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2013 ; 113
(12
): 1331-44
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Thrombospondin-1 induction in the diabetic myocardium stabilizes the cardiac
matrix in addition to promoting vascular rarefaction through angiopoietin-2
upregulation
#MMPMID24081879
Gonzalez-Quesada C
; Cavalera M
; Biernacka A
; Kong P
; Lee DW
; Saxena A
; Frunza O
; Dobaczewski M
; Shinde A
; Frangogiannis NG
Circ Res
2013[Dec]; 113
(12
): 1331-44
PMID24081879
show ga
RATIONALE: Diabetes mellitus is associated with cardiac fibrosis. Matricellular
proteins are induced in fibrotic conditions and modulate fibrogenic and
angiogenic responses by regulating growth factor signaling. OBJECTIVE: Our aim
was to test the hypothesis that the prototypical matricellular protein
thrombospondin (TSP)-1, a potent angiostatic molecule and crucial activator of
transforming growth factor-?, may play a key role in remodeling of the diabetic
heart. METHODS AND RESULTS: Obese diabetic db/db mice exhibited marked myocardial
TSP-1 upregulation in the interstitial and perivascular space. To study the role
of TSP-1 in remodeling of the diabetic heart, we generated and characterized
db/db TSP-1(-/-) (dbTSP) mice. TSP-1 disruption did not significantly affect
weight gain and metabolic function in db/db animals. When compared with db/db
animals, dbTSP mice had increased left ventricular dilation associated with mild
nonprogressive systolic dysfunction. Chamber dilation in dbTSP mice was
associated with decreased myocardial collagen content and accentuated matrix
metalloproteinase-2 and -9 activity. TSP-1 disruption did not affect inflammatory
gene expression and activation of transforming growth factor-?/small mothers
against decapendaplegic signaling in the db/db myocardium. In cardiac fibroblasts
populating collagen pads, TSP-1 incorporation into the matrix did not activate
transforming growth factor-? responses, but inhibited leptin-induced matrix
metalloproteinase-2 activation. TSP-1 disruption abrogated age-associated
capillary rarefaction in db/db mice, attenuating myocardial upregulation of
angiopoietin-2, a mediator that induces vascular regression. In vitro, TSP-1
stimulation increased macrophage, but not endothelial cell, angiopoietin-2
synthesis. CONCLUSIONS: TSP-1 upregulation in the diabetic heart prevents chamber
dilation by exerting matrix-preserving actions on cardiac fibroblasts and
mediates capillary rarefaction through effects that may involve angiopoietin-2
upregulation.