Mia Masum M, Cibi Dasan Mary, Abdul Ghani Siti Aishah Binte, Song Weihua, Tee Nicole, Ghosh Sujoy, Mao Junhao, Olson Eric N, Singh Manvendra K
Cardiovascular and Metabolic Disorders Program, Duke-NUS Medical School Singapore. Singapore.
National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore.
PLoS Biol. 2020 Dec 2;18(12):e3000941. doi: 10.1371/journal.pbio.3000941. eCollection 2020 Dec.
Adverse cardiac remodeling after myocardial infarction (MI) causes structural and functional changes in the heart leading to heart failure. The initial post-MI pro-inflammatory response followed by reparative or anti-inflammatory response is essential for minimizing the myocardial damage, healing, and scar formation. Bone marrow-derived macrophages (BMDMs) are recruited to the injured myocardium and are essential for cardiac repair as they can adopt both pro-inflammatory or reparative phenotypes to modulate inflammatory and reparative responses, respectively. Yes-associated protein (YAP) and transcriptional coactivator with PDZ-binding motif (TAZ) are the key mediators of the Hippo signaling pathway and are essential for cardiac regeneration and repair. However, their functions in macrophage polarization and post-MI inflammation, remodeling, and healing are not well established. Here, we demonstrate that expression of YAP and TAZ is increased in macrophages undergoing pro-inflammatory or reparative phenotype changes. Genetic deletion of YAP/TAZ leads to impaired pro-inflammatory and enhanced reparative response. Consistently, YAP activation enhanced pro-inflammatory and impaired reparative response. We show that YAP/TAZ promote pro-inflammatory response by increasing interleukin 6 (IL6) expression and impede reparative response by decreasing Arginase-I (Arg1) expression through interaction with the histone deacetylase 3 (HDAC3)-nuclear receptor corepressor 1 (NCoR1) repressor complex. These changes in macrophages polarization due to YAP/TAZ deletion results in reduced fibrosis, hypertrophy, and increased angiogenesis, leading to improved cardiac function after MI. Also, YAP activation augmented MI-induced cardiac fibrosis and remodeling. In summary, we identify YAP/TAZ as important regulators of macrophage-mediated pro-inflammatory or reparative responses post-MI.
心肌梗死(MI)后发生的不良心脏重塑会导致心脏结构和功能改变,进而引发心力衰竭。MI后最初的促炎反应,随后的修复或抗炎反应,对于将心肌损伤、愈合和瘢痕形成降至最低至关重要。骨髓来源的巨噬细胞(BMDMs)被募集到受损心肌,对心脏修复至关重要,因为它们可以分别采用促炎或修复表型来调节炎症和修复反应。Yes相关蛋白(YAP)和具有PDZ结合基序的转录共激活因子(TAZ)是Hippo信号通路的关键介质,对心脏再生和修复至关重要。然而,它们在巨噬细胞极化以及MI后炎症、重塑和愈合中的功能尚未完全明确。在此,我们证明YAP和TAZ的表达在经历促炎或修复表型变化的巨噬细胞中增加。YAP/TAZ基因缺失导致促炎反应受损和修复反应增强。同样,YAP激活增强促炎反应并损害修复反应。我们表明,YAP/TAZ通过增加白细胞介素6(IL6)的表达促进促炎反应,并通过与组蛋白去乙酰化酶3(HDAC3)-核受体共抑制因子1(NCoR1)抑制复合物相互作用降低精氨酸酶-I(Arg1)的表达来阻碍修复反应。由于YAP/TAZ缺失导致的巨噬细胞极化变化,使得纤维化减轻、肥大减轻以及血管生成增加,从而改善MI后的心脏功能。此外,YAP激活加剧了MI诱导的心脏纤维化和重塑。总之,我们确定YAP/TAZ是MI后巨噬细胞介导的促炎或修复反应的重要调节因子。