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Published on: September 18, 2017
Cardiac CD47 drives left ventricular heart failure through Ca2+-CaMKII-regulated induction of HDAC3
Maryam Sharifi-Sanjani1, Ali Hakim Shoushtari2, Marisol Quiroz3
1Vascular Medicine Institute, University of Pittsburgh, Pittsburgh, PA (M.S.S., M.Q., J.B., S.F.S., H.C.C., J.S.I.) Division of Pulmonary, Allergy, and Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA (M.S.S., H.C.C., J.S.I.).
Insights
The thrombospondin 1 (TSP1)-CD47 pathway promotes left ventricular heart failure (LVHF) by increasing histone deacetylase 3 (HDAC3). Blocking this pathway offers a novel therapeutic strategy for LVHF.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Cell Signaling
Background:
- Left ventricular heart failure (LVHF) is a progressive, fatal condition with limited therapeutic options.
- The cell surface receptor CD47, activated by thrombospondin 1 (TSP1), is implicated in various diseases but its role in LVHF was unknown.
Purpose of the Study:
- To investigate the role of the TSP1-CD47 axis in the development of LVHF.
- To explore the downstream signaling pathways involved in TSP1-CD47-mediated cardiac dysfunction.
Main Methods:
- Utilized a mouse model of transverse aortic constriction (TAC) to induce LVHF.
- Examined TSP1-CD47 signaling, cardiac histone deacetylase 3 (HDAC3) expression, and Ca(2+)/calmodulin protein kinase II (CaMKII) activity.
- Employed cell culture experiments with cardiac myocytes and in vivo interventions including CD47 blocking antibodies and HDAC3 inhibition.
Main Results:
- TSP1-CD47 signaling and HDAC3 expression were elevated in experimental LVHF.
- Mice lacking CD47 were protected from TAC-induced LVHF, showing improved cardiac function and reduced hypertrophy and fibrosis.
- CD47 activation in myocytes increased HDAC3 and hypertrophy via CaMKII; blocking CD47 or CaMKII mitigated these effects and LVHF.
Conclusions:
- The TSP1-CD47 axis promotes LVHF through CaMKII-mediated upregulation of HDAC3.
- Targeting the TSP1-CD47-CaMKII-HDAC3 pathway presents a novel therapeutic avenue for LVHF.
Background:
Left ventricular heart failure (LVHF) remains progressive and fatal and is a formidable health problem because ever-larger numbers of people are diagnosed with this disease. Therapeutics, while relieving symptoms and extending life in some cases, cannot resolve this process and transplant remains the option of last resort for many. Our team has described a widely expressed cell surface receptor (CD47) that is activated by its high-affinity secreted ligand, thrombospondin 1 (TSP1), in acute injury and chronic disease; however, a role for activated CD47 in LVHF has not previously been proposed.
Methods And Results:
In experimental LVHF TSP1-CD47 signaling is increased concurrent with up-regulation of cardiac histone deacetylase 3 (HDAC3). Mice mutated to lack CD47 displayed protection from transverse aortic constriction (TAC)-driven LVHF with enhanced cardiac function, decreased cellular hypertrophy and fibrosis, decreased maladaptive autophagy, and decreased expression of HDAC3. In cell culture, treatment of cardiac myocyte CD47 with a TSP1-derived peptide, which binds and activates CD47, increased HDAC3 expression and myocyte hypertrophy in a Ca(2+)/calmodulin protein kinase II (CaMKII)-dependent manner. Conversely, antibody blocking of CD47 activation, or pharmacologic inhibition of CaMKII, suppressed HDAC3 expression, decreased myocyte hypertrophy, and mitigated established LVHF. Downstream gene suppression of HDAC3 mimicked the protective effects of CD47 blockade and decreased hypertrophy in myocytes and mitigated LVHF in animals.
Conclusions:
These data identify a proximate role for the TSP1-CD47 axis in promoting LVHF by CaKMII-mediated up-regulation of HDAC3 and suggest novel therapeutic opportunities.
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