Cardiac ICAM-1 mediates leukocyte-dependent decreased ventricular contractility in endotoxemic mice

Ehsan Y Davani1, John H Boyd, Delbert R Dorscheid

  • 1Critical Care Research Laboratories, St. Paul's Hospital, University of British Columbia, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6.

Cardiovascular Research
|August 29, 2006
PubMed

Insights

Systemic inflammation reduces heart contractility by increasing intercellular adhesion molecule-1 (ICAM-1) in cardiac cells. Blocking ICAM-1 in mice prevents this inflammatory effect on left ventricular function.

Area of Science:

  • Cardiovascular Physiology
  • Immunology
  • Molecular Biology

Background:

  • Intercellular Adhesion Molecule-1 (ICAM-1) on cardiomyocytes is known to reduce contractility in vitro.
  • Systemic inflammation can impact cardiac function, but the specific mechanisms are not fully understood.

Purpose of the Study:

  • To investigate the role of ICAM-1 signaling in mediating decreased left ventricular contractility during systemic inflammation in vivo.
  • To determine if cardiac ICAM-1 expression is essential for inflammation-induced cardiac dysfunction.

Main Methods:

  • Utilized C57B6 wild-type and ICAM-1 knock-out mice treated with lipopolysaccharide (LPS) to induce systemic inflammation.
  • Measured left ventricular contractility using a volume-conductance micromanometer catheter.
  • Employed chimeric mice with selective ICAM-1 deficiency in bone marrow-derived cells (M-) and/or heart (H-) to pinpoint ICAM-1's cellular source.

Main Results:

  • LPS administration significantly increased cardiac ICAM-1 expression and reduced left ventricular contractility in wild-type mice.
  • Leukocyte depletion via cyclophosphamide pretreatment abrogated the LPS-induced decline in contractility.
  • ICAM-1 knock-out mice and chimeric mice lacking ICAM-1 in bone marrow-derived cells (M+/H-) showed no reduction in contractility after LPS exposure.
  • Mice with cardiac ICAM-1 expression (M+/H+ and M-/H+) exhibited significant decreases in contractility, highlighting the role of cardiac ICAM-1.

Conclusions:

  • Signaling through cardiac ICAM-1 is a critical mediator of leukocyte-dependent reductions in left ventricular contractility during endotoxemia.
  • Targeting cardiac ICAM-1 may offer a therapeutic strategy to preserve cardiac function in inflammatory conditions.
Abstract