Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation

Aims: Recent evidence supports non-class cardioprotective effects of metoprolol against neutrophil-mediated ischemia-reperfusion injury during exacerbated inflammation. Whether metoprolol exerts direct anti-inflammatory effect on cardiomyocytes is unknown. Accordingly, we aimed to investigate the di...

Full description

Bibliographic Details
Main Authors: Fabrizio Ricci, Andrea Di Credico, Giulia Gaggi, Giovanni Iannetti, Barbara Ghinassi, Sabina Gallina, Brian Olshansky, Angela Di Baldassarre
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332223016025
_version_ 1797630645075181568
author Fabrizio Ricci
Andrea Di Credico
Giulia Gaggi
Giovanni Iannetti
Barbara Ghinassi
Sabina Gallina
Brian Olshansky
Angela Di Baldassarre
author_facet Fabrizio Ricci
Andrea Di Credico
Giulia Gaggi
Giovanni Iannetti
Barbara Ghinassi
Sabina Gallina
Brian Olshansky
Angela Di Baldassarre
author_sort Fabrizio Ricci
collection DOAJ
description Aims: Recent evidence supports non-class cardioprotective effects of metoprolol against neutrophil-mediated ischemia-reperfusion injury during exacerbated inflammation. Whether metoprolol exerts direct anti-inflammatory effect on cardiomyocytes is unknown. Accordingly, we aimed to investigate the direct anti-inflammatory effects of metoprolol in a cellular model of human induced pluripotent stem cell-derived cardiomyocytes (hiCMs) and to explore the role of β-arrestin2 (β-ARR2) biased agonism signaling pathway. Methods and results: hiCMs were treated with TNF-α for 24 h, followed by 4-hour treatment with metoprolol or esmolol. Electrical response of hiCMs to β1-selective blockade was assessed by microelectrode arrays technology. The effect on inflammatory and adhesion molecule expression was evaluated in wild-type and β-ARR2 silenced hiCMs. To silence β-ARR2 expression, hiCMs were transfected with a specific small interfering RNA targeting β-ARR2 mRNA and preventing its translation.TNF-α stimulation boosted the expression of IκB, NF-κB, IL1β, IL6, and VCAM1 in hiCMs. TNF-α-treated hiCMs showed similar physiological responses to metoprolol and esmolol, with no difference in field potential duration and beat period recorded. Adding metoprolol significantly decreased inflammatory response patterns in wild-type hiCMs by dampening TNF-α induced expression of NF-κB, IL1β, and IL6, but not in β-ARR2-knockout hiCMs. A similar response was not observed in presence of β1-selective blockade with esmolol. Conclusions: Metoprolol exerts a non-class direct anti-inflammatory effect on hi-CMs. β1-selective blockade with metoprolol disrupts inflammatory responses induced by TNF-α and induces significant inhibition of NF-κB signaling cascade via β-ARR2 biased agonism. If confirmed at clinical level, metoprolol could be tested and repurposed to treat cardiac inflammatory disorders.
first_indexed 2024-03-11T11:11:06Z
format Article
id doaj.art-fda641ffb29444cbbd8c996f95ead192
institution Directory Open Access Journal
issn 0753-3322
language English
last_indexed 2024-03-11T11:11:06Z
publishDate 2023-12-01
publisher Elsevier
record_format Article
series Biomedicine & Pharmacotherapy
spelling doaj.art-fda641ffb29444cbbd8c996f95ead1922023-11-12T04:39:23ZengElsevierBiomedicine & Pharmacotherapy0753-33222023-12-01168115804Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulationFabrizio Ricci0Andrea Di Credico1Giulia Gaggi2Giovanni Iannetti3Barbara Ghinassi4Sabina Gallina5Brian Olshansky6Angela Di Baldassarre7Department of Neuroscience, Imaging and Clinical Sciences, G.d’Annunzio University of Chieti-Pescara, 66100 Chieti, Italy and University Cardiology Division, Heart Department, SS Annunziata University Hospital, Chieti, Italy; Department of Clinical Sciences, Lund University, 214 28 Malmö, SwedenDepartment of Medicine and Aging Sciences, and Reprogramming and Cell Differentiation Lab, Center for Advanced Studies and Technology (CAST), G. D'Annunzio University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Medicine and Aging Sciences, and Reprogramming and Cell Differentiation Lab, Center for Advanced Studies and Technology (CAST), G. D'Annunzio University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences, G.d’Annunzio University of Chieti-Pescara, 66100 Chieti, Italy and University Cardiology Division, Heart Department, SS Annunziata University Hospital, Chieti, ItalyDepartment of Medicine and Aging Sciences, and Reprogramming and Cell Differentiation Lab, Center for Advanced Studies and Technology (CAST), G. D'Annunzio University of Chieti-Pescara, 66100 Chieti, ItalyDepartment of Neuroscience, Imaging and Clinical Sciences, G.d’Annunzio University of Chieti-Pescara, 66100 Chieti, Italy and University Cardiology Division, Heart Department, SS Annunziata University Hospital, Chieti, ItalyUniversity of Iowa, Iowa City, IA, USADepartment of Medicine and Aging Sciences, and Reprogramming and Cell Differentiation Lab, Center for Advanced Studies and Technology (CAST), G. D'Annunzio University of Chieti-Pescara, 66100 Chieti, Italy; Corresponding author at: Department of Medicine and Aging Sciences, ''G. D'Annunzio'' University of Chieti-Pescara, Via dei Vestini, 31, 66100 Chieti, Italy.Aims: Recent evidence supports non-class cardioprotective effects of metoprolol against neutrophil-mediated ischemia-reperfusion injury during exacerbated inflammation. Whether metoprolol exerts direct anti-inflammatory effect on cardiomyocytes is unknown. Accordingly, we aimed to investigate the direct anti-inflammatory effects of metoprolol in a cellular model of human induced pluripotent stem cell-derived cardiomyocytes (hiCMs) and to explore the role of β-arrestin2 (β-ARR2) biased agonism signaling pathway. Methods and results: hiCMs were treated with TNF-α for 24 h, followed by 4-hour treatment with metoprolol or esmolol. Electrical response of hiCMs to β1-selective blockade was assessed by microelectrode arrays technology. The effect on inflammatory and adhesion molecule expression was evaluated in wild-type and β-ARR2 silenced hiCMs. To silence β-ARR2 expression, hiCMs were transfected with a specific small interfering RNA targeting β-ARR2 mRNA and preventing its translation.TNF-α stimulation boosted the expression of IκB, NF-κB, IL1β, IL6, and VCAM1 in hiCMs. TNF-α-treated hiCMs showed similar physiological responses to metoprolol and esmolol, with no difference in field potential duration and beat period recorded. Adding metoprolol significantly decreased inflammatory response patterns in wild-type hiCMs by dampening TNF-α induced expression of NF-κB, IL1β, and IL6, but not in β-ARR2-knockout hiCMs. A similar response was not observed in presence of β1-selective blockade with esmolol. Conclusions: Metoprolol exerts a non-class direct anti-inflammatory effect on hi-CMs. β1-selective blockade with metoprolol disrupts inflammatory responses induced by TNF-α and induces significant inhibition of NF-κB signaling cascade via β-ARR2 biased agonism. If confirmed at clinical level, metoprolol could be tested and repurposed to treat cardiac inflammatory disorders.http://www.sciencedirect.com/science/article/pii/S0753332223016025MetoprololBiased agonismβ-arrestinCardiomyocyteInflammation
spellingShingle Fabrizio Ricci
Andrea Di Credico
Giulia Gaggi
Giovanni Iannetti
Barbara Ghinassi
Sabina Gallina
Brian Olshansky
Angela Di Baldassarre
Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation
Biomedicine & Pharmacotherapy
Metoprolol
Biased agonism
β-arrestin
Cardiomyocyte
Inflammation
title Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation
title_full Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation
title_fullStr Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation
title_full_unstemmed Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation
title_short Metoprolol disrupts inflammatory response of human cardiomyocytes via β-arrestin2 biased agonism and NF-κB signaling modulation
title_sort metoprolol disrupts inflammatory response of human cardiomyocytes via β arrestin2 biased agonism and nf κb signaling modulation
topic Metoprolol
Biased agonism
β-arrestin
Cardiomyocyte
Inflammation
url http://www.sciencedirect.com/science/article/pii/S0753332223016025
work_keys_str_mv AT fabrizioricci metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT andreadicredico metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT giuliagaggi metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT giovanniiannetti metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT barbaraghinassi metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT sabinagallina metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT brianolshansky metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation
AT angeladibaldassarre metoprololdisruptsinflammatoryresponseofhumancardiomyocytesviabarrestin2biasedagonismandnfkbsignalingmodulation