MicroRNA-21-Dependent Macrophage-to-Fibroblast Signaling Determines the Cardiac Response to Pressure Overload

Deepak Ramanujam1,2, Anna Patricia Schön1,2, Christina Beck1,2

  • 1Institut für Pharmakologie und Toxikologie (D.R., A.P.S., C.B., P.V., G.F., A.D., D.E., S.E.), Technische Universität München (TUM), Germany.

Circulation
|February 8, 2021
PubMed
Abstract

Insights

Macrophage microRNA-21 (miR-21) drives cardiac fibrosis and dysfunction by promoting M1 polarization and fibroblast activation. Deleting miR-21 in cardiac macrophages protects against pressure overload-induced heart disease.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Molecular Biology

Background:

  • Cardiac macrophages (cMPs) regulate heart homeostasis and disease.
  • The role of noncoding RNA in cMPs is largely unknown.
  • MicroRNA-21 (miR-21) is highly expressed in cMPs and linked to fibrosis.

Purpose of the Study:

  • To determine the function of macrophage miR-21 in myocardial homeostasis and disease.
  • To investigate miR-21's role in pressure overload-induced cardiac remodeling.

Main Methods:

  • Mice with macrophage-specific miR-21 deletion were subjected to pressure overload.
  • Cardiac function assessed by echocardiography; tissues analyzed by histology and single-cell sequencing.
  • Macrophage-fibroblast cocultures used to study cell signaling.

Main Results:

  • Macrophage miR-21 deletion protected mice from fibrosis and cardiac dysfunction.
  • miR-21 in macrophages is essential for M1-like polarization and fibroblast activation.
  • miR-21 mediates macrophage-fibroblast communication, promoting myofibroblast differentiation.

Conclusions:

  • cMPs play a critical role in pressure overload-induced cardiac fibrosis and dysfunction.
  • Macrophage miR-21 is a key molecule mediating the profibrotic function of cMPs.
  • Targeting macrophage miR-21 may offer therapeutic strategies for cardiac fibrosis.