Department of Cardiology of The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China; Cardiovascular Key Laboratory of Zhejiang Province, Hangzhou, PR China; Binjiang Institute of Zhejiang University, 66 Dongxin Road, Hangzhou 310053, PR China.
Department of Cardiology of The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, PR China; Cardiovascular Key Laboratory of Zhejiang Province, Hangzhou, PR China.
Eur J Cell Biol. 2023 Jun;102(2):151288. doi: 10.1016/j.ejcb.2023.151288. Epub 2023 Jan 18.
Fibrotic cardiac diseases are characterized by myocardial fibrosis that results in maladaptive cardiac remodeling. Cardiac fibroblasts (CFs) are the main cell type responsible for fibrosis. In response to stress or injury, intrinsic CFs develop into myofibroblasts and produce excess extracellular matrix (ECM) proteins. Myofibroblasts are mechanosensitive cells that can detect changes in tissue stiffness and respond accordingly. Previous studies have revealed that some mechanical stimuli control fibroblast behaviors, including ECM formation, cell migration, and other phenotypic traits. Further, metabolic alteration is reported to regulate fibrotic signaling cascades, such as the transforming growth factor-β pathway and ECM deposition. However, the relationship between metabolic changes and mechanical stress during fibroblast-to-myofibroblast transition remains unclear. This review aims to elaborate on the crosstalk between mechanical stress and metabolic changes during the pathological transition of cardiac fibroblasts.
纤维性心脏病的特征是心肌纤维化,导致适应性心脏重构。心脏成纤维细胞(CFs)是负责纤维化的主要细胞类型。在应激或损伤时,内在的 CFs 会发展为肌成纤维细胞并产生过多的细胞外基质(ECM)蛋白。肌成纤维细胞是机械敏感细胞,可以检测到组织硬度的变化并做出相应反应。先前的研究表明,一些机械刺激可以控制成纤维细胞的行为,包括 ECM 的形成、细胞迁移和其他表型特征。此外,代谢改变被报道可以调节纤维化信号通路,如转化生长因子-β通路和 ECM 沉积。然而,在成纤维细胞向肌成纤维细胞转化过程中,代谢变化与机械应激之间的关系尚不清楚。这篇综述旨在详细阐述机械应激和代谢变化在心脏成纤维细胞病理转化过程中的相互作用。
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