Tumor necrosis factor receptors 1 and 2 differentially regulate survival, cardiac dysfunction, and remodeling in

Yoshihiro Higuchi1, Charles F McTiernan, Carole B Frye

  • 1Center for Translational Medicine, Department of Medicine, Jefferson Medical College, Philadelphia 19107, USA.

Circulation
|March 31, 2004
PubMed
Abstract

Insights

Tumor necrosis factor receptor 2 (TNFR2) signaling appears protective in heart failure, as its absence worsens outcomes. Conversely, blocking tumor necrosis factor receptor 1 (TNFR1) improves heart function and survival in this condition.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Molecular Medicine

Background:

  • Tumor necrosis factor (TNF)-alpha contributes to heart failure pathophysiology.
  • Both TNF receptor 1 (TNFR1) and TNFR2 are present in the heart, but TNFR2's role is less understood.

Purpose of the Study:

  • To investigate the distinct roles of TNFR1 and TNFR2 in the development of heart failure.
  • To determine the impact of TNFR1 and TNFR2 ablation on cardiac function and survival in a mouse model of heart failure.

Main Methods:

  • Generated double-transgenic mice with cardiac-specific TNF-alpha overexpression and TNFR1 or TNFR2 knockout.
  • Assessed cardiac function, hypertrophy, dilation, survival rates, and cardiac TNF-alpha protein levels.

Main Results:

  • Cardiac-specific TNF-alpha overexpression induced heart failure in male and female mice, with males being more severely affected.
  • TNFR1 knockout (TG/R1-/-) significantly improved survival, cardiac function, and cardiac remodeling compared to wild-type controls.
  • TNFR2 knockout (TG/R2-/-) exacerbated heart failure in female mice, leading to worse survival and increased cardiac dimensions.

Conclusions:

  • TNFR1 signaling appears detrimental in cytokine-mediated heart failure.
  • TNFR2 signaling may play a cardioprotective role, as its ablation worsens heart failure outcomes.
  • Targeting TNFR1 and TNFR2 offers potential therapeutic strategies for heart failure.