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2018 ; 33
(9
): 1094-1105
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TRPM7 regulates angiotensin II-induced sinoatrial node fibrosis in sick sinus
syndrome rats by mediating Smad signaling
#MMPMID29511803
Zhong H
; Wang T
; Lian G
; Xu C
; Wang H
; Xie L
Heart Vessels
2018[Sep]; 33
(9
): 1094-1105
PMID29511803
show ga
Sinoatrial node fibrosis is involved in the pathogenesis of sinus sick syndrome
(SSS). Transient receptor potential (TRP) subfamily M member 7 (TRPM7) is
implicated in cardiac fibrosis. However, the mechanisms underlying the regulation
of sinoatrial node (SAN) fibrosis in SSS by TRPM7 remain unknown. The aim of this
study was to investigate the role of angiotensin II (Ang II)/TRPM7/Smad pathway
in the SAN fibrosis in rats with SSS. The rat SSS model was established with
sodium hydroxide pinpoint pressing permeation. Forty-eight rats were randomly
divided into six groups: normal control (ctrl), sham operation (sham),
postoperative 1-, 2-, 3-, and 4-week SSS, respectively. The tissue explant
culture method was used to culture cardiac fibroblasts (CFs) from rat SAN
tissues. TRPM7 siRNA or encoding plasmids were used to knock down or overexpress
TRPM7. Collagen (Col) distribution in SAN and atria was assessed using
PASM-Masson staining. Ang II, Col I, and Col III levels in serum and tissues or
in CFs were determined by ELISA. TRPM7, smad2 and p-smad2 levels were evaluated
by real-time PCR, and/or western blot and immunohistochemistry. SAN and atria in
rats of the SSS groups had more fibers and higher levels of Ang II, Col I and III
than the sham rats. Similar findings were obtained for TRPM7 and pSmad2
expression. In vitro, Ang II promoted CFs collagen synthesis in a dose-dependent
manner, and potentiated TRPM7 and p-Smad2 expression. TRPM7 depletion inhibited
Ang II-induced p-Smad2 expression and collagen synthesis in CFs, whereas
increased TRPM7 expression did the opposite. SAN fibrosis is regulated by the Ang
II/TRPM7/Smad pathway in SSS, indicating that TRPM7 is a potential target for SAN
fibrosis therapy in SSS.