Factors Released by Polarized Neutrophil-like Cells Modulate Cardiac Fibroblast Phenotype and Limit the Inflammatory
Letitia Ciortan1, Ana-Maria Gan1, Sergiu Cecoltan1
1Inflammation Department, Institute of Cellular Biology and Pathology "Nicolae Simionescu", 050568 Bucharest, Romania.
Biomedicines
|November 27, 2025
Summary
Neutrophil mediators influence cardiac fibroblast behavior after myocardial infarction (MI). While N1 neutrophils promote inflammation in vitro, both N1 and N2 neutrophil mediators aid heart healing in vivo by reducing inflammation and fibrosis.
Area of Science:
- Cardiology
- Immunology
- Cell Biology
Background:
- Cardiac fibroblasts (CFs) adopt specific phenotypes for scar formation post-myocardial infarction (MI).
- Neutrophils are key in post-MI healing, but their role in modulating CF phenotype is unclear.
- This study examines how mediators from pro-inflammatory (N1) and anti-inflammatory (N2) neutrophils affect CFs.
Purpose of the Study:
- To investigate the impact of neutrophil-derived soluble mediators on cardiac fibroblast (CF) phenotype.
- To understand how N1 and N2 neutrophil subtypes influence cardiac healing post-myocardial infarction (MI).
Main Methods:
- In vitro: Human CFs co-cultured with N1 or N2 neutrophil-like cells in a Transwell system.
- In vivo: Mouse neutrophils polarized to N1 or N2, with their soluble mediators (SN1/SN2) injected into infarcted myocardium post-MI.
- Analysis of inflammatory, remodeling, and pro-fibrotic markers in fibroblasts and tissue at 1 and 7 days post-MI.
Main Results:
- In vitro, N1 mediators induced a pro-inflammatory, matrix-degrading CF phenotype (IL-1β, IL-6, MCP-1, MMP-3/MMP-9).
- In vivo, both SN1 and SN2 treatments reduced pro-inflammatory markers (IL-1β, IL-6) at day 1 post-MI.
- At day 7 post-MI, SN1/SN2 treatments limited inflammation and mitigated fibrosis (reduced CCN2, α-SMA, ECM proteins).
Conclusions:
- N1 mediators promote a pro-inflammatory CF phenotype in vitro.
- Mediators from both N1 and N2 neutrophils support a balanced in vivo reparative response post-MI.
- Neutrophil mediators may mitigate adverse cardiac remodeling by limiting inflammation and fibrosis.
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