Anti-inflammatory peptides from cardiac progenitors ameliorate dysfunction after myocardial infarction

Mei-Lan Liu1, Toshio Nagai1, Masakuni Tokunaga1

  • 1Department of Cardiovascular Medicine, Chiba University Graduate School of Medicine, Chuo-ku, Chiba, Japan (M.L.L., T.N., M.T., K.I., T.T., M.K., N.K., Y.K.).

Insights

Cardiac progenitor cells secrete soluble junctional adhesion molecule-A (JAM-A), which reduces neutrophil infiltration and inflammation after heart attack. This discovery offers a new therapeutic strategy for cardiovascular disease by leveraging JAM-A's anti-inflammatory properties.

Area of Science:

  • Cardiology
  • Regenerative Medicine
  • Immunology

Background:

  • Cardiac cell therapy shows promise for myocardial infarction but lacks understood mechanisms.
  • Previous work identified therapeutic effects of stem cell antigen-1-positive cardiac progenitor cells.
  • The specific paracrine factors and mechanisms of cardiac progenitor cell therapy remain unclear.

Purpose of the Study:

  • To identify cardiac progenitor cell-specific paracrine factors.
  • To elucidate the mechanism behind the beneficial effects of cardiac progenitor cell therapy.
  • To investigate the role of soluble junctional adhesion molecule-A (JAM-A) in cardiac repair.

Main Methods:

  • Antibody array analysis to identify secreted factors from cardiac progenitor cells.
  • In vitro assays using conditioned medium and soluble JAM-A to assess neutrophil migration and motility.
  • In vivo studies involving injection of cardiac progenitor cells into myocardial infarction models.
  • Assessment of neutrophil infiltration, inflammatory cytokine expression, cardiac remodeling, and fibrosis.

Main Results:

  • Soluble junctional adhesion molecule-A (JAM-A) was identified as abundantly secreted by cardiac progenitor cells.
  • Soluble JAM-A inhibited neutrophil transendothelial migration and motility, an effect blocked by anti-JAM-A antibodies.
  • Cardiac progenitor cell transplantation reduced neutrophil infiltration and inflammatory cytokine expression in infarct hearts.
  • Transplantation of soluble JAM-A-expressing cardiac progenitor cells prevented cardiac remodeling and reduced fibrosis.

Conclusions:

  • Soluble JAM-A secreted by cardiac progenitor cells mitigates neutrophil infiltration post-myocardial infarction.
  • This mechanism ameliorates tissue damage by preventing excessive inflammation.
  • Targeting JAM-A's anti-inflammatory effects presents a potential new therapeutic avenue for cardiovascular diseases.
Abstract

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