Propionate alleviated post-infarction cardiac dysfunction by macrophage polarization in a rat model

Ming-Min Zhou1, Di-Wen Li1, Liao Xu1

  • 1Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China; Cardiovascular Research Institute of Wuhan University, Wuhan, China; Hubei Key Laboratory of Cardiology, Wuhan, China.

Abstract

Insights

Oral propionate, a short-chain fatty acid, mitigates cardiac dysfunction after myocardial infarction (MI) by promoting reparative M2 macrophages and reducing inflammation. This nutritional intervention improves cardiac remodeling and function post-MI.

Area of Science:

  • Cardiovascular Research
  • Immunology
  • Metabolic Syndrome

Background:

  • Short-chain fatty acids (SCFAs), including propionate (C3), inhibit pro-inflammatory macrophages.
  • Macrophage phenotypic transition from M1 to M2 is crucial for mitigating cardiac dysfunction post-myocardial infarction (MI).

Purpose of the Study:

  • To investigate the therapeutic effect of early-stage oral propionate administration on post-MI cardiac remodeling and dysfunction.
  • To elucidate the role of propionate in modulating macrophage polarization and inflammatory responses in the infarcted heart.

Main Methods:

  • 160 Sprague-Dawley rats were divided into sham, sham+C3, MI, and MI+C3 groups, with C3 administered orally.
  • MI was induced by coronary occlusion, and assessments included macrophage classification, inflammatory factors, fibrosis, and echocardiography.
  • In vitro studies used RAW264.7 cells stimulated with LPS+IFN-γ with or without propionate for western blot and cytokine analysis.

Main Results:

  • Propionate administration reduced MI-induced myocardial fibrosis and attenuated cardiac function deterioration.
  • Propionate promoted M2-like macrophage polarization and decreased inflammatory cytokines in the infarcted border zone.
  • These effects were partly mediated by the inhibition of JNK/P38/NFκB signaling pathways.

Conclusions:

  • Early-stage oral propionate acts as a nutritional intervention to alleviate chronic cardiac remodeling and dysfunction post-MI.
  • Propionate modulates macrophage polarization and pro-inflammatory cytokine levels, associated with reduced JNK/P38/NFκB phosphorylation.
  • This highlights propionate's potential therapeutic role in managing cardiac outcomes after myocardial infarction.

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