Piezo1 Channel as a Potential Target for Hindering Cardiac Fibrotic Remodeling

Nicoletta Braidotti1,2, Suet Nee Chen3, Carlin S Long4

  • 1Department of Physics, University of Trieste, Via A. Valerio 2, 34127 Trieste, Italy.

Insights

The mechanosensitive ion channel Piezo1, when upregulated after heart injury, drives cardiac fibrosis by promoting fibroblast activation and extracellular matrix production. Targeting Piezo1 may offer a novel therapeutic strategy for fibrotic diseases.

Area of Science:

  • Cardiovascular mechanobiology
  • Cellular mechanotransduction
  • Fibrosis research

Background:

  • Fibrotic tissues and neoplasms exhibit increased extracellular matrix (ECM) stiffness.
  • Mechanosensitive ion channels, like Piezo1, play roles in disease progression.
  • Cardiac fibrosis involves fibroblast activation and excessive ECM deposition.

Purpose of the Study:

  • To review the role of Piezo1 in disease, focusing on tumor progression and cardiac mechanobiology.
  • To explore Piezo1's involvement in cardiac fibrosis following myocardial injury.
  • To identify Piezo1 as a potential therapeutic target for fibrotic conditions.

Main Methods:

  • Review of recent scientific literature on Piezo1.
  • Analysis of Piezo1's role in fibroblast activation and ECM production.
  • Comparison of Piezo1's function in cardiac mechanobiology and cancer.

Main Results:

  • Piezo1 is upregulated in cardiac fibroblasts due to mechanical stress and inflammation post-myocardial injury.
  • Increased Piezo1 activity drives a positive feedback loop, exacerbating cardiac fibrosis.
  • Piezo1 mediates calcium influx, promoting cytoskeleton remodeling and myofibroblast differentiation.

Conclusions:

  • Piezo1 activation contributes to fibroblast activation, myofibroblast recruitment, and excessive ECM production in cardiac fibrosis.
  • Targeting Piezo1 presents a potential therapeutic avenue for mitigating fibrotic progression.
  • Understanding Piezo1's role offers new insights into treating fibrotic diseases, including cardiac fibrosis.