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Published on: July 21, 2023
Activation of endothelial β-catenin signaling induces heart failure
Akito Nakagawa1, Atsuhiko T Naito1,2,3,4, Tomokazu Sumida2,3
1Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Osaka 565-0871, Japan.
Insights
Sustained Wnt/β-catenin signaling activation in endothelial cells causes heart failure by suppressing neuregulin-ErbB signaling. This pathway may be a therapeutic target for heart failure.
Area of Science:
- Cardiovascular Biology
- Molecular and Cellular Biology
- Endothelial Cell Signaling
Background:
- Canonical Wnt/β-catenin signaling is crucial for angiogenesis but its other roles in endothelial cells are unclear.
- Endothelial cell dysfunction contributes to various cardiovascular diseases, including heart failure.
Purpose of the Study:
- To investigate the role of sustained Wnt/β-catenin signaling activation in endothelial cells on cardiac function.
- To elucidate the underlying molecular mechanisms linking endothelial Wnt/β-catenin signaling to cardiac dysfunction.
Main Methods:
- Utilized a conditional gain-of-function mouse model (Bmx/CA mice) with activated β-catenin in arterial endothelial cells.
- Assessed cardiac function, mortality, and cardiac morphology via electron microscopy.
- Analyzed endothelial neuregulin 1 (Nrg1) expression and cardiac ErbB signaling pathways.
Main Results:
- Sustained Wnt/β-catenin activation in endothelial cells led to progressive cardiac dysfunction and 100% mortality in Bmx/CA mice.
- Observed T-tubule dilatation and mitochondrial degeneration in cardiomyocytes, mirroring changes seen with suppressed neuregulin-ErbB signaling.
- Demonstrated suppressed endothelial Nrg1 and cardiac ErbB signaling in Bmx/CA mice, which was reversed by recombinant neuregulin administration.
Conclusions:
- Sustained endothelial Wnt/β-catenin signaling activation causes heart failure by suppressing the neuregulin-ErbB pathway.
- The Wnt/β-catenin/NRG axis in cardiac endothelial cells represents a potential therapeutic target for heart failure.
Abstract:
Activation of β-catenin-dependent canonical Wnt signaling in endothelial cells plays a key role in angiogenesis during development and ischemic diseases, however, other roles of Wnt/β-catenin signaling in endothelial cells remain poorly understood. Here, we report that sustained activation of β-catenin signaling in endothelial cells causes cardiac dysfunction through suppressing neuregulin-ErbB pathway in the heart. Conditional gain-of-function mutation of β-catenin, which activates Wnt/β-catenin signaling in Bmx-positive arterial endothelial cells (Bmx/CA mice) led to progressive cardiac dysfunction and 100% mortality at 40 weeks after tamoxifen treatment. Electron microscopic analysis revealed dilatation of T-tubules and degeneration of mitochondria in cardiomyocytes of Bmx/CA mice, which are similar to the changes observed in mice with decreased neuregulin-ErbB signaling. Endothelial expression of Nrg1 and cardiac ErbB signaling were suppressed in Bmx/CA mice. The cardiac dysfunction of Bmx/CA mice was ameliorated by administration of recombinant neuregulin protein. These results collectively suggest that sustained activation of Wnt/β-catenin signaling in endothelial cells might be a cause of heart failure through suppressing neuregulin-ErbB signaling, and that the Wnt/β-catenin/NRG axis in cardiac endothelial cells might become a therapeutic target for heart failure.
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