Thaik C M, Calderone A, Takahashi N, Colucci W S
Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
J Clin Invest. 1995 Aug;96(2):1093-9. doi: 10.1172/JCI118095.
Mononuclear cell infiltration and local cytokine elaboration are hallmarks of inflammatory and immunologic heart diseases. To test the hypothesis that cytokines can modulate cardiac myocyte growth and phenotype, myocytes cultured from neonatal rat hearts were exposed to IL-1 beta, an inflammatory cytokine prevalent in myocardial inflammation. IL-1 beta (2 ng/ml, 24 h) increased [3H]leucine incorporation by 30 +/- 4% (P < 0.001, n = 29) and net cellular protein content by 20 +/- 4% (P < 0.001, n = 27), but had no effect on DNA synthesis. Northern hybridization showed that IL-1 beta increased prepro-atrial natriuretic factor (ANF) mRNA (5.8 +/- 1.5-fold, P < 0.01, n = 13) and beta-myosin heavy chain (beta-MHC) mRNA (> 10-fold, n = 4), and decreased mRNA levels for sarcoplasmic reticulum Ca(2+)-ATPase (SERCA2) (-46 +/- 7%; P < 0.001; n = 11), calcium release channel (CRC) (-65 +/- 11%, P < 0.001, n = 8) and voltage-dependent calcium channel (VDCC) (-53 +/- 7%, P < 0.001, n = 8). NG-monomethyl-L-arginine (1 mM), an inhibitor of nitric oxide (NO) synthesis, did not inhibit the IL-1 beta-induced protein synthesis or changes in mRNA levels. In ventricular myocardium obtained from adult rats treated with lipopolysaccharide (4 mg/kg intraperitoneally 18 h) to stimulate systemic cytokine production, there were changes in the mRNA levels for beta-MHC (6 +/- 1-fold, P < 0.01, n = 4), SERCA2 (-65 +/- 4%, P < 0.0001, n = 4), CRC (-67 +/- 5%, P < 0.001, n = 4), and VDCC (-58 +/- 5%, P < 0.001; n = 4) that were qualitatively similar to those observed in cultured myocytes. Thus, IL-1 beta, acting via an NO-independent mechanism, caused myocyte hypertrophy associated with induction of fetal genes (ANF and beta-MHC) and downregulation of three important calcium regulatory genes (SERCA2, CRC, and VDCC). IL-1 beta may contribute to the abnormal structural and functional alterations of cardiac myocytes in conditions marked by mononuclear cell infiltration.
单核细胞浸润和局部细胞因子的产生是炎症性和免疫性心脏病的特征。为了验证细胞因子可调节心肌细胞生长和表型这一假说,将新生大鼠心脏培养的心肌细胞暴露于白细胞介素-1β(IL-1β),这是一种在心肌炎症中普遍存在的炎性细胞因子。IL-1β(2 ng/ml,24小时)使[3H]亮氨酸掺入增加30±4%(P<0.001,n=29),细胞净蛋白含量增加20±4%(P<0.001,n=27),但对DNA合成无影响。Northern杂交显示,IL-1β使前心钠素(ANF)mRNA增加(5.8±1.5倍,P<0.01,n=13)和β-肌球蛋白重链(β-MHC)mRNA增加(>10倍,n=4),并使肌浆网Ca(2+)-ATP酶(SERCA2)的mRNA水平降低(-46±7%;P<0.001;n=11),钙释放通道(CRC)的mRNA水平降低(-65±11%,P<0.001,n=8)以及电压依赖性钙通道(VDCC)的mRNA水平降低(-53±7%,P<0.001,n=8)。一氧化氮(NO)合成抑制剂NG-单甲基-L-精氨酸(1 mM)不抑制IL-1β诱导的蛋白质合成或mRNA水平变化。在经脂多糖(4 mg/kg腹腔注射18小时)处理以刺激全身细胞因子产生的成年大鼠心室心肌中,β-MHC(6±1倍,P<0.01,n=4)、SERCA2(-65±4%,P<0.0001,n=4)、CRC(-67±5%,P<0.001,n=4)和VDCC(-58±5%,P<0.001;n=4)的mRNA水平变化在性质上与培养的心肌细胞中观察到的相似。因此,IL-1β通过不依赖NO的机制,导致与胎儿基因(ANF和β-MHC)诱导及三个重要钙调节基因(SERCA2、CRC和VDCC)下调相关的心肌细胞肥大。IL-1β可能在以单核细胞浸润为特征的情况下,促成心肌细胞的异常结构和功能改变。