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Trypanosoma cruzi infection and endothelin-1 cooperatively activate pathogenic inflammatory pathways in
Ricardo S Corral1, Néstor A Guerrero, Henar Cuervo
1Servicio de Parasitología-Chagas, Hospital de Niños Ricardo Gutiérrez, Buenos Aires, Argentina. ricardocorral56@hotmail.com
Insights
Chagas
Area of Science:
- Cardiovascular Biology
- Infectious Diseases
- Molecular Signaling
Background:
- Chagas' disease, caused by Trypanosoma cruzi, significantly impacts cardiac health.
- Eicosanoids and endothelin-1 (ET-1) are implicated in the progression of chronic chagasic cardiomyopathy.
- Understanding molecular pathways is crucial for managing T. cruzi-induced heart disease.
Purpose of the Study:
- To investigate the role of the Ca(2+)/calcineurin (Cn)/nuclear factor of activated T cells (NFAT) signaling pathway in T. cruzi infection.
- To explore the interplay between T. cruzi, ET-1, and inflammatory mediator production in cardiomyocytes.
- To identify potential therapeutic targets for chagasic cardiomyopathy.
Main Methods:
- Gene expression analysis of key inflammatory mediators (Cox2, Tbxas1, Edn1, Nppa) in T. cruzi-infected mice.
- Stimulation of atrial myocytes and cardiomyocytes with T. cruzi and/or ET-1.
- Assessment of signaling pathway activation (Ca(2+)/Cn/NFAT) and mediator release (eicosanoids, ANP).
Main Results:
- T. cruzi infection upregulated myocardial gene expression of Cox2, Tbxas1, Edn1, and Nppa.
- Cooperative activation of the Ca(2+)/Cn/NFAT pathway by T. cruzi and ET-1 in atrial myocytes.
- Enhanced production of prostaglandins, thromboxane A(2), and atrial natriuretic peptide (ANP) in infected cardiomyocytes.
Conclusions:
- The Ca(2+)/Cn/NFAT cascade plays a key role in T. cruzi-induced inflammatory mediator production in the heart.
- T. cruzi and ET-1 signaling synergistically enhance ANP production, a marker of cardiac dysfunction.
- These findings highlight potential therapeutic strategies targeting this signaling pathway for Chagas' disease.
Abstract:
Trypanosoma cruzi, the causative agent of Chagas' disease, induces multiple responses in the heart, a critical organ of infection and pathology in the host. Among diverse factors, eicosanoids and the vasoactive peptide endothelin-1 (ET-1) have been implicated in the pathogenesis of chronic chagasic cardiomyopathy. In the present study, we found that T. cruzi infection in mice induces myocardial gene expression of cyclooxygenase-2 (Cox2) and thromboxane synthase (Tbxas1) as well as endothelin-1 (Edn1) and atrial natriuretic peptide (Nppa). T. cruzi infection and ET-1 cooperatively activated the Ca(2+)/calcineurin (Cn)/nuclear factor of activated T cells (NFAT) signaling pathway in atrial myocytes, leading to COX-2 protein expression and increased eicosanoid (prostaglandins E(2) and F(2α), thromboxane A(2)) release. Moreover, T. cruzi infection of ET-1-stimulated cardiomyocytes resulted in significantly enhanced production of atrial natriuretic peptide (ANP), a prognostic marker for impairment in cardiac function of chagasic patients. Our findings support an important role for the Ca(2+)/Cn/NFAT cascade in T. cruzi-mediated myocardial production of inflammatory mediators and may help define novel therapeutic targets.
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