Lian Ruiqing, Chen Yuejie, Xu Zenglu, Zhang Xiaodong
Department of Anatomy, Histology and Embryology, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences, School of Basic Medicine, Peking Union Medical College bSchool of Medicine, Tsinghua University, Beijing, China.
Coron Artery Dis. 2010 Sep;21(6):369-77. doi: 10.1097/MCA.0b013e32833ce0c3.
Cardiac fibroblasts (CFs) regulate myocardial fibrosis and remodeling through proliferation and differentiation. Transforming growth factor-beta1 (TGF-beta1) plays a critical role in the development of myocardial fibrosis after myocardial infarction (MI). The aim of this study was to investigate the effects of inhibiting TGF-beta1 action on myofibroblast differentiation and cardiac function after MI.
CFs were cultured and treated, respectively with PBS, TGF-beta1, soluble TGF-beta1 receptor II (sTbetaRII), and TGF-beta1 plus sTbetaRII. Proliferation CFs were measured by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay. Myofibroblast differentiation was examined by alpha-smooth muscle actin immunostaining. Expression of P-Smad2 and Smad2/3 was determined by immunostaining and western blot analysis. Four days after ligation of left anterior descending coronary artery, sTbetaRII was injected into injured heart. Two weeks after sTbetaRII administration, myofibroblast differentiation was measured with alpha-smooth muscle actin immunostaining. Four weeks after sTbetaRII administration, cardiac function was evaluated by hemodynamic measurements. Weight parameters, infarct size, and collagen fiber were detected with an earlier experimental method.
Compared with TGF-beta1, TGF-beta1 plus sTbetaRII significantly decreased cell proliferation, myofibroblast differentiation, and expression of P-Smad2 in CFs (P<0.05). Two weeks after sTbetaRII administration, myofibroblast differentiation in MI rats treated with sTbetaRII was reduced compared with MI group (P<0.05). Four weeks after sTbetaRII administration, MI rats that received sTbetaRII showed significantly higher cardiac function and lower in weight parameters, infarct size, and collagen fiber than that of MI group (P<0.05).
sTbetaRII could inhibit TGF-beta1-induced myofibroblast differentiation, alleviate myocardial fibrosis and remodeling, and improve ischemic cardiac function after MI.
心脏成纤维细胞(CFs)通过增殖和分化调节心肌纤维化和重塑。转化生长因子-β1(TGF-β1)在心肌梗死(MI)后心肌纤维化的发展中起关键作用。本研究旨在探讨抑制TGF-β1作用对MI后肌成纤维细胞分化和心脏功能的影响。
分别用PBS、TGF-β1、可溶性TGF-β1受体II(sTβRII)以及TGF-β1加sTβRII培养和处理CFs。采用3-(4,5-二甲基噻唑-2-基)-2,5-二苯基四氮唑溴盐(MTT)法检测CFs增殖情况。通过α-平滑肌肌动蛋白免疫染色检测肌成纤维细胞分化。采用免疫染色和蛋白质印迹分析测定P-Smad2和Smad2/3的表达。在左冠状动脉前降支结扎4天后,将sTβRII注入受损心脏。给予sTβRII两周后,用α-平滑肌肌动蛋白免疫染色检测肌成纤维细胞分化。给予sTβRII四周后,通过血流动力学测量评估心脏功能。用早期实验方法检测体重参数、梗死面积和胶原纤维。
与TGF-β1相比,TGF-β1加sTβRII显著降低了CFs中的细胞增殖、肌成纤维细胞分化以及P-Smad2的表达(P<0.05)。给予sTβRII两周后,与MI组相比,接受sTβRII治疗的MI大鼠的肌成纤维细胞分化减少(P<0.05)。给予sTβRII四周后,接受sTβRII的MI大鼠的心脏功能显著高于MI组,体重参数、梗死面积和胶原纤维低于MI组(P<0.05)。
sTβRII可抑制TGF-β1诱导的肌成纤维细胞分化,减轻心肌纤维化和重塑,并改善MI后的缺血性心脏功能。