Splenic Ly6Chi monocytes contribute to adverse late post-ischemic left ventricular remodeling in heme oxygenase-1

Mateusz Tomczyk1, Izabela Kraszewska1, Krzysztof Szade1

  • 1Department of Medical Biotechnology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Gronostajowa 7, 30-387, Krakow, Poland.

Insights

Heme oxygenase-1 (Hmox1) deficiency improves early survival after myocardial infarction by reducing cardiac rupture. However, it leads to worse heart function later due to prolonged inflammation, with the spleen playing a key role.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Cellular Stress Response

Background:

  • Heme oxygenase-1 (Hmox1) is a key enzyme in heme catabolism, producing compounds with antioxidant and anti-inflammatory properties.
  • While Hmox1 shows cardioprotective effects in myocardial infarction (MI) models, its role in resolving post-ischemic inflammation is not fully understood.

Purpose of the Study:

  • To investigate the role of Hmox1 in monocyte/macrophage-mediated cardiac remodeling following MI.
  • To elucidate the impact of Hmox1 deficiency on inflammatory responses and left ventricular (LV) function post-MI.

Main Methods:

  • Utilized a permanent left anterior descending coronary artery ligation mouse model.
  • Compared Hmox1 knockout (Hmox1-/-) mice with wild-type (WT, Hmox1+/+) controls.
  • Assessed cardiac rupture, LV function, monocyte/macrophage infiltration, and inflammatory markers, including splenectomy effects.

Main Results:

  • Hmox1-/- mice exhibited reduced early cardiac rupture and improved survival post-MI.
  • Late-phase (7-21 days) post-MI showed worsened LV function in Hmox1-/- mice, associated with increased Ly6Chi monocytes and cardiac inflammation.
  • Splenectomy in Hmox1-/- mice reduced inflammatory monocytes, cardiac macrophages, and improved LV function.

Conclusions:

  • Hmox1 deficiency has dual effects on MI: it enhances early survival but promotes adverse late remodeling via prolonged inflammation.
  • The spleen is identified as a significant contributor to these detrimental cardiovascular outcomes in Hmox1-deficient mice post-MI.

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