Leukocyte-Dependent Regulation of Cardiac Fibrosis

Cardiac fibrosis begins as an intrinsic response to injury or ageing that functions to preserve the tissue from further damage. Fibrosis results from activated cardiac myofibroblasts, which secrete extracellular matrix (ECM) proteins in an effort to replace damaged tissue; however, excessive ECM dep...

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Main Authors: Ama Dedo Okyere, Douglas G. Tilley
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-04-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fphys.2020.00301/full
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author Ama Dedo Okyere
Douglas G. Tilley
author_facet Ama Dedo Okyere
Douglas G. Tilley
author_sort Ama Dedo Okyere
collection DOAJ
description Cardiac fibrosis begins as an intrinsic response to injury or ageing that functions to preserve the tissue from further damage. Fibrosis results from activated cardiac myofibroblasts, which secrete extracellular matrix (ECM) proteins in an effort to replace damaged tissue; however, excessive ECM deposition leads to pathological fibrotic remodeling. At this extent, fibrosis gravely disturbs myocardial compliance, and ultimately leads to adverse outcomes like heart failure with heightened mortality. As such, understanding the complexity behind fibrotic remodeling has been a focal point of cardiac research in recent years. Resident cardiac fibroblasts and activated myofibroblasts have been proven integral to the fibrotic response; however, several findings point to additional cell types that may contribute to the development of pathological fibrosis. For one, leukocytes expand in number after injury and exhibit high plasticity, thus their distinct role(s) in cardiac fibrosis is an ongoing and controversial field of study. This review summarizes current findings, focusing on both direct and indirect leukocyte-mediated mechanisms of fibrosis, which may provide novel targeted strategies against fibrotic remodeling.
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spelling doaj.art-7d62e618f7674d1289c739c345bfe5392022-12-22T00:41:57ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2020-04-011110.3389/fphys.2020.00301514777Leukocyte-Dependent Regulation of Cardiac FibrosisAma Dedo OkyereDouglas G. TilleyCardiac fibrosis begins as an intrinsic response to injury or ageing that functions to preserve the tissue from further damage. Fibrosis results from activated cardiac myofibroblasts, which secrete extracellular matrix (ECM) proteins in an effort to replace damaged tissue; however, excessive ECM deposition leads to pathological fibrotic remodeling. At this extent, fibrosis gravely disturbs myocardial compliance, and ultimately leads to adverse outcomes like heart failure with heightened mortality. As such, understanding the complexity behind fibrotic remodeling has been a focal point of cardiac research in recent years. Resident cardiac fibroblasts and activated myofibroblasts have been proven integral to the fibrotic response; however, several findings point to additional cell types that may contribute to the development of pathological fibrosis. For one, leukocytes expand in number after injury and exhibit high plasticity, thus their distinct role(s) in cardiac fibrosis is an ongoing and controversial field of study. This review summarizes current findings, focusing on both direct and indirect leukocyte-mediated mechanisms of fibrosis, which may provide novel targeted strategies against fibrotic remodeling.https://www.frontiersin.org/article/10.3389/fphys.2020.00301/fullcardiac fibrosisneutrophilmonocyte macrophagemast cellslymphocytesdendritic cells
spellingShingle Ama Dedo Okyere
Douglas G. Tilley
Leukocyte-Dependent Regulation of Cardiac Fibrosis
Frontiers in Physiology
cardiac fibrosis
neutrophil
monocyte macrophage
mast cells
lymphocytes
dendritic cells
title Leukocyte-Dependent Regulation of Cardiac Fibrosis
title_full Leukocyte-Dependent Regulation of Cardiac Fibrosis
title_fullStr Leukocyte-Dependent Regulation of Cardiac Fibrosis
title_full_unstemmed Leukocyte-Dependent Regulation of Cardiac Fibrosis
title_short Leukocyte-Dependent Regulation of Cardiac Fibrosis
title_sort leukocyte dependent regulation of cardiac fibrosis
topic cardiac fibrosis
neutrophil
monocyte macrophage
mast cells
lymphocytes
dendritic cells
url https://www.frontiersin.org/article/10.3389/fphys.2020.00301/full
work_keys_str_mv AT amadedookyere leukocytedependentregulationofcardiacfibrosis
AT douglasgtilley leukocytedependentregulationofcardiacfibrosis