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2015 ; 6
(5
): e1765
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Activation of NRG1-ERBB4 signaling potentiates mesenchymal stem cell-mediated
myocardial repairs following myocardial infarction
#MMPMID25996292
Liang X
; Ding Y
; Zhang Y
; Chai YH
; He J
; Chiu SM
; Gao F
; Tse HF
; Lian Q
Cell Death Dis
2015[May]; 6
(5
): e1765
PMID25996292
show ga
Mesenchymal stem cell (MSC) transplantation has achieved only modest success in
the treatment of ischemic heart disease owing to poor cell viability in the
diseased microenvironment. Activation of the NRG1 (neuregulin1)-ERBB4 (v-erb-b2
avian erythroblastic leukemia viral oncogene homolog 4) signaling pathway has
been shown to stimulate mature cardiomyocyte cell cycle re-entry and cell
division. In this connection, we aimed to determine whether overexpression of
ERBB4 in MSCs can enhance their cardio-protective effects following myocardial
infarction. NRG1, MSCs or MSC-ERBB4 (MSC with ERBB4 overexpression), were
transplanted into mice following myocardial infarction. Superior to that of MSCs
and solely NRG1, MSC-ERBB4 transplantation significantly preserved heart
functions accompanied with reduced infarct size, enhanced cardiomyocyte division
and less apoptosis during early phase of infarction. The transduction of ERBB4
into MSCs indeed increased cell mobility and apoptotic resistance under hypoxic
and glucose-deprived conditions via a PI3K/Akt signaling pathway in the presence
of NRG1. Unexpectedly, introduction of ERBB4 into MSC in turn potentiates NRG1
synthesis and secretion, thus forming a novel NRG1-ERBB4-NRG1 autocrine loop.
Conditioned medium of MSC-ERBB4 containing elevated NRG1, promoted cardiomyocyte
growth and division, whereas neutralization of NRG1 blunted this proliferation.
These findings collectively suggest that ERBB4 overexpression potentiates MSC
survival in the infarcted heart, enhances NRG1 generation to restore declining
NRG1 in the infarcted region and stimulates cardiomyocyte division. ERBB4 has an
important role in MSC-mediated myocardial repairs.