Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction

Sympathetic denervation of the heart following ischemia/reperfusion induced myocardial infarction (MI) is sustained by chondroitin sulfate proteoglycans (CSPGs) in the cardiac scar. Denervation predicts risk of sudden cardiac death in humans. Blocking CSPG signaling restores sympathetic axon outgrow...

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Main Authors: Matthew R Blake, Diana C Parrish, Melanie A Staffenson, Shanice Sueda, William R Woodward, Beth A Habecker
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2022-05-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/78387
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author Matthew R Blake
Diana C Parrish
Melanie A Staffenson
Shanice Sueda
William R Woodward
Beth A Habecker
author_facet Matthew R Blake
Diana C Parrish
Melanie A Staffenson
Shanice Sueda
William R Woodward
Beth A Habecker
author_sort Matthew R Blake
collection DOAJ
description Sympathetic denervation of the heart following ischemia/reperfusion induced myocardial infarction (MI) is sustained by chondroitin sulfate proteoglycans (CSPGs) in the cardiac scar. Denervation predicts risk of sudden cardiac death in humans. Blocking CSPG signaling restores sympathetic axon outgrowth into the cardiac scar, decreasing arrhythmia susceptibility. Axon growth inhibition by CSPGs can depend on the sulfation status of the glycosaminoglycan (CS-GAG) side chains. Tandem sulfation of CS-GAGs at the 4th (4S) and 6th (6S) positions of n-acetyl-galactosamine inhibits outgrowth in several types of central neurons, but we don’t know if sulfation is similarly critical during peripheral nerve regeneration. We asked if CSPG sulfation prevented sympathetic axon outgrowth after MI. Reducing 4S with the 4-sulfatase enzyme Arylsulfatase-B (ARSB) enhanced outgrowth of dissociated rat sympathetic neurons over CSPGs. Likewise, reducing 4S with ARSB restored axon outgrowth from mouse sympathetic ganglia co-cultured with cardiac scar tissue. We quantified enzymes responsible for adding and removing sulfation, and found that CHST15 (4S dependent 6-sulfotransferase) was upregulated, and ARSB was downregulated after MI. This suggests a mechanism for production and maintenance of sulfated CSPGs in the cardiac scar. We decreased 4S,6S CS-GAGs in vivo by transient siRNA knockdown of Chst15 after MI, and found that reducing 4S,6S restored tyrosine hydroxylase (TH) positive sympathetic nerve fibers in the cardiac scar. Reinnervation reduced isoproterenol induced arrhythmias. Our results suggest that modulating CSPG-sulfation after MI may be a therapeutic target to promote sympathetic nerve regeneration in the cardiac scar and reduce post-MI cardiac arrhythmias.
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spelling doaj.art-d6ecbe0551b6479984c4b2b438b21fc22022-12-22T02:05:33ZengeLife Sciences Publications LtdeLife2050-084X2022-05-011110.7554/eLife.78387Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarctionMatthew R Blake0https://orcid.org/0000-0003-0584-7684Diana C Parrish1Melanie A Staffenson2Shanice Sueda3William R Woodward4Beth A Habecker5https://orcid.org/0000-0002-4658-8730Department of Chemical Physiology and Biochemistry, Oregon Health and Science University, Portland, United StatesDepartment of Chemical Physiology and Biochemistry, Oregon Health and Science University, Portland, United StatesDepartment of Chemical Physiology and Biochemistry, Oregon Health and Science University, Portland, United StatesPortland State University EXITO Scholars Program, Portland State University, Portland, United StatesDepartment of Chemical Physiology and Biochemistry, Oregon Health and Science University, Portland, United StatesDepartment of Chemical Physiology and Biochemistry, Oregon Health and Science University, Portland, United StatesSympathetic denervation of the heart following ischemia/reperfusion induced myocardial infarction (MI) is sustained by chondroitin sulfate proteoglycans (CSPGs) in the cardiac scar. Denervation predicts risk of sudden cardiac death in humans. Blocking CSPG signaling restores sympathetic axon outgrowth into the cardiac scar, decreasing arrhythmia susceptibility. Axon growth inhibition by CSPGs can depend on the sulfation status of the glycosaminoglycan (CS-GAG) side chains. Tandem sulfation of CS-GAGs at the 4th (4S) and 6th (6S) positions of n-acetyl-galactosamine inhibits outgrowth in several types of central neurons, but we don’t know if sulfation is similarly critical during peripheral nerve regeneration. We asked if CSPG sulfation prevented sympathetic axon outgrowth after MI. Reducing 4S with the 4-sulfatase enzyme Arylsulfatase-B (ARSB) enhanced outgrowth of dissociated rat sympathetic neurons over CSPGs. Likewise, reducing 4S with ARSB restored axon outgrowth from mouse sympathetic ganglia co-cultured with cardiac scar tissue. We quantified enzymes responsible for adding and removing sulfation, and found that CHST15 (4S dependent 6-sulfotransferase) was upregulated, and ARSB was downregulated after MI. This suggests a mechanism for production and maintenance of sulfated CSPGs in the cardiac scar. We decreased 4S,6S CS-GAGs in vivo by transient siRNA knockdown of Chst15 after MI, and found that reducing 4S,6S restored tyrosine hydroxylase (TH) positive sympathetic nerve fibers in the cardiac scar. Reinnervation reduced isoproterenol induced arrhythmias. Our results suggest that modulating CSPG-sulfation after MI may be a therapeutic target to promote sympathetic nerve regeneration in the cardiac scar and reduce post-MI cardiac arrhythmias.https://elifesciences.org/articles/78387chondroitin sulfate proteoglycansympathetic nervesnerve regenerationmyocardial infarction
spellingShingle Matthew R Blake
Diana C Parrish
Melanie A Staffenson
Shanice Sueda
William R Woodward
Beth A Habecker
Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
eLife
chondroitin sulfate proteoglycan
sympathetic nerves
nerve regeneration
myocardial infarction
title Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
title_full Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
title_fullStr Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
title_full_unstemmed Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
title_short Chondroitin sulfate proteoglycan 4,6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
title_sort chondroitin sulfate proteoglycan 4 6 sulfation regulates sympathetic nerve regeneration after myocardial infarction
topic chondroitin sulfate proteoglycan
sympathetic nerves
nerve regeneration
myocardial infarction
url https://elifesciences.org/articles/78387
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