{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T14:46:37Z","timestamp":1790433997687,"version":"4.1.0"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2016,1,13]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              The\n              <jats:styled-content style=\"fixed-case\">homologous to the E6\u2010AP carboxyl terminus (HECT)<\/jats:styled-content>\n              \u2013type ubiquitin E3 ligase\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              is an enzyme that plays a pivotal role in posttranslational modification by ubiquitin proteasomal protein degradation. Thioredoxin\u2010interacting protein (\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              ) is a negative regulator of the thioredoxin system and an endogenous reactive oxygen species scavenger. In the present study, we focused on the functional role of ubiquitin E3 ligase\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              and its interaction with\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              to elucidate the mechanism of cardiotoxicity induced by\n              <jats:styled-content style=\"fixed-case\">reactive oxygen species<\/jats:styled-content>\n              , such as doxorubicin and hydrogen peroxide.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              Protein interaction between\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              and\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              in cardiomyocyte was confirmed by immunoprecipitation assays. Overexpression of\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              increased proteasomal\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              degradation and augmented thioredoxin activity, leading to inhibition of\n              <jats:styled-content style=\"fixed-case\">reactive oxygen species<\/jats:styled-content>\n              generation, p38\n              <jats:styled-content style=\"fixed-case\">MAPK<\/jats:styled-content>\n              , p53, and subsequent intrinsic pathway cardiomyocyte apoptosis in\n              <jats:styled-content style=\"fixed-case\">reactive oxygen species<\/jats:styled-content>\n              \u2013induced cardiotoxicity. Conversely, knockdown of\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              using small interfering\n              <jats:styled-content style=\"fixed-case\">RNA<\/jats:styled-content>\n              inhibited\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              degradation and resulted in a subsequent increase in cardiomyocyte apoptosis. Next, we generated a transgenic mouse with cardiac\u2010specific overexpression of\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              , called the\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              \u2010Tg mouse. The expression level of\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              in the myocardium in\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              \u2010Tg mice was significantly lower than WT littermates. In\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              \u2010Tg mice, cardiac dysfunction and remodeling were restored compared with WT littermates after doxorubicin injection and myocardial infarction surgery. Kaplan\u2013Meier analysis revealed that\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              \u2010Tg mice had a higher survival rate than WT littermates after doxorubicin injection and myocardial infarction surgery.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p xml:lang=\"en\">\n              We demonstrated, for the first time, that\n              <jats:styled-content style=\"fixed-case\">ITCH<\/jats:styled-content>\n              targets\n              <jats:styled-content style=\"fixed-case\">TXNIP<\/jats:styled-content>\n              for ubiquitin\u2010proteasome degradation in cardiomyocytes and ameliorates\n              <jats:styled-content style=\"fixed-case\">reactive oxygen species<\/jats:styled-content>\n              \u2013induced cardiotoxicity through the thioredoxin system.\n            <\/jats:p>\n          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