XCR1+ conventional dendritic cell-induced CD4+ T helper 1 cell activation exacerbates cardiac remodeling after

Hiroyasu Inui1, Makoto Nishida2, Michiko Ichii3

  • 1Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Suita, Japan.

Insights

Inflammation drives cardiac remodeling after heart injury. This study reveals that XCR1+ cDC1 cells activate CXCR3+ Th1 cells, worsening cardiac dysfunction. Depleting these cells protected the heart.

Area of Science:

  • Immunology
  • Cardiovascular Biology
  • Inflammation Research

Background:

  • Cardiac remodeling following ischemic injury lacks targeted anti-inflammatory therapies.
  • CD4+ T-cell subsets are implicated in myocardial injury healing, but their activation pathways are unclear.

Purpose of the Study:

  • To investigate immune reactions in cardiac remodeling using a high-fat diet-induced coronary heart disease (HFD-CHD) mouse model.
  • To determine if probucol, an anti-inflammatory agent, can suppress cardiac remodeling in HFD-CHD mice.
  • To elucidate the roles of T helper 1 (Th1) cells and dendritic cells (cDC1) in ischemic cardiac remodeling.

Main Methods:

  • Utilized a high-fat diet-induced coronary heart disease (HFD-CHD) mouse model and a coronary artery ligation-induced myocardial infarction (ligation-MI) model.
  • Employed flow cytometry to analyze immune cell populations (CD4+ Th1, XCR1+ cDC1) and RNA sequencing (RNA-seq) to assess gene expression (CXCR3).
  • Investigated the therapeutic effect of probucol and performed cell depletion studies (XCR1+ cDC1) in vivo.

Main Results:

  • HFD-CHD mice exhibited predominant CD4+ T Helper 1 (Th1) cell activation and cardiac dysfunction.
  • Probucol treatment reduced cardiac dysfunction and Th1 cell activation in HFD-CHD mice, suppressing CXCR3 expression.
  • XCR1+ cDC1 cells, expressing CXCR3 ligands, were activated in HFD-CHD and ligation-MI models; their depletion prevented cardiac dysfunction post-MI.
  • XCR1+ cDC1 and CXCR3+ Th1 cells were found in human cardiac infarcts.

Conclusions:

  • Identified a novel pathway where XCR1+ cDC1 cells activate CXCR3+ Th1 cells, contributing critically to ischemic cardiac remodeling.
  • Suggests targeting the XCR1+ cDC1-CXCR3+ Th1 axis as a potential therapeutic strategy for cardiac remodeling.