1 720 135 CALPAIN-14 AND ITS ASSOCIATION WITH EOSINOPHILIC ESOPHAGITIS. CALPAINS ARE A FAMILY OF INTRACELLULAR, CALCIUM-DEPENDENT CYSTEINE PROTEASES INVOLVED IN A VARIETY OF REGULATORY PROCESSES, INCLUDING CYTOSKELETAL DYNAMICS, CELL-CYCLE PROGRESSION, SIGNAL TRANSDUCTION, GENE EXPRESSION, AND APOPTOSIS. THESE ENZYMES HAVE BEEN IMPLICATED IN A NUMBER OF DISEASE PROCESSES, NOTABLY FOR THIS REVIEW INVOLVING EOSINOPHILIC TISSUE INFLAMMATION, SUCH AS EOSINOPHILIC ESOPHAGITIS (EOE), A CHRONIC INFLAMMATORY DISORDER TRIGGERED BY ALLERGIC HYPERSENSITIVITY TO FOOD AND ASSOCIATED WITH GENETIC VARIANTS IN CALPAIN 14 (CAPN14). HEREIN WE REVIEW THE GENETIC, STRUCTURAL, AND BIOCHEMICAL PROPERTIES OF CAPN14 AND ITS GENE PRODUCT CAPN14, AND ITS EMERGING ROLE IN PATIENTS WITH EOE. THE CAPN14 GENE IS LOCALIZED AT CHROMOSOME 2P23.1-P21 AND IS MOST HOMOLOGOUS TO CAPN13 (36% SEQUENCE IDENTITY), WHICH IS LOCATED 365 KB DOWNSTREAM OF CAPN14. STRUCTURALLY, CAPN14 HAS CLASSICAL CALPAIN MOTIFS, INCLUDING A CYSTEINE PROTEASE CORE. IN COMPARISON WITH OTHER HUMAN CALPAINS, CAPN14 HAS A UNIQUE EXPRESSION PATTERN, WITH THE HIGHEST LEVELS IN THE UPPER GASTROINTESTINAL TRACT, PARTICULARLY IN THE SQUAMOUS EPITHELIUM OF THE ESOPHAGUS. THE CAPN14 GENE IS POSITIONED IN AN EPIGENETIC HOTSPOT REGULATED BY IL-13, A T(H)2 CYTOKINE WITH INCREASED LEVELS IN PATIENTS WITH EOE THAT HAS BEEN SHOWN TO BE A MEDIATOR OF THE DISEASE. CAPN14 INDUCES DISRUPTIVE EFFECTS ON THE ESOPHAGEAL EPITHELIUM BY IMPAIRING EPITHELIAL BARRIER FUNCTION IN ASSOCIATION WITH LOSS OF DESMOGLEIN-1 EXPRESSION AND HAS A REGULATORY ROLE IN REPAIRING EPITHELIAL CHANGES INDUCED BY IL-13. THUS CAPN14 IS A UNIQUE PROTEASE WITH DISTINCT TISSUE-SPECIFIC EXPRESSION AND FUNCTION IN PATIENTS WITH EOE AND IS A POTENTIAL THERAPEUTIC TARGET FOR EOE AND RELATED EOSINOPHILIC AND ALLERGIC DISEASES. 2017 2 5437 33 REMOTE HIND-LIMB ISCHEMIA MECHANISM OF PRESERVED EJECTION FRACTION DURING HEART FAILURE. DURING ACUTE HEART FAILURE (HF), REMOTE ISCHEMIC CONDITIONING (RIC) HAS PROVEN TO BE BENEFICIAL; HOWEVER, IT IS CURRENTLY UNCLEAR WHETHER IT ALSO EXTENDS BENEFITS FROM CHRONIC CONGESTIVE, CARDIOPULMONARY HEART FAILURE (CHF). PREVIOUS STUDIES FROM OUR LABORATORY HAVE SHOWN THREE PHASES DESCRIBING CHF VIZ. (1) HF WITH PRESERVED EJECTION FRACTION (HFPEF), (2) HF WITH REDUCED EF (HFREF), AND (3) HF WITH REVERSED EF. ALTHOUGH RECIPROCAL ORGAN INTERACTION, ABLATION OF SYMPATHETIC, AND CALCIUM SIGNALING GENES ARE ASSOCIATED WITH HFPEF TO HFREF, THE MECHANISM IS UNCLEAR. THE HFREF ENSUES, IN PART, DUE TO REDUCED ANGIOGENESIS, CORONARY RESERVE, AND LEAKAGE OF ENDOCARDIAL ENDOTHELIAL (EE) AND FINALLY BREAKDOWN OF THE BLOOD-HEART BARRIER (BHB) INTEGRITY. IN FACT, OUR HYPOTHESIS STATES THAT A CHANGE IN PHENOTYPE FROM COMPENSATORY HFPEF TO DECOMPENSATORY HFREF IS DETERMINED BY A POTENTIAL DECREASE IN REGENERATIVE, PROANGIOGENIC FACTORS ALONG WITH A CONCOMITANT INCREASE IN EPIGENETIC MEMORY, INFLAMMATION THAT COMBINEDLY CAUSES OXIDATIVE, AND PROTEOLYTIC STRESS RESPONSE. TO TEST THIS HYPOTHESIS, WE CREATED CHF BY AORTA-VENA-CAVA (AV) FISTULA IN A GROUP OF MICE THAT WERE SUBSEQUENTLY TREATED WITH THAT OF HIND-LIMB RIC. HFPEF VS. HFREF TRANSITION WAS DETERMINED BY SERIAL/LONGITUDINAL ECHO MEASUREMENTS. RESULTS REVEALED AN INCREASE IN SKELETAL MUSCLE MUSCLIN CONTENTS, BONE-MARROW (CD71), AND SYMPATHETIC ACTIVATION (BETA2-AR) BY RIC. WE ALSO OBSERVED A DECREASE IN VASCULAR DENSITY AND ATTENUATION OF EE-BHB FUNCTION DUE TO A CORRESPONDING INCREASE IN THE ACTIVITY OF MMP-2, VASCULAR ENDOTHELIAL GROWTH FACTOR (VEGF), CASPASE, AND CALPAIN. THIS DECREASE WAS SUCCESSFULLY MITIGATED BY RIC-RELEASED SKELETAL MUSCLE EXOSOMES THAT CONTAIN MUSCLIN, THE MYOKINE ALONG WITH BONE MARROW, AND SYMPATHETIC ACTIVATION. IN SHORT, BASED ON PROTEOME (OMICS) ANALYSIS, APPROXIMATELY 20 PROTEINS THAT APPEAR TO BE INVOLVED IN SIGNALING PATHWAYS RESPONSIBLE FOR THE SYNTHESIS, CONTRACTION, AND RELAXATION OF CARDIAC MUSCLE WERE FOUND TO BE THE DOMINANT FEATURES. THUS, OUR RESULTS SUPPORT THAT THE CHF PHENOTYPE CAUSES DYSFUNCTION OF CARDIAC METABOLISM, ITS CONTRACTION, AND RELAXATION. INTERESTINGLY, RIC WAS ABLE TO MITIGATE MANY OF THE DELETERIOUS CHANGES, AS REVEALED BY OUR MULTI-OMICS FINDINGS. 2021 3 2537 22 EPIGENETICS IN HEART FAILURE PHENOTYPES. CHRONIC HEART FAILURE (HF) IS A LEADING CLINICAL AND PUBLIC PROBLEM POSING A HIGHER RISK OF MORBIDITY AND MORTALITY IN DIFFERENT POPULATIONS. HF APPEARS TO BE IN BOTH PHENOTYPIC FORMS: HF WITH REDUCED LEFT VENTRICULAR EJECTION FRACTION (HFREF) AND HF WITH PRESERVED LEFT VENTRICULAR EJECTION FRACTION (HFPEF). ALTHOUGH BOTH HF PHENOTYPES CAN BE DISTINGUISHED THROUGH CLINICAL FEATURES, CO-MORBIDITY STATUS, PREDICTION SCORE, AND TREATMENT, THE CLINICAL OUTCOMES IN PATIENTS WITH HFREF AND HFPEF ARE SIMILAR. IN THIS CONTEXT, INVESTIGATION OF VARIOUS MOLECULAR AND CELLULAR MECHANISMS LEADING TO THE DEVELOPMENT AND PROGRESSION OF BOTH HF PHENOTYPES IS VERY IMPORTANT. THERE IS EMERGING EVIDENCE THAT EPIGENETIC REGULATION MAY HAVE A CLUE IN THE PATHOGENESIS OF HF. THIS REVIEW REPRESENTS CURRENT AVAILABLE EVIDENCE REGARDING THE IMPLICATION OF EPIGENETIC MODIFICATIONS IN THE DEVELOPMENT OF DIFFERENT HF PHENOTYPES AND PERSPECTIVES OF EPIGENETIC-BASED THERAPIES OF HF. 2016 4 3051 42 GENOME-WIDE ASSOCIATION ANALYSIS OF EOSINOPHILIC ESOPHAGITIS PROVIDES INSIGHT INTO THE TISSUE SPECIFICITY OF THIS ALLERGIC DISEASE. EOSINOPHILIC ESOPHAGITIS (EOE) IS A CHRONIC INFLAMMATORY DISORDER ASSOCIATED WITH ALLERGIC HYPERSENSITIVITY TO FOOD. WE INTERROGATED >1.5 MILLION GENETIC VARIANTS IN EOE CASES OF EUROPEAN ANCESTRY AND SUBSEQUENTLY IN A MULTI-SITE COHORT WITH LOCAL AND OUT-OF-STUDY CONTROL SUBJECTS. IN ADDITION TO REPLICATING ASSOCIATION OF THE 5Q22 LOCUS (META-ANALYSIS P=1.9X10(-16)), WE IDENTIFIED AN ASSOCIATION AT 2P23 SPANNING CAPN14 (P=2.5X10(-10)). CAPN14 WAS SPECIFICALLY EXPRESSED IN THE ESOPHAGUS, WAS DYNAMICALLY UPREGULATED AS A FUNCTION OF DISEASE ACTIVITY AND GENETIC HAPLOTYPE AND AFTER EXPOSURE OF EPITHELIAL CELLS TO INTERLEUKIN (IL)-13, AND WAS LOCATED IN AN EPIGENETIC HOTSPOT MODIFIED BY IL-13. GENES NEIGHBORING THE TOP 208 EOE-ASSOCIATED SEQUENCE VARIANTS WERE ENRICHED FOR ESOPHAGEAL EXPRESSION, AND MULTIPLE LOCI FOR ALLERGIC SENSITIZATION WERE ASSOCIATED WITH EOE SUSCEPTIBILITY (4.8X10(-2)