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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 Cardiovasc+Res
2014 ; 102
(3
): 407-17
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Integrins ?v?5 and ?v?3 promote latent TGF-?1 activation by human cardiac
fibroblast contraction
#MMPMID24639195
Sarrazy V
; Koehler A
; Chow ML
; Zimina E
; Li CX
; Kato H
; Caldarone CA
; Hinz B
Cardiovasc Res
2014[Jun]; 102
(3
): 407-17
PMID24639195
show ga
AIMS: Pathological tissue remodelling by myofibroblast contraction is a hallmark
of cardiac fibrosis. Myofibroblasts differentiate from cardiac fibroblasts under
the action of transforming growth factor-?1 (TGF-?1), which is secreted into the
extracellular matrix as a large latent complex. Integrin-mediated traction forces
activate TGF-?1 by inducing a conformational change in the latent complex. The
mesenchymal integrins ?v?5 and ?v?3 are expressed in the heart, but their role in
the activation of TGF-?1 remains elusive. Here, we test whether targeting ?v?5
and ?v?3 integrins reduces latent TGF-?1 activation by cardiac fibroblasts with
the goal to prevent the formation of ?-smooth muscle actin (?-SMA)-expressing
cardiac myofibroblasts and their contribution to fibrosis. METHODS AND RESULTS:
Using a porcine model of induced right ventricular fibrosis and pro-fibrotic
culture conditions, we show that integrins ?v?5 and ?v?3 are up-regulated in
myofibroblast-enriched fibrotic lesions and differentiated cultured human cardiac
myofibroblasts. Both integrins autonomously contribute to latent TGF-?1
activation and myofibroblast differentiation, as demonstrated by
function-blocking peptides and antibodies. Acute blocking of both integrins leads
to significantly reduced TGF-?1 activation by cardiac fibroblast contraction and
loss of ?-SMA expression, which is restored by adding active TGF-?1. Manipulating
integrin protein levels in overexpression and shRNA experiments reveals that both
integrins can compensate for each other with respect to TGF-?1 activation and
induction of ?-SMA expression. CONCLUSIONS: Integrins ?v?5 and ?v?3 both control
myofibroblast differentiation by activating latent TGF-?1. Pharmacological
targeting of mesenchymal integrins is a possible strategy to selectively block
TGF-?1 activation by cardiac myofibroblasts and progression of fibrosis in the
heart.