PDGF-AB Reduces Myofibroblast Differentiation Without Increasing Proliferation After Myocardial Infarction

Robert D Hume1,2, Tejas Deshmukh1,2,3, Tram Doan4

  • 1Centre for Heart Research, Westmead Institute for Medical Research, Westmead, New South Wales, Australia.

Insights

Platelet-derived growth factors (PDGFs) surprisingly reduce myofibroblast differentiation post-myocardial infarction (MI). PDGF-AB therapy accelerates cardiac scar formation and improves heart function without increasing fibrosis.

Area of Science:

  • Cardiovascular Biology
  • Regenerative Medicine
  • Fibrosis Research

Background:

  • Myocardial infarction (MI) leads to cardiac fibroblast activation and fibrosis.
  • Platelet-derived growth factors (PDGFs) are implicated in fibroblast proliferation and fibrosis post-MI.
  • Previous studies suggest PDGFs improve cardiac function post-MI without exacerbating fibrosis.

Purpose of the Study:

  • To investigate the precise effects of PDGF isoforms on cardiac fibroblasts and post-MI cardiac remodeling.
  • To elucidate the molecular mechanisms underlying PDGF's action in the context of MI.
  • To evaluate the therapeutic potential of PDGF-AB in modulating cardiac scar maturation.

Main Methods:

  • In vitro treatment of human cardiac fibroblasts with PDGF isoforms followed by RNA sequencing.
  • In vivo studies using mouse and pig myocardial infarction models with PDGF-AB infusion.
  • Transcriptomic analysis (RNA sequencing) of cardiac tissue post-MI.

Main Results:

  • PDGFs reduced myofibroblast differentiation and downregulated cell cycle pathways in human cardiac fibroblasts.
  • PDGF-AB infusion in MI models increased cell-cell interactions, reduced myofibroblast differentiation, and accelerated scar formation without affecting proliferation.
  • PDGF-AB decreased inflammatory cytokines and altered transcript variants and long noncoding RNA expression in cell cycle pathways in pig hearts post-MI.

Conclusions:

  • PDGF-AB exhibits a unique role in modulating cardiac fibroblast behavior post-MI, reducing differentiation rather than proliferation.
  • PDGF-AB therapy accelerates cardiac scar maturation, suggesting a role in scar remodeling.
  • PDGF-AB holds therapeutic promise for improving cardiac function by manipulating post-MI scar development.