mTOR attenuates the inflammatory response in cardiomyocytes and prevents cardiac dysfunction in pathological

Xiaoxiao Song1, Yoichiro Kusakari, Chun-Yang Xiao

  • 1Cardiovascular Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Insights

Mammalian target of rapamycin (mTOR) protects against cardiac dysfunction and fibrosis in pressure overload. Overexpression of cardiac mTOR mitigates inflammation, suggesting a cardioprotective role in heart failure.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Inflammation Research

Background:

  • Mammalian target of rapamycin (mTOR) inhibition by rapamycin is known to suppress myocardial hypertrophy.
  • The precise role of mTOR in pathological cardiac dysfunction and its regulation of inflammatory responses remain incompletely understood.
  • Rapamycin has been reported to enhance inflammation under specific conditions, complicating its role in heart failure.

Purpose of the Study:

  • To investigate the influence of mammalian target of rapamycin (mTOR) on pathological cardiac hypertrophy and dysfunction.
  • To determine if cardiac mTOR signaling regulates the inflammatory response during pressure overload.
  • To elucidate the cardioprotective mechanisms of mTOR in the context of heart failure progression.

Main Methods:

  • Generation of transgenic mice with cardiac-specific overexpression of wild-type mTOR (mTOR-Tg).
  • Induction of left ventricular pressure overload using transverse aortic constriction (TAC) in mTOR-Tg and wild-type (WT) littermate controls.
  • Assessment of cardiac function, interstitial fibrosis, and expression of pro-inflammatory cytokines (IL-1β, IL-6).
  • In vitro studies using HL-1 cardiomyocytes exposed to lipopolysaccharide (LPS) with mTOR overexpression and/or mTOR inhibitors (rapamycin, PP242).

Main Results:

  • mTOR-Tg mice exhibited protection against cardiac dysfunction and reduced interstitial fibrosis following TAC compared to WT mice.
  • WT mice showed significantly increased pro-inflammatory cytokines (IL-1β, IL-6) post-TAC, whereas mTOR-Tg mice did not.
  • In vitro, mTOR overexpression suppressed LPS-induced IL-6 secretion in cardiomyocytes, an effect abolished by mTOR inhibitors.
  • mTOR overexpression was found to reduce NF-κB-regulated transcription in HL-1 cells.

Conclusions:

  • Cardiac-specific overexpression of mammalian target of rapamycin (mTOR) mitigates adverse outcomes associated with pressure overload-induced cardiac hypertrophy.
  • The cardioprotective effects of mTOR appear to be mediated through the regulation of inflammatory responses, specifically by suppressing pro-inflammatory cytokine production.
  • These findings highlight mTOR as a potential therapeutic target for managing pathological cardiac hypertrophy and heart failure.

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