Zhu Ying, Xu Zhuo, Chen Min
Department of Nephrology, The Affiliated Huaian No. 1 People's Hospital of Nanjing Medical University, No. 1 Huanghe West Road, Huaian, 223300, Jiangsu, China.
Department of Cardiology, Huaian Hospital of Huaian City, Huaian, 223200, Jiangsu, China.
Naunyn Schmiedebergs Arch Pharmacol. 2025 Apr;398(4):4479-4489. doi: 10.1007/s00210-024-03472-2. Epub 2024 Nov 4.
Cardiac fibrosis constitutes a crucial element in the progression of diverse chronic cardiac conditions. Notably, a significant correlation has been observed between the endothelial-to-mesenchymal transition (EndMT) and the emergence of cardiac fibrosis. To investigate mechanisms, we employed immunofluorescence for α-SMA and CD31 analysis, Western blotting for CD34, vimentin, and SPARC overexpression. CCK8, wound healing, and transwell assay-assessed cell viability, invasion, and migration. SPARC overexpression plasmid was constructed and validated by Western blotting. Fibrosis levels were quantified via Masson staining, and collagen 1 and 3 expressions were measured using ELISA assays. Notably, in TGF-β-induced H5V cells, the downregulation of CD31 and CD34 expression, along with the upregulation of α-SMA and vimentin, suggests the induction of EndMT in cardiac fibrosis. Interestingly, OSM treatment mitigated EndMT progression, cell invasion, migration, and the expression of p-SMAD2, p-SMAD3, and SPARC in TGF-β-treated H5V cells. Further analysis revealed that OSM alleviated TGFβ-induced EndMT, invasion, and migration of cardiac microvascular endothelial cells by suppressing SPARC/SMAD signaling. Moreover, OSM therapy notably mitigated myocardial tissue fibrosis, along with a reduction in the expression of collagen 1, collagen 3, α-SMA, and CD34, while augmenting CD31 and vimentin expression in ISO-induced myocardial tissue. Additionally, OSM exhibited the ability to suppress myocardial tissue fibrosis and the expression of EndMT markers as well as SPARC/SMAD signals in ISO-induced myocardial tissue. Our comprehensive analysis unveiled that OSM contributes significantly to myocardial fibrosis modulation by inhibiting TGFβ-mediated EndMT in myocardial microvascular endothelial cells via SPARC/SMAD signaling.
心脏纤维化是多种慢性心脏疾病进展的关键因素。值得注意的是,已观察到内皮-间充质转化(EndMT)与心脏纤维化的出现之间存在显著相关性。为了研究其机制,我们采用免疫荧光法分析α-SMA和CD31,通过蛋白质印迹法检测CD34、波形蛋白和SPARC的过表达情况。利用CCK8、伤口愈合和Transwell实验评估细胞活力、侵袭和迁移能力。构建了SPARC过表达质粒并通过蛋白质印迹法进行验证。通过Masson染色对纤维化水平进行定量,并使用ELISA检测法测定Ⅰ型和Ⅲ型胶原蛋白的表达。值得注意的是,在TGF-β诱导的H5V细胞中,CD31和CD34表达下调,同时α-SMA和波形蛋白表达上调,提示在心脏纤维化中诱导了EndMT。有趣的是,OSM处理减轻了TGF-β处理的H5V细胞中EndMT的进展、细胞侵袭、迁移以及p-SMAD2、p-SMAD3和SPARC的表达。进一步分析表明,OSM通过抑制SPARC/SMAD信号减轻了TGFβ诱导的心脏微血管内皮细胞的EndMT、侵袭和迁移。此外,OSM治疗显著减轻了心肌组织纤维化,同时降低了Ⅰ型胶原蛋白、Ⅲ型胶原蛋白、α-SMA和CD34的表达,而增加了ISO诱导的心肌组织中CD31和波形蛋白的表达。此外,OSM还能够抑制ISO诱导的心肌组织中的心肌组织纤维化以及EndMT标志物的表达和SPARC/SMAD信号。我们的综合分析表明,OSM通过SPARC/SMAD信号抑制心肌微血管内皮细胞中TGFβ介导的EndMT,对心肌纤维化的调节有显著贡献。