Cellular crosstalk in cardioprotection: Where and when do reactive oxygen species play a role?
Tania Martins-Marques1, Antonio Rodriguez-Sinovas2, Henrique Girao1
1Univ Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), Faculty of Medicine, Coimbra, Portugal; Univ Coimbra, Center for Innovative Biomedicine and Biotechnology (CIBB), Coimbra, Portugal; Clinical Academic Centre of Coimbra (CACC), Coimbra, Portugal.
Insights
Reactive oxygen species (ROS) disrupt cardiac cell communication after heart attacks. This review explores how ROS impact intercellular signaling, gap junctions, and extracellular vesicles in myocardial reperfusion injury.
Area of Science:
- Cardiovascular Biology
- Cellular Signaling
Background:
- Intercellular communication is crucial for cardiac homeostasis.
- Acute myocardial infarction is a leading cause of mortality worldwide.
- Reperfusion therapy, while vital, can cause myocardial reperfusion injury due to reactive oxygen species (ROS).
Purpose of the Study:
- To discuss the impact of ROS on intercellular and intracellular communication in the heart.
- To explore the role of gap junctions, tunneling nanotubes, and extracellular vesicles in propagating oxidative damage.
- To highlight the significance of these processes in cardiac diseases, especially ischemia/reperfusion injury.
Main Methods:
- Review of existing literature on ROS, cardiac cell communication, and myocardial reperfusion injury.
- Analysis of the roles of gap junctions, tunneling nanotubes, and extracellular vesicles in oxidative stress propagation.
- Synthesis of current understanding of ROS signaling in cardiac cell-cell crosstalk.
Main Results:
- ROS significantly impact various forms of cell-cell communication within the heart.
- Gap junctions, tunneling nanotubes, and extracellular vesicles are implicated in the spread of oxidative damage.
- ROS signaling pathways are intricately linked to cell differentiation and communication.
Conclusions:
- Understanding ROS-mediated intercellular communication is vital for managing cardiac diseases.
- Targeting these communication pathways may offer novel therapeutic strategies for myocardial reperfusion injury.
- Further research into the specific roles of gap junctions, tunneling nanotubes, and EVs in ROS propagation is warranted.
Abstract:
A well-balanced intercellular communication between the different cells within the heart is vital for the maintenance of cardiac homeostasis and function. Despite remarkable advances on disease management and treatment, acute myocardial infarction remains the major cause of morbidity and mortality worldwide. Gold standard reperfusion strategies, namely primary percutaneous coronary intervention, are crucial to preserve heart function. However, reestablishment of blood flow and oxygen levels to the infarcted area are also associated with an accumulation of reactive oxygen species (ROS), leading to oxidative damage and cardiomyocyte death, a phenomenon termed myocardial reperfusion injury. In addition, ROS signaling has been demonstrated to regulate multiple biological pathways, including cell differentiation and intercellular communication. Given the importance of cell-cell crosstalk in the coordinated response after cell injury, in this review, we will discuss the impact of ROS in the different forms of inter- and intracellular communication, as well as the role of gap junctions, tunneling nanotubes and extracellular vesicles in the propagation of oxidative damage in cardiac diseases, particularly in the context of ischemia/reperfusion injury.
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