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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.
Abstract:
Myocardial infarction (MI), a major form of coronary artery disease (CAD), triggers a severe inflammatory response in the heart, resulting in increased cell death and adverse ventricular remodeling. Despite treatment advancements, MI remains a significant risk factor for heart failure, underscoring the necessity for a more in-depth exploration of immune cell mechanisms. Proprotein convertase subtilisin/kexin type 7 (PCSK7), expressed in various tissues and immune cells, has been implicated in cardiovascular disease, yet its specific role in cardiac immune cells remains poorly understood. This study aimed to elucidate the role of PCSK7 in MI-related inflammation. Our findings indicate that PCSK7 deficiency reduces circulating cholesterol levels, potentially mitigating infarct injury and improving cardiac function by modulating immune cells. Additionally, PCSK7 promotes macrophage activation and lipid uptake at the ischemic site, intensifying the pathology. We also observed that PCSK7 activates the TNF-α/JNK signaling pathway in macrophages intracellularly, amplifying the inflammatory response. Therefore, targeting PCSK7 in macrophages could help mitigate post-MI inflammation, alleviate disease severity, and offer novel therapeutic strategies for patients with CAD. [BMB Reports 2024; 57(12): 553-558].
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.
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