene profile. To identify genes involved in this process, we carried out transcriptional analysis on murine hearts at different stages of development and on hearts from adult mice with HF. Our screen identified Oplah, encoding for 5-oxoprolinase, amember of the g-glutamyl cycle that functions by scavenging 5-oxoproline. OPLAH depletion occurred as a result of cardiac injury, leading to elevated 5-oxoproline and oxidative stress, whereas OPLAH overexpression improved cardiac function after ischemic injury. In HF patients, we observed elevated plasma 5-oxoproline, which was associated with a worse clinical outcome. Understanding and modulating fetal-like genes in the failing heart may lead to potential diagnostic, prognostic, and therapeutic options in HF.

Original languageEnglish (US)
Article number8574
JournalScience translational medicine
Issue number415
StatePublished - Nov 8 2017

ASJC Scopus subject areas

  • Medicine(all)


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