Kardiologie, Angiologie und Pneumologie

Molecular Cardiology and Gut-Heart Axis

WORKING GROUP LEADER

PD Dr. rer. nat. Ashraf Yusuf Rangrez
PD Dr. rer. nat. Ashraf Yusuf Rangrez

RESEARCH TECHNICIAN

Wojciech Wilk

From Molecular Discovery to Cardiovascular Therapy

We are a multidisciplinary team of molecular biologists, clinician scientists, and computational biologists working together to understand and decode complex cardiovascular disease mechanisms. Our research group investigates how molecular signaling circuits cellular proteostasis, and microbial ecosystems converge to shape cardiac health and disease. Our research lies at the intersection of cardiovascular biology, microbiome science, and molecular proteostasis. By integrating stateof-the-art multi-omics technologies, single-bacterial transcriptomics, advanced metabolic phenotyping assays, and preclinical disease models, we seek to uncover previously unrecognized biological mechanisms that contribute to cardiac dysfunction. Ultimately, our goal is to translate molecular discoveries into new therapeutic strategies for heart disease, which remains the leading cause of mortality worldwide.

Research Focus

We study how microbial, molecular, and mitochondrial signaling networks regulate cardiac health and disease.


A. THE GUT–HEART AXIS: MICROBIAL CONTROL OF CARDIAC FUNCTION

The human heart does not function in isolation. Increasing evidence suggests that the intestinal microbial ecosystems play a crucial role in cardiovascular health.
Our laboratory investigates how gut microbial dysbiosis influences cardiac physiology and disease progression, particularly in heart failure.
Rather than focusing solely on correlations, we aim to uncover causal molecular mechanisms linking the gut microbiome to cardiac pathology.

We combine:

  • Metagenomics

  • Metabolomics

  • Proteomics

  • Host transcriptomics

  • Single-bacterial RNA sequencing

to identify microbial species, pathways, and metabolites that actively influence cardiac signaling and inflammation.

A unique strength of our laboratory is the implementation of single-bacterial RNA sequencing, a cutting-edge technology recently established in our lab with support from the Heidelberger-Herz-Stiftung. This approach allows us to explore microbial activity at an unprecedented resolution and understand how individual bacterial cells contribute to host-disease signaling networks. By integrating data from human patient biospecimens and mechanistic animal models, we aim to reveal how the gut microbiome becomes a functional regulator of cardiac health.

TEAM

CLINICIAN SCIENTIST

Dr. med. Salmina Guivala
salminaJose.Guivala@med.uni-heidelberg.de

Research interest- My research focuses on the role of the microbiome in heart failure with preserved ejection fraction (HFpEF). I aim to uncover how gut bacteria influence HFpEF progression and explore potential therapeutic avenues.

DOKTORANDEN

Ziqi Ma
ziqi.ma@med.uni-heidelberg.de

Research interest- My research focuses on host–microbiome interactions in cardiovascular diseases, particularly the role of IgA-coated bacteria in modulating immune responses. I am currently investigating IgA-targeted microbial populations and their potential contributions to cardiovascular pathology.

Heru Wang
heru.wang@med.uni-heidelberg.de

Research interest- My research focuses on the gut-heart axis and its metabolic regulation in cardiovascular diseases. Current efforts are directed toward identifying microbiota-derived signaling molecules that modulate systemic inflammation and restore myocardial energy homeostasis.

Tapan Kumar Baral
tapankumar.baral@med.uni-heidelberg.de

Research interest- My research focuses on understanding how the gut↔️heart axis influences cardiovascular health and disease through multi-omics approaches. In my current project, I am investigating heart failure with reduced ejection fraction (HFrEF) by integrating metagenomics, transcriptomics, and metabolomics data with clinical information. The goal is to identify microbial taxa and metabolic pathways that contribute to disease progression and uncover potential biomarkers for personalised therapeutic strategies.


B. CARDIAC PROTEIN HOMEOSTASIS AND E3 UBIQUITIN LIGASES

Cardiomyocytes rely on tightly regulated protein quality control systems to maintain cellular integrity under stress. Central to this system is the Ubiquitin Proteasome System (UPS), which governs selective protein degradation and signaling. Our laboratory investigates how E3 ubiquitin ligases regulate cardiac proteostasis and signaling pathways during physiological adaptation and pathological remodeling. We are particularly interested in understanding the cardiac roles of E3 ligases such as:

  • HectD3

  • TRIM24

  • TRIM32

These enzymes determine substrate specificity in ubiquitination, thereby controlling diverse processes including:

  • cardiac hypertrophy

  • inflammatory signaling

  • metabolic remodeling

  • ion channel regulation

  • cardiomyocyte survival

Using genetic animal models, multi-omics approaches, and advanced metabolic phenotyping, we aim to identify novel substrates and signaling pathways regulated by these E3 ligases. Deciphering these pathways may open new therapeutic opportunities to restore proteostasis and prevent heart failure progression.

TEAM

DOKTORANDEN

Hannah Bühringer
hannah.buehringer@med.uni-heidelberg.de

Research interest- My doctoral project investigates the E3 ubiquitin ligase TRIM32 and its regulatory function in metabolic signaling pathways of cardiomyocytes. The aim is to elucidate the contribution of TRIM32 to cardiometabolic homeostasis and its potential relevance as a therapeutic target in cardiac and metabolic diseases. 

Jacob Eli Garcia Torres
jacob.garcia_torres@stud.uni-heidelberg.de 

Research interest- I am particularly interested in how proteostasis and mitochondrial dysfunction contribute to cardiovascular disease. I am currently working with the lab team on two projects exploring the mechanistic roles of LETM1 and TRIM22 in heart disease.

Boyi Bao
boyi.baio@stud.uni-heidelberg.de 

Research interest- My research interest focuses on the molecular mechanisms underlying cardiovascular diseases, particularly the role of ubiquitination-related enzymes. I am currently working on HECTD3, exploring how this E3 ubiquitin ligase influences cardiovascular function, particularly through its roles in metabolism and inflammation. 


C. MOLECULAR REGULATORS OF CARDIAC STRUCTURE AND MITOCHONDRIAL FUNCTION

Cardiovascular diseases arise from complex molecular alterations that disrupt both the structural integrity and metabolic capacity of the heart. Mitochondria play a central role in cardiac energy production, calcium signaling, and metabolic adaptation.

Our research focuses on understanding how cardiac structural proteins communicate with mitochondrial regulators to maintain cardiomyocyte function. We identified SH3BGR, a cardiac protein essential for sarcomere stability and cell survival, and found that its dysregulation destabilizes the contractile apparatus and activates stress-responsive pathways such as RhoA–SRF and Hippo signaling, ultimately promoting cardiomyocyte dysfunction and cell death. Importantly, we discovered that SH3BGR interacts with LETM1, an inner mitochondrial membrane protein involved in mitochondrial ion transport, revealing an unexpected molecular link between the cardiac cytoskeleton and mitochondrial function.

Our lab has recently initiated research into LETM1, an inner mitochondrial membrane protein proposed to function as a Ca²⁺/K⁺ uniporter.

Although LETM1 has been implicated in mitochondrial ion balance, its role in cardiac physiology and disease remains largely unexplored.

We aim to determine:

  • how LETM1 regulates mitochondrial ion homeostasis

  • how mitochondrial Ca²⁺ handling affects cardiomyocyte metabolism and contractility

  • whether dysregulation contributes to cardiac remodeling and heart failure

By combining metabolic assays, mitochondrial physiology, and systems-level omics analyses, we seek to uncover new links between mitochondrial signaling and cardiac disease mechanisms.

TEAM

POSTDOC

Dr.rer.nat. Anushka Deshpande
anushka.deshpande@med.uni-heidelberg.de
Tel.: 06221-56 36820

Research interest- I am primarily interested in understanding the role of mitochondrial proteins in cardiac physiology and disease, with a focus on the inner mitochondrial membrane protein LETM1. My research work integrates metabolic analyses, advanced omics approaches, and genetic mouse models to understand how mitochondrial function regulates cardiac metabolism and remodeling. In parallel, I also utilize CRISPR-Cas-engineered LETM1 knockout stem cell models to investigate its role during cardiomyocyte differentiation and to examine potential effects on atrial-ventricular cell identity and arrhythmogenic susceptibility.

DOKTORANDEN

Jacob Eli Garcia Torres
jacob.garcia_torres@stud.uni-heidelberg.de 

Research interest- I am particularly interested in how proteostasis and mitochondrial dysfunction contribute to cardiovascular disease. I am currently working with the lab team on two projects exploring the mechanistic roles of LETM1 and TRIM22 in heart disease.


Research Techniques

Our Approach

To tackle complex cardiovascular questions, we employ an integrative strategy combining:

Experimental systems

  • transgenic mouse models

  • cellular disease models

  • human patient biospecimens

Technologies

  • single-bacterial RNA sequencing

  • metagenomics

  • metabolomics

  • proteomics

  • Seahorse metabolic assays

  • advanced molecular biology

Together, these approaches allow us to move from molecular mechanisms to systems-level understanding of cardiovascular disease.