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Inhibition of IFN regulatory factor-1 down-regulate Th1 cell function in patients with acute coronary syndrome
Min Guo1, Xiaobo Mao, Qingwei Ji
1Department of Cardiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
Interferon regulatory factor-1 (IRF-1) promotes Th1 cell function in acute coronary syndrome (ACS). Inhibiting IRF-1 in CD4+ T cells reduces Th1 cell activity, suggesting IRF-1 as a potential therapeutic target in ACS.
Area of Science:
- Immunology
- Cardiovascular Disease
- Molecular Biology
Background:
- T helper (Th) cells and chronic inflammation are key in atherosclerosis and coronary artery disease.
- Th cell type 1 (Th1) is implicated in acute coronary syndrome (ACS) pathogenesis.
- Mechanisms of Th1 cell generation in ACS remain unclear; IFN regulatory factor (IRF)-1 is a transcription factor involved in inflammation.
Purpose of the Study:
- To investigate the role of IRF-1 in Th1 cell function in patients with ACS.
- To explore the potential of IRF-1 as a therapeutic target in ACS.
Main Methods:
- CD4+ T cells were isolated from patients with ACS (chest pain, stable angina, unstable angina, acute myocardial infarction).
- mRNA and protein expression of IRF-1 were analyzed.
- IRF-1 gene was silenced using small interfering RNA (siRNA) in CD4+ T cells to assess its effect on Th1 cell function.
Main Results:
- IRF-1 expression was significantly increased in CD4+ T cells of ACS patients, correlating with Th1 cytokine profiles.
- IRF-1 inhibition in CD4+ T cells from ACS patients reduced Th1 cell frequencies and cytokine expression.
- IRF-1 was found to modulate Th1 differentiation by influencing IL-12 receptor beta1, establishing IL-12 responsiveness.
Conclusions:
- IRF-1 inhibition significantly decreases Th1 cell function in ACS.
- IRF-1 may be a novel participant in the progression of ACS.
- Targeting IRF-1 could be a potential therapeutic strategy for ACS.
Background:
The crucial role of T helper (Th) cells and chronic inflammation in atherosclerosis and coronary artery disease is no longer controversial. Evidence has revealed that Th cell type 1 (Th1) is closely associated with the pathogenesis of acute coronary syndrome (ACS). But the mechanisms involved in the generation of Th1 cells have not been fully elucidated. IFN regulatory factor (IRF)-1 is a pleiotropic transcription factor involved in innate immunity and chronic inflammation disease. The study was undertaken to investigate the potential effect of IRF-1 on the Th1 cell function in patients with ACS in vitro.
Methods:
Patients with clinical presentation of chest pain, stable angina, unstable angina, and acute myocardial infarction were enrolled in this study. Circulating CD4+ T cells were enriched and analyzed for mRNA and protein expression of IRF-1. Silencing IRF-1 gene with small interfering RNA in CD4+ T cells from patients with ACS was performed to explore the possible mechanisms involved in ACS.
Results:
The results demonstrated that the expression of IRF-1 in CD4+ T cells was significantly increased in patients with ACS and positively correlated with plasma Th1 cytokine profile. Inhibition of IRF-1 in CD4+ T cells from patients with ACS prevented the induction of the frequencies and cytokines expression of Th1 cells. In addition, this study also revealed that IRF-1 modulate Th1 differentiation through establishing IL-12 responsiveness by acting on IL-12 receptor beta1.
Conclusion:
The present data demonstrate that inhibition of IRF-1 obviously decrease the function of Th1 cells and may be a novel participator in the progress of ACS.
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