Hofmann Ulrich, Knorr Susanne, Vogel Benjamin, Weirather Johannes, Frey Anna, Ertl Georg, Frantz Stefan
From the Department of Internal Medicine I, University Hospital Würzburg, Germany, and Comprehensive Heart Failure Center, University of Würzburg, Germany.
Circ Heart Fail. 2014 Sep;7(5):822-30. doi: 10.1161/CIRCHEARTFAILURE.113.001020. Epub 2014 Jun 26.
Activation of innate immunity, especially infiltration of monocytes, is critical for proper wound healing and scar formation after myocardial infarction (MI). Therefore, we tested the hypothesis that interleukin-13 (IL-13), which influences the differentiation of monocytes/macrophages and has profibrotic properties, modulates wound healing and remodeling after MI.
MI was induced by permanent ligation of the left coronary artery in both male and female wild-type (WT)/IL-13(-/-) mice. Real-time polymerase chain reaction demonstrated that expression of IL-13 was induced in left and right ventricular myocardium of WT mice within days in response to MI. Fifty-six-day survival was significantly impaired (65% in WT versus 34% in IL-13(-/-)) in male but not female IL-13(-/-) (55% in WT versus 54% in IL-13(-/-)) mice. Serial echocardiography showed significantly increased left ventricular dilation in male IL-13(-/-) compared with WT mice starting from day 1 after MI, despite comparable infarct size. Fluorescence-activated cell sorter analysis revealed less leukocyte infiltration in male IL-13(-/-) mice on day 3. Real-time polymerase chain reaction analysis demonstrated reduced expression of marker genes of alternative activation in monocytes sorted from the infarct zone of male IL-13(-/-) in comparison with WT mice on day 3 after MI.
Genetic deficiency of IL-13 worsens outcome after MI in male mice. Our data indicate that IL-13 regulates leukocyte recruitment and induces M2-like monocyte/macrophage differentiation, which modifies wound healing within the infarct zone.
固有免疫的激活,尤其是单核细胞的浸润,对于心肌梗死(MI)后伤口的正常愈合和瘢痕形成至关重要。因此,我们检验了这样一个假设,即影响单核细胞/巨噬细胞分化并具有促纤维化特性的白细胞介素-13(IL-13)可调节MI后的伤口愈合和重塑。
通过永久性结扎雄性和雌性野生型(WT)/IL-13基因敲除(-/-)小鼠的左冠状动脉诱导MI。实时聚合酶链反应表明,WT小鼠在MI后数天内,左、右心室心肌中IL-13的表达被诱导。雄性IL-13(-/-)小鼠的56天生存率显著受损(WT为65%,IL-13(-/-)为34%),而雌性IL-13(-/-)小鼠则无此现象(WT为55%,IL-13(-/-)为54%)。系列超声心动图显示,雄性IL-13(-/-)小鼠自MI后第1天起,与WT小鼠相比,左心室扩张显著增加,尽管梗死面积相当。荧光激活细胞分选分析显示,雄性IL-13(-/-)小鼠在第3天白细胞浸润较少。实时聚合酶链反应分析表明,与MI后第3天WT小鼠相比,从雄性IL-13(-/-)梗死区分选的单核细胞中,替代激活标记基因的表达降低。
IL-13基因缺陷会使雄性小鼠MI后的预后恶化。我们的数据表明,IL-13调节白细胞募集并诱导M2样单核细胞/巨噬细胞分化,从而改变梗死区内的伤口愈合。