Farnesoid X receptor deletion improves cardiac function, structure and remodeling following myocardial infarction in

Jianshu Gao1, Xiaoqiang Liu2, Bingjian Wang3

  • 1Department of Cardiology, Shanghai General Hospital of Nanjing Medical University, Shanghai 200080, P.R. China.

Insights

Farnesoid X receptor (FXR) knockout preserves cardiac function after myocardial infarction (MI) by reducing fibrosis and apoptosis, leading to improved ventricular remodeling and ejection fraction in mice.

Area of Science:

  • Cardiovascular Biology
  • Molecular Medicine
  • Receptor Signaling

Background:

  • The farnesoid X receptor (FXR) regulates cholesterol and bile acid homeostasis.
  • The role of FXR in cardiac remodeling following myocardial infarction (MI) remains unclear.

Purpose of the Study:

  • To investigate the impact of FXR knockout on left ventricular (LV) remodeling post-MI.
  • To elucidate the mechanisms by which FXR influences cardiac function after ischemic injury.

Main Methods:

  • Myocardial infarction was induced in wild-type (WT) and FXR knockout (FXR-/-) mice via coronary artery occlusion.
  • Serial echocardiography and histological analyses were performed to assess cardiac function and structure.
  • Assessment of infarct size, ejection fraction, LV chamber dilation, angiogenesis (CD31), fibrosis, and myocyte apoptosis.

Main Results:

  • FXR-/- mice showed significantly smaller infarct sizes and improved ejection fraction at 4 weeks post-MI compared to WT mice.
  • Reduced LV chamber dilation and enhanced angiogenesis were observed in FXR-/- mice.
  • Histological analysis revealed decreased fibrosis and significantly reduced myocyte apoptosis by day 7 in FXR-/- mice, indicating accelerated healing and preserved function.

Conclusions:

  • FXR knockout ameliorates adverse LV remodeling and preserves cardiac function following MI.
  • FXR deficiency may protect the heart by reducing chronic apoptosis and fibrosis in the infarcted area.
  • Targeting FXR could be a potential therapeutic strategy for post-MI recovery.

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