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Tenascin C 在升主动脉带瓣成形术后心脏逆向重构中的作用。

The Role of Tenascin C in Cardiac Reverse Remodeling Following Banding-Debanding of the Ascending Aorta.

机构信息

Ludwig Boltzmann Institute for Cardiovascular Research at the Center for Biomedical Research, Medical University of Vienna, 1090 Vienna, Austria.

Bioengineering and Aerospace Engineering Department, Carlos III University of Madrid, 28911 Madrid, Spain.

出版信息

Int J Mol Sci. 2021 Feb 18;22(4):2023. doi: 10.3390/ijms22042023.

DOI:10.3390/ijms22042023
PMID:33670747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7921966/
Abstract

BACKGROUND

Tenascin-C (TN-C) plays a maladaptive role in left ventricular (LV) hypertrophy following pressure overload. However, the role of TN-C in LV regression following mechanical unloading is unknown.

METHODS

LV hypertrophy was induced by transverse aortic constriction for 10 weeks followed by debanding for 2 weeks in wild type (Wt) and TN-C knockout (TN-C KO) mice. Cardiac function was assessed by serial magnetic resonance imaging. The expression of fibrotic markers and drivers (angiotensin-converting enzyme-1, ACE-1) was determined in LV tissue as well as human cardiac fibroblasts (HCFs) after TN-C treatment.

RESULTS

Chronic pressure overload resulted in a significant decline in cardiac function associated with LV dilation as well as upregulation of TN-C, collagen 1 (Col 1), and ACE-1 in Wt as compared to TN-C KO mice. Reverse remodeling in Wt mice partially improved cardiac function and fibrotic marker expression; however, TN-C protein expression remained unchanged. In HCF, TN-C strongly induced the upregulation of ACE 1 and Col 1.

CONCLUSIONS

Pressure overload, when lasting long enough to induce HF, has less potential for reverse remodeling in mice. This may be due to significant upregulation of TN-C expression, which stimulates ACE 1, Col 1, and alpha-smooth muscle actin (α-SMA) upregulation in fibroblasts. Consequently, addressing TN-C in LV hypertrophy might open a new window for future therapeutics.

摘要

背景

Tenascin-C(TN-C)在压力超负荷后左心室(LV)肥厚中发挥适应性作用。然而,TN-C 在机械卸载后 LV 逆重构中的作用尚不清楚。

方法

通过横主动脉缩窄在野生型(Wt)和 TN-C 敲除(TN-C KO)小鼠中诱导 LV 肥厚 10 周,然后再去带 2 周。通过连续磁共振成像评估心功能。在 LV 组织以及 TN-C 处理后的人心成纤维细胞(HCF)中测定纤维化标志物和驱动因子(血管紧张素转换酶-1,ACE-1)的表达。

结果

慢性压力超负荷导致心功能显著下降,与 LV 扩张以及与 TN-C KO 小鼠相比,Wt 小鼠中的 TN-C、胶原 1(Col 1)和 ACE-1 上调有关。Wt 小鼠的逆重构部分改善了心功能和纤维化标志物的表达;然而,TN-C 蛋白表达保持不变。在 HCF 中,TN-C 强烈诱导 ACE 1 和 Col 1 的上调。

结论

当压力超负荷持续足够长的时间以诱导 HF 时,小鼠的逆重构潜力较小。这可能是由于 TN-C 表达的显著上调,刺激了成纤维细胞中 ACE 1、Col 1 和α-平滑肌肌动蛋白(α-SMA)的上调。因此,在 LV 肥厚中解决 TN-C 问题可能为未来的治疗开辟新的窗口。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d599/7921966/3e12397b587a/ijms-22-02023-g006.jpg
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