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Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
Inhibition of nuclear factor κB regresses cardiac hypertrophy by modulating the expression of extracellular matrix
Sandeep Kumar1, Rachid Seqqat, Sravanthi Chigurupati
1Division of Molecular Cardiology, Department of Medicine, College of Medicine, Texas A&M Health Science Center, College Station, TX 77840, USA.
Insights
Pyrrolidine dithiocarbamate (PDTC) reduces cardiac remodeling by inhibiting nuclear factor-κB (NF-κB) and decreasing profibrotic gene expression. This antioxidant therapy shows promise for treating heart failure and cardiac hypertrophy.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Pathology
Background:
- Myocardial remodeling, characterized by dysfunctional myocardium, is central to cardiac hypertrophy (CH) and heart failure (HF).
- Reactive oxygen species (ROS) and nuclear factor-κB (NF-κB) activation drive extracellular matrix (ECM) deposition and fibrosis in cardiac remodeling.
- Pyrrolidine dithiocarbamate (PDTC) is an NF-κB inhibitor and antioxidant with potential therapeutic benefits.
Purpose of the Study:
- To investigate the role of NF-κB inhibition by PDTC in preventing maladaptive cardiac remodeling.
- To evaluate the therapeutic potential of PDTC in a mouse model of cardiac hypertrophy and heart failure.
Main Methods:
- Utilized a transgenic mouse model (Myo-Tg) with cardiac-specific myotrophin overexpression, leading to CH and HF.
- Administered PDTC to Myo-Tg mice to inhibit NF-κB and assess its effects on cardiac remodeling.
- Quantified profibrotic gene expression (collagen I, III, fibronectin) and measured cardiac mass, NF-κB activity, and cardiac function.
Main Results:
- Myo-Tg mice exhibited upregulation of profibrotic genes and increased NF-κB activity compared to wild-type controls.
- PDTC treatment significantly reduced cardiac mass, NF-κB activity, and profibrotic gene expression in Myo-Tg mice.
- PDTC administration led to improved cardiac function in the cardiac remodeling model.
Conclusions:
- Inhibition of NF-κB activation by PDTC effectively reduces cardiac remodeling and fibrosis.
- PDTC demonstrates therapeutic benefits in mitigating maladaptive cardiac remodeling and improving cardiac function.
- Highlights the critical role of the NF-κB pathway in cardiac remodeling and the potential of PDTC as a therapeutic agent.
Abstract:
Myocardial remodeling denotes a chronic pathological condition of dysfunctional myocardium that occurs in cardiac hypertrophy (CH) and heart failure (HF). Reactive oxygen species (ROS) are major initiators of excessive collagen and fibronectin deposition in cardiac fibrosis. Increased production of ROS and nuclear factor κB (NF-κB) activation provide a strong link between oxidative stress and extracellular matrix (ECM) remodeling in cardiac hypertrophy. The protective inhibitory actions of pyrrolidine dithiocarbamate (PDTC), a pharmacological inhibitor of NF-κB and a potent antioxidant, make this a good agent to evaluate the role of inhibition of NF-κB and prevention of excessive ECM deposition in maladaptive cardiac remodeling during HF. In this report, we used a transgenic mouse model (Myo-Tg) that has cardiac-specific overexpression of myotrophin. This overexpression of myotrophin in the Myo-Tg model directs ECM deposition and increased NF-κB activity, which result in CH and ultimately HF. Using the Myo-Tg model, our data showed upregulation of profibrotic genes (including collagen types I and III, connective tissue growth factor, and fibronectin) in Myo-Tg mice, compared to wild-type mice, during the progression of CH. Pharmacological inhibition of NF-κB by PDTC in the Myo-Tg mice resulted in a significant reduction in cardiac mass, NF-κB activity, and profibrotic gene expression and improved cardiac function. To the best of our knowledge, this is the first report of ECM regulation by inhibition of NF-κB activation by PDTC. The study highlights the importance of the NF-κB signaling pathway and therapeutic benefits of PDTC treatment in cardiac remodeling.
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