Identifying a marked inflammation mediated cardiac dysfunction during the development of arthritis in

Zihao Zhou1, Zhengyue Miao2, Aishu Luo3

  • 1Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Insights

Systemic inflammation in rheumatoid arthritis (RA) is linked to cardiovascular disease (CVD). This study shows joint inflammation in mice models causes cardiac dysfunction and inflammation in heart cells, supporting inflammation

Area of Science:

  • Cardiovascular Biology
  • Rheumatology
  • Immunology

Background:

  • Rheumatoid arthritis (RA) is associated with a higher risk of cardiovascular diseases (CVD).
  • Systemic inflammation in RA plays a crucial role in the development of CVD.
  • Understanding the direct impact of RA-induced inflammation on cardiac function is vital.

Purpose of the Study:

  • To investigate cardiac changes during arthritis development in a collagen-induced arthritis (CIA) mouse model.
  • To explore the role of inflammation in RA-associated cardiac dysfunction.
  • To establish a link between joint inflammation and cardiac pathology.

Main Methods:

  • Arthritis severity was assessed using clinical indices, micro-CT, and histopathology.
  • Cardiac function was evaluated using transthoracic echocardiography at multiple time points.
  • Gene expression of inflammatory markers and cardiac-related genes (e.g., β-MHC) was measured in isolated heart cells and cell lines exposed to serum from CIA mice or RA patients.

Main Results:

  • CIA mice exhibited significantly reduced cardiac function, indicated by decreased ejection fraction (EF) and fractional shortening (FS).
  • Pathological analysis revealed increased inflammatory cell infiltration and fibrosis in ventricular tissues.
  • Elevated expression of inflammatory cytokines (TNF-α, IL-6, IL-17) and MMP3 was observed in cardiomyocytes and cardiac fibroblasts; β-MHC expression increased in H9c2 cells treated with CIA/RA sera.

Conclusions:

  • Joint inflammation in RA is directly associated with cardiac dysfunction.
  • Inflammation promotes cardiac infiltration and inflammatory cytokine production in heart cells during CIA.
  • This study provides direct evidence that inflammation contributes to cardiac disease development in RA patients.
Abstract

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