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干细胞因子/肥大细胞/CCL2/单核细胞/巨噬细胞轴通过增加 Ly6C 单核细胞浸润和纤维生成介质的产生促进柯萨奇病毒 B3 心肌炎和心肌纤维化。

Stem cell factor/mast cell/CCL2/monocyte/macrophage axis promotes Coxsackievirus B3 myocarditis and cardiac fibrosis by increasing Ly6C monocyte influx and fibrogenic mediators production.

机构信息

Jiangsu Provincial Key Laboratory of Infection and Immunity, Institutes of Biology and Medical Sciences, Soochow University, Suzhou, China.

出版信息

Immunology. 2022 Dec;167(4):590-605. doi: 10.1111/imm.13556. Epub 2022 Aug 23.

Abstract

Mast cells (MCs), central players in allergy and parasitic infections, play key roles in inflammation and fibrosis. Here, the impact of MCs on the progression of Coxsackievirus B3 (CVB3)-induced viral myocarditis (VMC) and fibrosis was investigated using MC-deficient Kit mice. Viral titres, cellular infiltrates and heart pathologies were evaluated and compared with wild-type (WT) mice during acute CVB3 infection of C57BL/6 mice. CVB3 infection induced an increased accumulation and degranulation of MCs in the hearts of mice during acute infection. MC-deficient Kit mice had slightly higher viral titres, decreased VMC and cardiac fibrosis and improved cardiac dysfunction compared to WT mice via decreasing cardiac influx of Ly6C monocytes/macrophages (Mo/Mφ). While bone marrow-derived MC reconstitution decreased viral titre and worsened improved survival and VMC severity in Wsh mice. MC-fibroblasts co-culture revealed a cardiac MC-fibroblasts crosstalk during early infection: fibroblasts trigger MC degranulation and secretion of CCL2 and tumour necrosis factor alpha (TNF-α) via producing early stem cell factor (SCF); while MCs-fibrogenic mediators (TNF-α) stimulate fibroblasts to increase CCL2, α-smooth muscle actin (SMA), collagen and transforming growth factor beta(TGFβ) expression, thus aggravating cardiac fibrosis. MCs and fibroblast-derived CCL2s are both essential for cardiac Ly6C Mo/Mφ influx. Administration of recombinant mouse SCF to CVB3-infected mice aggravates VMC via accelerating MCs accumulation and cardiac influx of Ly6C Mo/Mφ. Collectively, our data highlight an early MC-fibroblast crosstalk and SCF/MC/CCL2/Mo/Mφ axis as important mechanisms required for triggering VMC and myocardial fibrosis. This finding indicates critical roles of MCs in initiating and modulating cardiac innate response to CVB3 and has an implication in developing new and more effective treatments for VMC.

摘要

肥大细胞(MCs)作为过敏和寄生虫感染的核心参与者,在炎症和纤维化中发挥关键作用。在这里,使用 MC 缺陷型 Kit 小鼠研究了 MC 对柯萨奇病毒 B3(CVB3)诱导的病毒性心肌炎(VMC)和纤维化进展的影响。在 C57BL/6 小鼠急性 CVB3 感染期间,评估并比较了病毒滴度、细胞浸润和心脏病理学与野生型(WT)小鼠。CVB3 感染诱导 MC 在急性感染期间在小鼠心脏中的积累和脱颗粒增加。与 WT 小鼠相比,MC 缺陷型 Kit 小鼠的病毒滴度略高,VMC 和心脏纤维化减少,心脏 Ly6C 单核细胞/巨噬细胞(Mo/Mφ)流入减少,心脏功能障碍改善。然而,骨髓来源的 MC 再构成降低了病毒滴度,并在 Wsh 小鼠中恶化了存活和 VMC 严重程度的改善。MC-成纤维细胞共培养揭示了早期感染时心脏 MC-成纤维细胞的串扰:成纤维细胞通过产生早期干细胞因子(SCF)触发 MC 脱颗粒和 CCL2 和肿瘤坏死因子 alpha(TNF-α)的分泌;而 MCs-成纤维细胞介质(TNF-α)刺激成纤维细胞增加 CCL2、α-平滑肌肌动蛋白(SMA)、胶原蛋白和转化生长因子β(TGFβ)的表达,从而加重心脏纤维化。MC 和成纤维细胞衍生的 CCL2 对于心脏 Ly6C Mo/Mφ 流入都是必不可少的。向 CVB3 感染小鼠给予重组小鼠 SCF 可通过加速 MC 积累和心脏 Ly6C Mo/Mφ 流入来加重 VMC。总之,我们的数据强调了早期 MC-成纤维细胞串扰和 SCF/MC/CCL2/Mo/Mφ 轴作为触发 VMC 和心肌纤维化所必需的重要机制。这一发现表明 MC 在启动和调节 CVB3 诱导的心脏先天反应方面发挥着关键作用,并对开发治疗 VMC 的新的、更有效的方法具有启示意义。

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