Shibamoto Masato, Higo Tomoaki, Naito Atsuhiko T, Nakagawa Akito, Sumida Tomokazu, Okada Katsuki, Sakai Taku, Kuramoto Yuki, Yamaguchi Toshihiro, Ito Masamichi, Masumura Yuki, Higo Shuichirou, Lee Jong-Kook, Hikoso Shungo, Komuro Issei, Sakata Yasushi
Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine.
Department of Pharmacology, Faculty of Medicine, Toho University.
Int Heart J. 2019 Jul 27;60(4):944-957. doi: 10.1536/ihj.18-701. Epub 2019 Jun 28.
Cardiac fibrosis plays an important role in cardiac remodeling after myocardial infarction (MI). The molecular mechanisms that promote cardiac fibrosis after MI are well studied; however, the mechanisms by which the progression of cardiac fibrosis becomes attenuated after MI remain poorly understood. Recent reports show the role of cellular senescence in limiting tissue fibrosis. In the present study, we tested whether cellular senescence of cardiac fibroblasts (CFs) plays a role in attenuating the progression of cardiac fibrosis after MI. We found that the number of γH2AX-positive CFs increased up to day 7, whereas the number of proliferating CFs peaked at day 4 after MI. Senescent CFs were also observed at day 7, suggesting that attenuation of CF proliferation occurred simultaneously with the activation of the DNA damage response (DDR) system and the appearance of senescent CFs. We next cultured senescent CFs with non-senescent CFs and showed that senescent CFs suppressed proliferation of the surrounding non-senescent CFs in a juxtacrine manner. We also found that the blockade of DDR by Atm gene deletion sustained the proliferation of CFs and exacerbated the cardiac fibrosis at the early stage after MI. Our results indicate the role of DDR activation and cellular senescence in limiting cardiac fibrosis after MI. Regulation of cellular senescence in CFs may become one of the therapeutic strategies for preventing cardiac remodeling after MI.
心肌梗死后,心脏纤维化在心脏重塑过程中发挥着重要作用。促进心肌梗死后心脏纤维化的分子机制已得到充分研究;然而,心肌梗死后心脏纤维化进展减弱的机制仍知之甚少。最近的报告显示细胞衰老在限制组织纤维化方面的作用。在本研究中,我们测试了心脏成纤维细胞(CFs)的细胞衰老是否在减轻心肌梗死后心脏纤维化进展中发挥作用。我们发现,γH2AX阳性CFs的数量在第7天前增加,而增殖性CFs的数量在心肌梗死后第4天达到峰值。在第7天也观察到衰老的CFs,这表明CF增殖的减弱与DNA损伤反应(DDR)系统的激活和衰老CFs的出现同时发生。接下来,我们将衰老的CFs与非衰老的CFs一起培养,结果显示衰老的CFs以旁分泌方式抑制周围非衰老CFs的增殖。我们还发现,通过缺失Atm基因阻断DDR可维持CFs的增殖,并在心肌梗死后早期加剧心脏纤维化。我们的结果表明DDR激活和细胞衰老在限制心肌梗死后心脏纤维化方面的作用。调节CFs中的细胞衰老可能成为预防心肌梗死后心脏重塑的治疗策略之一。