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成肌细胞移植通过减轻炎症反应改善心肌梗死后的心功能。

Myoblast transplantation improves cardiac function after myocardial infarction through attenuating inflammatory responses.

作者信息

Wang Bo, Zhang Likui, Cao Hao, Yang Junqi, Wu Manya, Ma Yali, Fan Huimin, Zhan Zhenzhen, Liu Zhongmin

机构信息

Key Laboratory of Arrhythmias of the Ministry of Education of China and Institute of Heart Failure, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.

Department of Cardiac Surgery and Institute of Heart Failure, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China.

出版信息

Oncotarget. 2017 May 27;8(40):68780-68794. doi: 10.18632/oncotarget.18244. eCollection 2017 Sep 15.

Abstract

Myocardial infarction (MI) is a highly prevalent cardiac emergency, which results in adverse cardiac remodeling and then exacerbates progressive heart failure. Inflammatory responses in cardiac tissue after MI is necessary for myocardium repair and wound healing. However, the excessive inflammation is also a key component of subsequent heart failure pathology. Myoblast transplantation after MI have been fulfilled attractive effects on cardiac repair, but the complications of transplantation and the underlying mechanisms have not been fully elucidated. Here, we found that human myoblast transplantation into minipig myocardium decreased the infiltration of inflammatory cells, the expression levels of many pro-inflammatory genes and the activation of inflammation-related signal pathways, while upregulated the expression levels of anti-inflammatory genes such as IL-10 in cardiac tissue of minipig post-MI, which was contributed to the improved cardiac function, the decreased infarct area and the attenuated myocardial fibrosis. Moreover, co-culture of human myoblasts inhibited the production of IL-1β and TNF-α as well as activation of MAPK and NF-κB signaling pathway induced by damage-associated molecular patterns such as HMGB1 and HSP60 in human THP-1 cells, which was partially attributed to the up-regulated production of IL-10. Collectively, these results indicate that myoblast transplantation ameliorates heart injury and improves cardiac function post-MI through inhibiting the inflammatory response, which provides the novel mechanism for myoblast transplantation therapy of MI.

摘要

心肌梗死(MI)是一种高度常见的心脏急症,会导致不良的心脏重塑,进而加剧进行性心力衰竭。心肌梗死后心脏组织中的炎症反应对于心肌修复和伤口愈合是必要的。然而,过度炎症也是后续心力衰竭病理的关键组成部分。心肌梗死后成肌细胞移植对心脏修复产生了有吸引力的效果,但移植的并发症和潜在机制尚未完全阐明。在这里,我们发现将人成肌细胞移植到小型猪心肌中可减少炎症细胞浸润、许多促炎基因的表达水平以及炎症相关信号通路的激活,同时上调小型猪心肌梗死后心脏组织中抗炎基因如IL-10的表达水平,这有助于改善心脏功能、减小梗死面积并减轻心肌纤维化。此外,人成肌细胞的共培养抑制了人THP-1细胞中由损伤相关分子模式如HMGB1和HSP60诱导的IL-1β和TNF-α的产生以及MAPK和NF-κB信号通路的激活,这部分归因于IL-10产生的上调。总体而言,这些结果表明成肌细胞移植通过抑制炎症反应改善心肌梗死后的心脏损伤并改善心脏功能,这为心肌梗死的成肌细胞移植治疗提供了新机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d236/5620296/e7b99edccd99/oncotarget-08-68780-g001.jpg

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