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Clec4e-Receptor Signaling in Myocardial Repair After Ischemia-Reperfusion Injury
Denise Veltman1, Ming Wu1, Peter Pokreisz1
1Department of Cardiovascular Sciences, Katholieke Universiteit (KU) Leuven, Leuven, Belgium.
JACC. Basic to Translational Science
|September 1, 2021
Summary
Targeting C-type lectin domain family 4 member E (CLEC4E) reduces heart damage after ischemia-reperfusion injury. Blocking CLEC4E improves cardiac repair and function, offering a potential therapeutic strategy for heart attack recovery.
Area of Science:
- Cardiovascular Biology
- Immunology
- Molecular Medicine
Background:
- C-type lectin domain family 4 member E (CLEC4E) is implicated in sterile inflammation.
- The role of CLEC4E in myocardial repair following ischemic injury remains unexplored.
Purpose of the Study:
- To investigate the role of CLEC4E in myocardial repair after ischemia-reperfusion (I/R) injury.
- To determine if CLEC4E inhibition can serve as a therapeutic strategy for enhancing cardiac repair.
Main Methods:
- Utilized porcine, murine, and human cardiac samples.
- Assessed CLEC4E expression in myocardial tissue and blood correlating with injury extent.
- Employed Clec4e knockout (Clec4e-/-) mouse models to evaluate the impact of CLEC4E loss on cardiac injury and repair.
Main Results:
- CLEC4E expression in myocardium and blood correlates with myocardial injury and left ventricular (LV) dysfunction.
- CLEC4E levels are significantly elevated in cardiac cells and leukocytes within the ischemic heart.
- Loss of CLEC4E signaling in Clec4e-/- mice resulted in reduced acute cardiac injury, neutrophil infiltration, and infarct size.
- Improved LV structural and functional remodeling was observed in Clec4e-/- mice at 4 weeks post-injury.
- Transcriptomic analysis revealed upregulation of genes related to metabolism, antioxidant defense, angiogenesis, and extracellular matrix organization in Clec4e-/- mice.
Conclusions:
- CLEC4E plays a critical role in modulating myocardial inflammation and injury following I/R.
- Targeting CLEC4E early after I/R injury presents a promising therapeutic avenue for promoting myocardial repair and improving cardiac function.
Keywords:
ACS, acute coronary syndromeAMI, acute myocardial infarctionANOVA, analysis of varianceCAD, coronary artery diseaseCLEC4ECLEC4E, C-type lectin domain family 4 member ECMC, cardiac myocyteCar3, carbonic anhydrase 3Cxcl2, CXC chemokine ligand 2Cxcr2, CXC chemokine receptor 2DAMP, damage-associated molecular patternECM, extracellular matrixESV, end-systolic volumeEfna2, ephrin A2Grk2, G protein–coupled receptor kinase 2I/R, ischemia-reperfusionLAD, left anterior descending coronary arteryLV, left ventricularMPO, myeloperoxidaseMRI, magnetic resonance imagingNS, not significantPRR, pattern recognition receptorRNA, ribonucleic acidSMC, smooth muscle cellSTEMI, ST-segment elevation myocardial infarctionTnT, troponin TWT, wild-typehs-TnI, high-sensitivity troponin Iinflammationischemia-reperfusion injurymagnetic resonance imagingmyocardial remodelingqRT-PCR, quantitative reverse transcription polymerase chain reaction
