Autophagy activation attenuates angiotensin II-induced cardiac fibrosis

Shenglan Liu1, Shaorui Chen1, Min Li1

  • 1Laboratory of Pharmacology and Toxicology, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, PR China.

Insights

Autophagy activation protects against cardiac fibrosis by reducing extracellular matrix accumulation. Inhibiting autophagy worsens fibrosis and cardiac dysfunction, suggesting a protective role in heart disease.

Area of Science:

  • Cardiovascular Biology
  • Cellular Biology
  • Molecular Medicine

Background:

  • Autophagy is implicated in various diseases, but its role in cardiac fibrosis remains unclear.
  • Cardiac fibrosis, characterized by excessive extracellular matrix deposition, contributes to heart dysfunction.
  • Angiotensin II (Ang II) is a key mediator in cardiovascular remodeling and fibrosis.

Purpose of the Study:

  • To investigate the regulatory role of Angiotensin II (Ang II)-induced autophagy in cardiac fibrosis.
  • To determine if modulating autophagy affects Ang II-mediated extracellular matrix accumulation in vitro and in vivo.

Main Methods:

  • In vitro studies using rat cardiac fibroblasts (CFs) stimulated with Ang II.
  • In vivo studies using Ang II-infused C57 BL/6 mice.
  • Autophagy modulation using rapamycin (inducer) and chloroquine (inhibitor), and ATG5 knockdown.
  • Assessment of autophagy activation (TEM, immunofluorescence, Western blot, LC3 puncta) and fibrosis markers (Col-I, FN).

Main Results:

  • Ang II activated autophagy in CFs and induced cardiac fibrosis markers in mice.
  • Autophagy induction (rapamycin) reduced Ang II-induced collagen and fibronectin accumulation.
  • Autophagy inhibition (chloroquine, ATG5 knockdown) exacerbated Ang II-mediated fibrosis and cardiac dysfunction.
  • Rapamycin treatment ameliorated Ang II-induced cardiac fibrosis and dysfunction in mice.
  • Chloroquine treatment worsened Ang II-induced cardiac fibrosis and cardiac dysfunction.

Conclusions:

  • Autophagy plays a protective role in attenuating Ang II-induced cardiac fibrosis.
  • Modulating autophagy can be a potential therapeutic strategy for cardiac fibrosis and dysfunction.

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