Regulation of Cardiac Mast Cell Maturation and Function by the Neurokinin-1 Receptor in the Fibrotic Heart

Alexander Widiapradja1,2, Edward J Manteufel3, Heather M Dehlin3

  • 1Kolling Institute of Medical Research, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia.

Scientific Reports
|July 31, 2019
PubMed

Insights

Substance P (SP) binding to neurokinin-1 receptors (NK-1R) promotes cardiac fibrosis by maturing mast cells (MCs). However, MC activation leading to fibrosis requires additional stimuli beyond NK-1R signaling.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Fibrosis Research

Background:

  • Cardiac fibrosis, a key factor in diastolic dysfunction and heart failure, is linked to Substance P (SP) and neurokinin-1 receptor (NK-1R) activation.
  • While SP-NK-1R signaling contributes to cardiac fibrosis in hypertension, direct fibroblast activation is not the primary mechanism.
  • Mast cells (MCs) are implicated in cardiac fibrosis and respond to SP, suggesting a potential mediating role.

Purpose of the Study:

  • To investigate the role of mast cells (MCs) in mediating the fibrotic effects of Substance P (SP) via neurokinin-1 receptor (NK-1R) signaling.
  • To determine if NK-1R blockade affects mast cell maturation and subsequent cardiac fibrosis.
  • To elucidate the necessity of mast cell NK-1Rs for SP-induced mast cell activation and fibrosis.

Main Methods:

  • Treatment of spontaneously hypertensive rats (SHR) with an NK-1R antagonist (L732138) to assess effects on mast cell maturation.
  • Utilizing angiotensin II-infused mice to examine the impact of NK-1R blockade on cardiac mast cell maturation.
  • Employing MC-deficient mice, with and without MC reconstitution (including NK-1R deficient MCs), to evaluate the role of MCs and their NK-1Rs in angiotensin II-induced cardiac fibrosis.

Main Results:

  • NK-1R blockade with L732138 prevented increased mast cell maturation in spontaneously hypertensive rats and angiotensin II-infused mice.
  • MC-deficient mice did not develop fibrosis after angiotensin II infusion.
  • Reconstitution of MC-deficient mice with wild-type or NK-1R-deficient MCs both led to fibrosis, indicating NK-1Rs are not required for MC activation in this context.

Conclusions:

  • Neurokinin-1 receptor (NK-1R) activation promotes mast cell (MC) maturation.
  • Mast cell (MC) activation leading to cardiac fibrosis is dependent on stimuli other than NK-1R signaling.
  • Mast cells (MCs) mediate cardiac fibrosis, but their activation requires additional pathways beyond NK-1R stimulation.

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