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Unveiling IL-33/ST2 Pathway Unbalance in Cardiac Remodeling Due to Obesity in Zucker Fatty Rats
Clementina Sitzia1, Elena Vianello1, Elena Dozio1
1Department of Biomedical Science for Health, Medical Faculty, University of Milan, 20122 Milan, Italy.
International Journal of Molecular Sciences
|February 11, 2023
Summary
Obesity dysregulates Interleukin-33 (IL-33) signaling, impacting cardiac remodeling and fibrosis. Ghrelin-induced IL-33 secretion counteracted these effects in Zucker rats, highlighting complex IL-33 roles in cardiovascular health.
Area of Science:
- Cardiovascular Biology
- Immunology
- Metabolic Disease
Background:
- Obesity is a major risk factor for cardiovascular disease (CVD) severity and mortality.
- Visceral fat secretes inflammatory adipokines, influencing cardiac metabolism and remodeling.
- Interleukin-33 (IL-33) signaling, via ST2, is implicated in immune responses and cardiac fibrosis.
Purpose of the Study:
- To investigate the effects of IL-33/ST2 signaling on cardiac remodeling in obesity.
- To elucidate molecular pathways linking adipose-derived IL-33 to cardiac fibrosis and hypertrophy.
- To explore the role of ghrelin in modulating IL-33 effects in obesity-related cardiac changes.
Main Methods:
- Utilized the Zucker Fatty rat model of obesity.
- Developed in vitro models to simulate adipose-myocardial interactions.
- Analyzed IL-33/ST2 signaling, Epac proteins, and gene expression in adipose and cardiac tissues.
Main Results:
- Demonstrated dysregulated IL-33/ST2 signaling in adipose and cardiac tissues of obese rats.
- Identified affected Epac proteins and pro-fibrotic gene expression signatures.
- Observed that ghrelin-induced IL-33 secretion counteracted pro-fibrotic effects by influencing transcription factors and ST2 isoform balance.
Conclusions:
- IL-33/ST2 signaling is dysregulated in obesity and contributes to cardiac fibrosis.
- Ghrelin can modulate IL-33 secretion, offering a potential counter-regulatory mechanism.
- The role of IL-33 in cardiac remodeling is complex and context-dependent, influenced by cell origin and ST2 isoform balance.

