Dysregulation of IL-33/ST2 signaling and myocardial periarteriolar fibrosis

Jessica C Garbern1, Jason Williams2, Amy C Kristl3

  • 1Department of Stem Cell and Regenerative Biology and the Harvard Stem Cell Institute, Harvard University, 7 Divinity Ave, Cambridge, MA 02138, United States of America; Department of Cardiology, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States of America.

Insights

Interleukin-33 (IL-33) receptor ST2 signaling loss, not IL-33 levels, may drive periarteriolar fibrosis in aging and pressure overload. This pathway manipulation may not fully prevent or reverse cardiac fibrosis.

Area of Science:

  • Cardiovascular biology
  • Fibrosis research
  • Molecular mechanisms of heart disease

Background:

  • Diastolic dysfunction in heart failure with preserved ejection fraction is linked to cardiac microvascular dysfunction and periarteriolar fibrosis.
  • Interleukin-33 (IL-33), acting through its receptor ST2, is known to prevent global myocardial fibrosis under pressure overload.
  • The specific role of the IL-33/ST2 pathway in regulating periarteriolar fibrosis remains largely undetermined.

Purpose of the Study:

  • To investigate the role of the IL-33/ST2 axis in modulating periarteriolar fibrosis.
  • To examine age-related changes in IL-33 and ST2 expression and their correlation with periarteriolar fibrosis.
  • To determine the impact of IL-33 or ST2 deficiency on periarteriolar fibrosis following pressure overload.

Main Methods:

  • Comparative analysis of IL-33 and ST2 expression in young versus aged wild-type mice.
  • Induction of pressure overload via transverse aortic constriction (TAC) in mice genetically deficient in IL-33 or ST2.
  • Histological assessment of periarteriolar fibrosis in aged and TAC-subjected mice.

Main Results:

  • Aging was associated with increased IL-33 expression, decreased ST2 expression, and enhanced periarteriolar fibrosis.
  • Mice lacking ST2 exhibited significantly increased periarteriolar fibrosis after TAC compared to wild-type controls.
  • Mice deficient in IL-33 did not show a significant increase in periarteriolar fibrosis post-TAC.

Conclusions:

  • Loss of ST2 signaling, rather than altered IL-33 expression, appears to be a key factor in the development of periarteriolar fibrosis during aging and pressure overload.
  • While the IL-33/ST2 pathway is implicated, targeting it alone may not be sufficient to prevent or reverse cardiac fibrosis.

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