Targeting proprotein convertase subtilisin/kexin type 7 in macrophages as a therapeutic strategy to mitigate

Shin Hye Moon1, Inyoung Chung1, Na Hyeon Yoon1

  • 1Heart-Immune-Brain Network Research Center, Department of Life Sciences, Ewha Womans University, Seoul 03760, Korea.

BMB Reports
|December 2, 2024
PubMed

Insights

Proprotein convertase subtilisin/kexin type 7 (PCSK7) deficiency reduced cholesterol and improved heart function after myocardial infarction (MI) by modulating immune cells. Targeting PCSK7 in macrophages may offer new therapies for coronary artery disease (CAD).

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Molecular Medicine

Background:

  • Myocardial infarction (MI), a severe form of coronary artery disease (CAD), causes significant heart inflammation and damage.
  • Existing treatments for MI are insufficient, necessitating deeper understanding of immune cell roles in cardiac pathology.
  • Proprotein convertase subtilisin/kexin type 7 (PCSK7) is linked to cardiovascular disease, but its function in cardiac immune cells is unclear.

Purpose of the Study:

  • To investigate the role of PCSK7 in the inflammatory response following myocardial infarction (MI).
  • To determine how PCSK7 influences immune cell behavior and cardiac function post-MI.

Main Methods:

  • Utilized a mouse model of myocardial infarction (MI).
  • Assessed the impact of PCSK7 deficiency on cardiac function, inflammation, and immune cell infiltration.
  • Analyzed macrophage activation, lipid uptake, and intracellular signaling pathways (TNF-α/JNK) in response to PCSK7 modulation.

Main Results:

  • PCSK7 deficiency led to reduced circulating cholesterol levels, mitigating infarct injury and improving cardiac function.
  • PCSK7 was found to promote macrophage activation and lipid uptake in the ischemic cardiac tissue, exacerbating pathology.
  • PCSK7 activates the TNF-α/JNK signaling pathway within macrophages, amplifying the inflammatory cascade.

Conclusions:

  • PCSK7 plays a critical role in exacerbating post-MI inflammation by activating macrophages and promoting lipid uptake.
  • Targeting PCSK7, particularly within macrophages, presents a potential therapeutic strategy to reduce inflammation and improve outcomes in myocardial infarction and CAD patients.