CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts

Cardiovascular disease (CVD) is the leading cause of death worldwide. Current data suggest that patients with cardiovascular diseases experience more serious complications with coronavirus disease-19 (COVID-19) than those without CVD. In addition, severe COVID-19 appears to cause acute cardiac injur...

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Main Authors: Laxmansa C. Katwa, Chelsea Mendoza, Madison Clements
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/8/1316
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author Laxmansa C. Katwa
Chelsea Mendoza
Madison Clements
author_facet Laxmansa C. Katwa
Chelsea Mendoza
Madison Clements
author_sort Laxmansa C. Katwa
collection DOAJ
description Cardiovascular disease (CVD) is the leading cause of death worldwide. Current data suggest that patients with cardiovascular diseases experience more serious complications with coronavirus disease-19 (COVID-19) than those without CVD. In addition, severe COVID-19 appears to cause acute cardiac injury, as well as long-term adverse remodeling of heart tissue. Cardiac fibroblasts and myofibroblasts, being crucial in response to injury, may play a pivotal role in both contributing to and healing COVID-19-induced cardiac injury. The role of cardiac myofibroblasts in cardiac fibrosis has been well-established in the literature for decades. However, with the emergence of the novel coronavirus SARS-CoV-2, new cardiac complications are arising. Bursts of inflammatory cytokines and upregulation of TGF-β1 and angiotensin (AngII) are common in severe COVID-19 patients. Cytokines, TGF-β1, and Ang II can induce cardiac fibroblast differentiation, potentially leading to fibrosis. This review details the key information concerning the role of cardiac myofibroblasts in CVD and COVID-19 complications. Additionally, new factors including controlling ACE2 expression and microRNA regulation are explored as promising treatments for both COVID-19 and CVD. Further understanding of this topic may provide insight into the long-term cardiac manifestations of the COVID-19 pandemic and ways to mitigate its negative effects.
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spelling doaj.art-b775cee339f74c86bc84c16d541616832023-12-01T01:14:13ZengMDPI AGCells2073-44092022-04-01118131610.3390/cells11081316CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and MyofibroblastsLaxmansa C. Katwa0Chelsea Mendoza1Madison Clements2Department of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USADepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USADepartment of Physiology, Brody School of Medicine, East Carolina University, Greenville, NC 27834, USACardiovascular disease (CVD) is the leading cause of death worldwide. Current data suggest that patients with cardiovascular diseases experience more serious complications with coronavirus disease-19 (COVID-19) than those without CVD. In addition, severe COVID-19 appears to cause acute cardiac injury, as well as long-term adverse remodeling of heart tissue. Cardiac fibroblasts and myofibroblasts, being crucial in response to injury, may play a pivotal role in both contributing to and healing COVID-19-induced cardiac injury. The role of cardiac myofibroblasts in cardiac fibrosis has been well-established in the literature for decades. However, with the emergence of the novel coronavirus SARS-CoV-2, new cardiac complications are arising. Bursts of inflammatory cytokines and upregulation of TGF-β1 and angiotensin (AngII) are common in severe COVID-19 patients. Cytokines, TGF-β1, and Ang II can induce cardiac fibroblast differentiation, potentially leading to fibrosis. This review details the key information concerning the role of cardiac myofibroblasts in CVD and COVID-19 complications. Additionally, new factors including controlling ACE2 expression and microRNA regulation are explored as promising treatments for both COVID-19 and CVD. Further understanding of this topic may provide insight into the long-term cardiac manifestations of the COVID-19 pandemic and ways to mitigate its negative effects.https://www.mdpi.com/2073-4409/11/8/1316TGF-β1fibroblastmyofibroblastfibrosisCOVID-19
spellingShingle Laxmansa C. Katwa
Chelsea Mendoza
Madison Clements
CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts
Cells
TGF-β1
fibroblast
myofibroblast
fibrosis
COVID-19
title CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts
title_full CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts
title_fullStr CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts
title_full_unstemmed CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts
title_short CVD and COVID-19: Emerging Roles of Cardiac Fibroblasts and Myofibroblasts
title_sort cvd and covid 19 emerging roles of cardiac fibroblasts and myofibroblasts
topic TGF-β1
fibroblast
myofibroblast
fibrosis
COVID-19
url https://www.mdpi.com/2073-4409/11/8/1316
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AT madisonclements cvdandcovid19emergingrolesofcardiacfibroblastsandmyofibroblasts