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2015 ; 4
(6
): e001993
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Necrotic myocardial cells release damage-associated molecular patterns that
provoke fibroblast activation in vitro and trigger myocardial inflammation and
fibrosis in vivo
#MMPMID26037082
Zhang W
; Lavine KJ
; Epelman S
; Evans SA
; Weinheimer CJ
; Barger PM
; Mann DL
J Am Heart Assoc
2015[Jun]; 4
(6
): e001993
PMID26037082
show ga
BACKGROUND: Tissue injury triggers inflammatory responses that promote tissue
fibrosis; however, the mechanisms that couple tissue injury, inflammation, and
fibroblast activation are not known. Given that dying cells release
proinflammatory "damage-associated molecular patterns" (DAMPs), we asked whether
proteins released by necrotic myocardial cells (NMCs) were sufficient to activate
fibroblasts in vitro by examining fibroblast activation after stimulation with
proteins released by necrotic myocardial tissue, as well as in vivo by injecting
proteins released by necrotic myocardial tissue into the hearts of mice and
determining the extent of myocardial inflammation and fibrosis at 72 hours.
METHODS AND RESULTS: The freeze-thaw technique was used to induce myocardial
necrosis in freshly excised mouse hearts. Supernatants from NMCs contained
multiple DAMPs, including high mobility group box-1 (HMGB1), galectin-3, S100?,
S100A8, S100A9, and interleukin-1?. NMCs provoked a significant increase in
fibroblast proliferation, ?-smooth muscle actin activation, and collagen 1A1 and
3A1 mRNA expression and significantly increased fibroblast motility in a
cell-wounding assay in a Toll-like receptor 4 (TLR4)- and receptor for advanced
glycation end products-dependent manner. NMC stimulation resulted in a
significant 3- to 4-fold activation of Akt and Erk, whereas pretreatment with Akt
(A6730) and Erk (U0126) inhibitors decreased NMC-induced fibroblast proliferation
dose-dependently. The effects of NMCs on cell proliferation and collagen gene
expression were mimicked by several recombinant DAMPs, including HMGB1 and
galectin-3. Moreover, immunodepletion of HMGB1 in NMC supernatants abrogated
NMC-induced cell proliferation. Finally, injection of NMC supernatants or
recombinant HMGB1 into the heart provoked increased myocardial inflammation and
fibrosis in wild-type mice but not in TLR4-deficient mice. CONCLUSIONS: These
studies constitute the initial demonstration that DAMPs released by NMCs induce
fibroblast activation in vitro, as well as myocardial inflammation and fibrosis
in vivo, at least in part, through TLR4-dependent signaling.