Clec4e-Receptor Signaling in Myocardial Repair After Ischemia-Reperfusion Injury
Autor: | Denise Veltman, Piet Claus, Ellen Caluwé, Maarten Vanhaverbeke, Uwe Himmelreich, Stefan Janssens, Peter Pokreisz, Peter Sinnaeve, Willy Gsell, Ming Wu, Hilde Gillijns |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Pathology
PRR pattern recognition receptor TnT troponin T Angiogenesis CAD coronary artery disease NS not significant DAMP damage-associated molecular pattern SMC smooth muscle cell MPO myeloperoxidase myocardial remodeling Car3 carbonic anhydrase 3 Transcriptome Myocyte magnetic resonance imaging CMC cardiac myocyte Cxcr2 CXC chemokine receptor 2 ANOVA analysis of variance STEMI ST-segment elevation myocardial infarction I/R ischemia-reperfusion ECM extracellular matrix LAD left anterior descending coronary artery medicine.symptom Grk2 G protein–coupled receptor kinase 2 Cardiology and Cardiovascular Medicine Extracellular matrix organization medicine.medical_specialty qRT-PCR quantitative reverse transcription polymerase chain reaction ischemia-reperfusion injury Ischemia Inflammation Downregulation and upregulation Cxcl2 CXC chemokine ligand 2 medicine CLEC4E LV left ventricular CLEC4E C-type lectin domain family 4 member E business.industry medicine.disease Efna2 ephrin A2 WT wild-type ESV end-systolic volume AMI acute myocardial infarction inflammation RNA ribonucleic acid ACS acute coronary syndrome Preclinical Research hs-TnI high-sensitivity troponin I business Reperfusion injury MRI magnetic resonance imaging |
Zdroj: | JACC: Basic to Translational Science |
Popis: | Visual Abstract Highlights • The role of the CLEC4E during myocardial healing after ischemia-reperfusion injury is unknown. • CLEC4E deletion is associated with reduced cardiac injury, inflammation, and left ventricular structural and functional remodeling. • CLEC4E is a promising target to modulate myocardial inflammation and enhance repair after ischemia-reperfusion injury. Summary The bacterial C-type lectin domain family 4 member E (CLEC4E) has an important role in sterile inflammation, but its role in myocardial repair is unknown. Using complementary approaches in porcine, murine, and human samples, we show that CLEC4E expression levels in the myocardium and in blood correlate with the extent of myocardial injury and left ventricular (LV) functional impairment. CLEC4E expression is markedly increased in the vasculature, cardiac myocytes, and infiltrating leukocytes in the ischemic heart. Loss of Clec4e signaling is associated with reduced acute cardiac injury, neutrophil infiltration, and infarct size. Reduced myocardial injury in Clec4e–/– translates into significantly improved LV structural and functional remodeling at 4 weeks’ follow-up. The early transcriptome of LV tissue from Clec4e–/– mice versus wild-type mice reveals significant upregulation of transcripts involved in myocardial metabolism, radical scavenging, angiogenesis, and extracellular matrix organization. Therefore, targeting CLEC4E in the early phase of ischemia-reperfusion injury is a promising therapeutic strategy to modulate myocardial inflammation and enhance repair after ischemia-reperfusion injury. |
Databáze: | OpenAIRE |
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