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Published on: June 14, 2016
Cadherin-11 and cardiac fibrosis: A common target for a common pathology
Lance A Riley1, W David Merryman1
1Department of Biomedical Engineering, Vanderbilt University, USA.
Insights
Cardiac fibrosis, a major heart disease complication, involves fibroblast activation, inflammation, and mechanical changes. Targeting cadherin-11 may offer new therapeutic strategies for heart disease.
Area of Science:
- Cardiology
- Cell Biology
- Biomedical Engineering
Background:
- Cardiac fibrosis is a key factor in cardiovascular diseases, the leading global cause of death.
- Fibrosis involves fibroblast activation into myofibroblasts, excessive extracellular matrix deposition, persistent inflammation, and cellular responses to mechanical stress.
Purpose of the Study:
- To review the mechanisms driving cardiac fibrosis in cardiovascular diseases.
- To explore cadherin-11 as a potential therapeutic target linking fibrotic, inflammatory, and biomechanical pathways.
Main Methods:
- Literature review of pro-fibrotic, pro-inflammatory, and biomechanical mechanisms in cardiac fibrosis.
- Analysis of cadherin-11's role as an intercellular adhesion protein in myofibroblasts and inflammatory cells.
Main Results:
- Cardiac fibrosis results from complex interactions between pro-fibrotic, pro-inflammatory, and biomechanical factors.
- Cadherin-11 is identified as a potential unifying factor in these fibrotic mechanisms.
- Blocking cadherin-11 dimerization has shown promise in preventing fibrotic diseases, including cardiac fibrosis.
Conclusions:
- Understanding cadherin-11's role is crucial for developing novel therapeutic interventions for cardiac fibrosis.
- Targeting cadherin-11 offers a potential strategy to treat cardiovascular diseases characterized by fibrosis.
Abstract:
Cardiac fibrosis represents an enormous health concern as it is prevalent in nearly every form of cardiovascular disease, the leading cause of death worldwide. Fibrosis is characterized by the activation of fibroblasts into myofibroblasts, a contractile cell type that secretes significant amounts of extracellular matrix components; however, the onset of this condition is also due to persistent inflammation and the cellular responses to a changing mechanical environment. In this review, we provide an overview of the pro-fibrotic, pro-inflammatory, and biomechanical mechanisms that lead to cardiac fibrosis in cardiovascular diseases. We then discuss cadherin-11, an intercellular adhesion protein present on both myofibroblasts and inflammatory cells, as a potential link for all three of the fibrotic mechanisms. Since experimentally blocking cadherin-11 dimerization prevents fibrotic diseases including cardiac fibrosis, understanding how this protein can be targeted for therapeutic use could lead to better treatments for patients with heart disease.
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