Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States.
Am J Physiol Heart Circ Physiol. 2024 Nov 1;327(5):H1230-H1243. doi: 10.1152/ajpheart.00392.2024. Epub 2024 Sep 27.
Heart failure is a major cause of mortality following myocardial infarction. Neutrophils are among the first immune cells to accumulate in the infarcted region. Although beneficial functions of neutrophils in heart injury are now appreciated, neutrophils are also well known for their ability to exacerbate inflammation and promote tissue damage. Myocardial infarction induces hypoxia, where hypoxia-inducible factors (HIFs) are activated and play critical roles in cellular functions. In this context, the role of in neutrophils during myocardial infarction is unknown. Here, we demonstrate that neutrophil deletion markedly attenuates myocardial infarct size, improves cardiac function, reduces neutrophil survival and tissue accumulation, and correlates with increased macrophage engulfment rates. Mechanistic studies revealed that promotes neutrophil survival through binding to hypoxia response element (HRE) in the promoter region of to regulate expression of the prosurvival factor, cellular inhibitor of apoptosis protein-1 (cIAP1). Inhibition of cIAP1 in neutrophils using the pharmacological agent, Birinapant resulted in increased cell death, establishing a critical role of cIAP1 downstream of in neutrophil survival. Taken together, our data demonstrate a protective effect of deletion in neutrophils on cardiac injury outcomes through modulation of neutrophil cell survival. in neutrophils increases infarct size, cardiac dysfunction, and ventricular scar after myocardial infarction. in neutrophils supports neutrophil survival via cIAP-1 signaling and delays macrophage engulfment.
心力衰竭是心肌梗死后死亡的主要原因。中性粒细胞是最早积聚在梗死区域的免疫细胞之一。虽然现在已经认识到中性粒细胞在心脏损伤中的有益作用,但中性粒细胞也因能够加剧炎症和促进组织损伤而闻名。心肌梗死引起缺氧,缺氧诱导因子(HIFs)被激活,并在细胞功能中发挥关键作用。在这种情况下,中性粒细胞中 在心肌梗死中的作用尚不清楚。在这里,我们证明中性粒细胞 缺失显着减轻心肌梗死面积,改善心脏功能,减少中性粒细胞存活和组织积聚,并与巨噬细胞吞噬率增加相关。机制研究表明, 通过与启动子区域中的缺氧反应元件(HRE)结合来促进中性粒细胞存活,从而调节生存因子细胞凋亡抑制剂蛋白-1(cIAP1)的表达。使用药理学药物 Birinapant 抑制中性粒细胞中的 cIAP1 会导致细胞死亡增加,从而确立了 在中性粒细胞存活中的关键作用。总之,我们的数据表明,中性粒细胞中 的缺失通过调节中性粒细胞的存活对心脏损伤的结果具有保护作用。 在中性粒细胞中增加心肌梗死后的梗死面积、心功能障碍和心室疤痕。 在中性粒细胞中通过 cIAP-1 信号支持中性粒细胞存活,并延迟巨噬细胞吞噬。
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