Department of Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, 430071, Wuhan, China.
Hubei Provincial Engineering Research Center of Minimally Invasive Cardiovascular Surgery, 430071, Wuhan, China.
FASEB J. 2023 May;37(5):e22911. doi: 10.1096/fj.202201506R.
Heart failure (HF) is the end stage of the progression of many cardiovascular diseases. Cardiac remodeling is the main pathophysiological process of cardiac function deterioration in HF patients. Inflammation is a key factor that stimulates cardiomyocyte hypertrophy, fibroblast proliferation, and transformation leading to myocardial remodeling, which severity is significantly related to the prognosis of patients. SAA1 (Serum amyloid A1) is a lipid-binding protein that was an important regulator involved in inflammation, whose biological functions in the heart remain rarely known. In this research, we intended to test the role of SAA1 in SAA1-deficient (SAA1 ), and wild-type mice were exposed to transverse aortic banding surgery to establish the model of cardiac remodeling. Besides, we assessed the functional effects of SAA1 on cardiac hypertrophy and fibrosis. The expression of SAA1 was increased in the mice transverse aortic banding model induced by pressure overload. After 8 weeks of transverse aortic banding, SAA1 mice displayed a lower level of cardiac fibrosis than wild-type mice, but did not significantly influence the cardiomyocyte hypertrophy. In addition, there was also no significant difference in cardiac fibrosis severity between wild-type-sham and knockout-sham mice. These findings are the first to reveal SAA1 absence hinders cardiac fibrosis after 8 weeks of transverse aortic banding. Furthermore, SAA1 deficiency had no significant effect on cardiac fibrosis and hypertrophy in the sham group in this study.
心力衰竭(HF)是许多心血管疾病进展的终末阶段。心脏重构是 HF 患者心脏功能恶化的主要病理生理过程。炎症是刺激心肌细胞肥大、成纤维细胞增殖和转化导致心肌重构的关键因素,其严重程度与患者的预后显著相关。SAA1(血清淀粉样蛋白 A1)是一种与脂质结合的蛋白,是炎症的重要调节因子,其在心脏中的生物学功能知之甚少。在这项研究中,我们旨在测试 SAA1 在 SAA1 缺陷(SAA1 -/- )中的作用,并用野生型和 SAA1 -/- 小鼠进行横主动脉缩窄手术,以建立心脏重构模型。此外,我们评估了 SAA1 对心肌肥大和纤维化的功能影响。在压力超负荷诱导的小鼠横主动脉缩窄模型中 SAA1 的表达增加。在横主动脉缩窄 8 周后,SAA1 小鼠的心脏纤维化水平低于野生型小鼠,但对心肌细胞肥大没有显著影响。此外,野生型假手术和敲除假手术小鼠的心脏纤维化严重程度也没有显著差异。这些发现首次揭示了 SAA1 缺失在横主动脉缩窄 8 周后阻碍了心脏纤维化。此外,在本研究中,SAA1 缺乏对假手术组的心脏纤维化和肥大没有显著影响。