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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+Cell+Mol+Med
2014 ; 18
(6
): 1018-27
Nephropedia Template TP
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Protective role of 5-azacytidine on myocardial infarction is associated with
modulation of macrophage phenotype and inhibition of fibrosis
#MMPMID24571348
Kim YS
; Kang WS
; Kwon JS
; Hong MH
; Jeong HY
; Jeong HC
; Jeong MH
; Ahn Y
J Cell Mol Med
2014[Jun]; 18
(6
): 1018-27
PMID24571348
show ga
We examined whether a shift in macrophage phenotype could be therapeutic for
myocardial infarction (MI). The mouse macrophage cell line RAW264.7 was
stimulated with peptidoglycan (PGN), with or without 5-azacytidine (5AZ)
treatment. MI was induced by ligation of the left anterior descending coronary
artery in rats, and the rats were divided into two groups; a saline-injection
group and a 5AZ-injection group (2.5 mg/kg/day, intraperitoneal injection). LV
function was evaluated and immunohistochemical analyses were performed 2 weeks
after MI. Cardiac fibrosis was induced by angiotensin II (AngII) infusion with or
without 5AZ (5 mg/kg/day) in mice. Nitric oxide was produced by PGN, which was
reduced by 77.87% after 5AZ treatment. Both induction of inducible nitric oxide
synthase (iNOS) and iNOS promoter activity by PGN were inhibited by 5AZ. Ejection
fraction (59.00 ± 8.03% versus 42.52 ± 2.58%), contractility (LV dP/dt-max,
8299.76 ± 411.56 mmHg versus 6610.36 ± 282.37 mmHg) and relaxation indices (LV
dP/dt-min, -4661.37 ± 210.73 mmHg versus -4219.50 ± 162.98 mmHg) were improved
after 5AZ administration. Cardiac fibrosis in the MI+5AZ was 8.14 ± 1.00%,
compared with 14.93 ± 2.98% in the MI group (P < 0.05). Arginase-1(+)CD68(+)
macrophages with anti-inflammatory phenotype were predominant in the infarct
border zone of the MI+5AZ group, in comparison with the MI group. AngII-induced
cardiac fibrosis was also attenuated after 5AZ administration. In cardiac
fibroblasts, pro-fibrotic mediators and cell proliferation were increased by
AngII, and these increases were attenuated after 5AZ treatment. 5AZ exerts its
cardiac protective role through modulation of macrophages and cardiac
fibroblasts.