Division of Cardiology, Department of Medicine, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, CA, USA.
UCLA Cardiovascular Theme, David Geffen School of Medicine, University of California-Los Angeles, Los Angeles, CA, USA.
Nat Cardiovasc Res. 2024 Nov;3(11):1356-1373. doi: 10.1038/s44161-024-00555-4. Epub 2024 Oct 25.
Glycoprotein nonmetastatic melanoma protein B (GPNMB) is a type I transmembrane protein initially identified in nonmetastatic melanomas and has been associated with human heart failure; however, its role in cardiac injury and function remains unclear. Here we show that GPNMB expression is elevated in failing human and mouse hearts after myocardial infarction (MI). Lineage tracing and bone-marrow transplantation reveal that bone-marrow-derived macrophages are the main source of GPNMB in injured hearts. Using genetic loss-of-function models, we demonstrate that GPNMB deficiency leads to increased mortality, cardiac rupture and rapid post-MI left ventricular dysfunction. Conversely, increasing circulating GPNMB levels through viral delivery improves heart function after MI. Single-cell transcriptomics show that GPNMB enhances myocyte contraction and reduces fibroblast activation. Additionally, we identified GPR39 as a receptor for circulating GPNMB, with its absence negating the beneficial effects. These findings highlight a pivotal role of macrophage-derived GPNMBs in post-MI cardiac repair through GPR39 signaling.
糖蛋白非转移性黑色素瘤蛋白 B(GPNMB)是一种 I 型跨膜蛋白,最初在非转移性黑色素瘤中被发现,与人类心力衰竭有关;然而,其在心脏损伤和功能中的作用仍不清楚。在这里,我们表明 GPNMB 在心肌梗死后的衰竭人类和小鼠心脏中表达上调。谱系追踪和骨髓移植显示,骨髓来源的巨噬细胞是损伤心脏中 GPNMB 的主要来源。利用基因敲除模型,我们证明 GPNMB 缺乏会导致死亡率增加、心脏破裂和心肌梗死后左心室功能迅速恶化。相反,通过病毒传递增加循环 GPNMB 水平可改善心肌梗死后的心脏功能。单细胞转录组学表明,GPNMB 增强心肌收缩并减少成纤维细胞激活。此外,我们确定了 GPR39 作为循环 GPNMB 的受体,其缺失消除了有益作用。这些发现强调了巨噬细胞衍生的 GPNMB 通过 GPR39 信号在心肌梗死后心脏修复中的关键作用。
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