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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Am+Coll+Cardiol
2014 ; 63
(15
): 1556-66
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In vivo silencing of the transcription factor IRF5 reprograms the macrophage
phenotype and improves infarct healing
#MMPMID24361318
Courties G
; Heidt T
; Sebas M
; Iwamoto Y
; Jeon D
; Truelove J
; Tricot B
; Wojtkiewicz G
; Dutta P
; Sager HB
; Borodovsky A
; Novobrantseva T
; Klebanov B
; Fitzgerald K
; Anderson DG
; Libby P
; Swirski FK
; Weissleder R
; Nahrendorf M
J Am Coll Cardiol
2014[Apr]; 63
(15
): 1556-66
PMID24361318
show ga
OBJECTIVES: The aim of this study was to test whether silencing of the
transcription factor interferon regulatory factor 5 (IRF5) in cardiac macrophages
improves infarct healing and attenuates post-myocardial infarction (MI)
remodeling. BACKGROUND: In healing wounds, the M1 toward M2 macrophage phenotype
transition supports resolution of inflammation and tissue repair. Persistence of
inflammatory M1 macrophages may derail healing and compromise organ functions.
The transcription factor IRF5 up-regulates genes associated with M1 macrophages.
METHODS: Here we used nanoparticle-delivered small interfering ribonucleic acid
(siRNA) to silence IRF5 in macrophages residing in MIs and in surgically-induced
skin wounds in mice. RESULTS: Infarct macrophages expressed high levels of IRF5
during the early inflammatory wound-healing stages (day 4 after coronary
ligation), whereas expression of the transcription factor decreased during the
resolution of inflammation (day 8). Following in vitro screening, we identified
an siRNA sequence that, when delivered by nanoparticles to wound macrophages,
efficiently suppressed expression of IRF5 in vivo. Reduction of IRF5 expression,
a factor that regulates macrophage polarization, reduced expression of
inflammatory M1 macrophage markers, supported resolution of inflammation,
accelerated cutaneous and infarct healing, and attenuated development of post-MI
heart failure after coronary ligation as measured by protease targeted
fluorescence molecular tomography-computed tomography imaging and cardiac
magnetic resonance imaging (p < 0.05). CONCLUSIONS: This work identified a new
therapeutic avenue to augment resolution of inflammation in healing infarcts by
macrophage phenotype manipulation. This therapeutic concept may be used to
attenuate post-MI remodeling and heart failure.