Sipa1 Drives a Maladaptive Fibroblast-Myeloid Axis After Myocardial Infarction

Seien Ko1, Xueyuan Liu1, Yurika Taniguchi1

  • 1Department of Cardiology (S.K., X.L., Y.T., G.I., J.K., H.Y., K.S., H.H., Y.K., J.E., M.S., A.A., M.I.), Keio University School of Medicine, Tokyo, Japan.

Circulation Research
|June 26, 2025
PubMed
Abstract

Insights

Signal-induced proliferation-associated gene 1 (Sipa1) in cardiac fibroblasts drives inflammation after myocardial infarction (MI). Inhibiting Sipa1 improves heart function and survival post-MI, offering a new therapeutic target for heart failure.

Area of Science:

  • Cardiovascular Biology
  • Immunology
  • Molecular Medicine

Background:

  • Signal-induced proliferation-associated gene 1 (Sipa1) is a Rap1 GTPase-activating protein that negatively regulates Rap1 signaling.
  • While studied in cancer, Sipa1's role in myocardial infarction (MI) wound healing is unknown.

Purpose of the Study:

  • To investigate the role of endogenous Sipa1 in the cardiac response to MI.
  • To identify the cellular source and mechanism of Sipa1's action in infarcted hearts.

Main Methods:

  • Used Sipa1 knockout mice and cardiac fibroblast-specific conditional knockouts.
  • Employed bone marrow transplantation, flow cytometry, and transcriptomic analysis.
  • Investigated Sipa1's role in vitro and in vivo in cardiac fibroblasts.

Main Results:

  • Sipa1 deficiency improved post-MI survival and cardiac function, reducing inflammation and immune cell infiltration.
  • Cardiac fibroblasts were identified as the primary source of Sipa1, driving adverse outcomes.
  • Sipa1 in fibroblasts promoted chemokine production via a RasGRP2-Ras-JNK pathway, enhancing inflammatory cell accumulation.

Conclusions:

  • A novel Sipa1-mediated fibroblast-myeloid axis exacerbates inflammation post-MI.
  • Targeting Sipa1 presents a potential therapeutic strategy to improve wound healing and prevent heart failure after MI.