Granulocyte-CSF induced inflammation-associated cardiac thrombosis in iron loading mouse heart and can be attenuated

Wei S Lian1, Heng Lin, Winston Tk Cheng

  • 1Institute of Biomedical Sciences, Academia Sinica, Taipei, Taiwan.

Insights

Granulocyte colony-stimulating factor (G-CSF) can cause cardiac thrombosis by promoting inflammation. Statin therapy effectively prevents this thrombosis by reducing inflammation and leukocytosis, offering a potential therapeutic strategy.

Area of Science:

  • Cardiovascular Research
  • Hematology
  • Pharmacology

Background:

  • Granulocyte colony-stimulating factor (G-CSF) shows therapeutic potential in acute myocardial infarction but carries risks of re-stenosis and condition worsening.
  • A novel disease model is presented to investigate G-CSF-induced cardiac thrombosis and its underlying mechanisms.

Purpose of the Study:

  • To establish a mouse model for studying G-CSF-induced cardiac thrombosis.
  • To elucidate the mechanism by which G-CSF contributes to cardiac thrombosis.
  • To evaluate potential therapeutic interventions for G-CSF-induced cardiac thrombosis.

Main Methods:

  • Iron loading was used to induce chronic cardiac dysfunction in mice.
  • Granulocyte colony-stimulating factor (G-CSF) was administered to mice to induce thrombosis.
  • Simvastatin and tirofiban were used to test therapeutic interventions.

Main Results:

  • Iron and G-CSF treated mice (I+G) exhibited thrombi formation in the left ventricle and impaired cardiac function.
  • Histological analysis of I+G mice revealed endothelial fibrosis, macrophage infiltration, and tissue factor expression.
  • Simvastatin treatment attenuated cardiac apoptosis, iron deposition, and abrogated thrombosis by reducing inflammation and leukocytosis, possibly via pAKT activation.
  • Tirofiban failed to suppress thrombosis in I+G mice.

Conclusions:

  • G-CSF induces cardiac thrombosis via an inflammation-thrombosis interaction.
  • Statin therapy can attenuate G-CSF-induced cardiac thrombosis.
  • This study provides a mechanistic understanding and potential therapeutic approach for G-CSF-induced cardiac thrombosis.
Abstract

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