Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice

Background—Exaggerated and prolonged inflammation after myocardial infarction (MI) accelerates left ventricular remodeling. Inflammatory pathways may present a therapeutic target to prevent post-MI heart failure. However, the appropriate magnitude and timing of interventions are largely unknown, in...

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Main Authors: Majmudar, Maulik D., Keliher, Edmund J., Heidt, Timo, Leuschner, Florian, Truelove, Jessica, Sena, Brena F., Gorbatov, Rostic, Iwamoto, Yoshiko, Dutta, Partha, Wojtkiewicz, Gregory, Courties, Gabriel, Sebas, Matt, Borodovsky, Anna, Fitzgerald, Kevin, Nolte, Marc W., Dickneite, Gerhard, Chen, John W., Anderson, Daniel Griffith, Swirski, Filip K., Weissleder, Ralph, Nahrendorf, Matthias
Other Authors: Harvard University--MIT Division of Health Sciences and Technology
Format: Article
Language:en_US
Published: American Heart Association 2014
Online Access:http://hdl.handle.net/1721.1/91250
https://orcid.org/0000-0001-5629-4798
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author Majmudar, Maulik D.
Keliher, Edmund J.
Heidt, Timo
Leuschner, Florian
Truelove, Jessica
Sena, Brena F.
Gorbatov, Rostic
Iwamoto, Yoshiko
Dutta, Partha
Wojtkiewicz, Gregory
Courties, Gabriel
Sebas, Matt
Borodovsky, Anna
Fitzgerald, Kevin
Nolte, Marc W.
Dickneite, Gerhard
Chen, John W.
Anderson, Daniel Griffith
Swirski, Filip K.
Weissleder, Ralph
Nahrendorf, Matthias
author2 Harvard University--MIT Division of Health Sciences and Technology
author_facet Harvard University--MIT Division of Health Sciences and Technology
Majmudar, Maulik D.
Keliher, Edmund J.
Heidt, Timo
Leuschner, Florian
Truelove, Jessica
Sena, Brena F.
Gorbatov, Rostic
Iwamoto, Yoshiko
Dutta, Partha
Wojtkiewicz, Gregory
Courties, Gabriel
Sebas, Matt
Borodovsky, Anna
Fitzgerald, Kevin
Nolte, Marc W.
Dickneite, Gerhard
Chen, John W.
Anderson, Daniel Griffith
Swirski, Filip K.
Weissleder, Ralph
Nahrendorf, Matthias
author_sort Majmudar, Maulik D.
collection MIT
description Background—Exaggerated and prolonged inflammation after myocardial infarction (MI) accelerates left ventricular remodeling. Inflammatory pathways may present a therapeutic target to prevent post-MI heart failure. However, the appropriate magnitude and timing of interventions are largely unknown, in part because noninvasive monitoring tools are lacking. Here, we used nanoparticle-facilitated silencing of CCR2, the chemokine receptor that governs inflammatory Ly-6Chigh monocyte subset traffic, to reduce infarct inflammation in apolipoprotein E–deficient (apoE−/−) mice after MI. We used dual-target positron emission tomography/magnetic resonance imaging of transglutaminase factor XIII (FXIII) and myeloperoxidase (MPO) activity to monitor how monocyte subset–targeted RNAi altered infarct inflammation and healing. Methods and Results—Flow cytometry, gene expression analysis, and histology revealed reduced monocyte numbers and enhanced resolution of inflammation in infarcted hearts of apoE−/− mice that were treated with nanoparticle-encapsulated siRNA. To follow extracellular matrix cross-linking noninvasively, we developed a fluorine-18–labeled positron emission tomography agent (18F-FXIII). Recruitment of MPO-rich inflammatory leukocytes was imaged with a molecular magnetic resonance imaging sensor of MPO activity (MPO-Gd). Positron emission tomography/magnetic resonance imaging detected anti-inflammatory effects of intravenous nanoparticle-facilitated siRNA therapy (75% decrease of MPO-Gd signal; P<0.05), whereas 18F-FXIII positron emission tomography reflected unimpeded matrix cross-linking in the infarct. Silencing of CCR2 during the first week after MI improved ejection fraction on day 21 after MI from 29% to 35% (P<0.05). Conclusion—CCR2-targeted RNAi reduced recruitment of Ly-6Chigh monocytes, attenuated infarct inflammation, and curbed post-MI left ventricular remodeling.
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spelling mit-1721.1/912502022-09-28T15:52:48Z Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice Majmudar, Maulik D. Keliher, Edmund J. Heidt, Timo Leuschner, Florian Truelove, Jessica Sena, Brena F. Gorbatov, Rostic Iwamoto, Yoshiko Dutta, Partha Wojtkiewicz, Gregory Courties, Gabriel Sebas, Matt Borodovsky, Anna Fitzgerald, Kevin Nolte, Marc W. Dickneite, Gerhard Chen, John W. Anderson, Daniel Griffith Swirski, Filip K. Weissleder, Ralph Nahrendorf, Matthias Harvard University--MIT Division of Health Sciences and Technology Massachusetts Institute of Technology. Department of Chemical Engineering Koch Institute for Integrative Cancer Research at MIT Anderson, Daniel Griffith Background—Exaggerated and prolonged inflammation after myocardial infarction (MI) accelerates left ventricular remodeling. Inflammatory pathways may present a therapeutic target to prevent post-MI heart failure. However, the appropriate magnitude and timing of interventions are largely unknown, in part because noninvasive monitoring tools are lacking. Here, we used nanoparticle-facilitated silencing of CCR2, the chemokine receptor that governs inflammatory Ly-6Chigh monocyte subset traffic, to reduce infarct inflammation in apolipoprotein E–deficient (apoE−/−) mice after MI. We used dual-target positron emission tomography/magnetic resonance imaging of transglutaminase factor XIII (FXIII) and myeloperoxidase (MPO) activity to monitor how monocyte subset–targeted RNAi altered infarct inflammation and healing. Methods and Results—Flow cytometry, gene expression analysis, and histology revealed reduced monocyte numbers and enhanced resolution of inflammation in infarcted hearts of apoE−/− mice that were treated with nanoparticle-encapsulated siRNA. To follow extracellular matrix cross-linking noninvasively, we developed a fluorine-18–labeled positron emission tomography agent (18F-FXIII). Recruitment of MPO-rich inflammatory leukocytes was imaged with a molecular magnetic resonance imaging sensor of MPO activity (MPO-Gd). Positron emission tomography/magnetic resonance imaging detected anti-inflammatory effects of intravenous nanoparticle-facilitated siRNA therapy (75% decrease of MPO-Gd signal; P<0.05), whereas 18F-FXIII positron emission tomography reflected unimpeded matrix cross-linking in the infarct. Silencing of CCR2 during the first week after MI improved ejection fraction on day 21 after MI from 29% to 35% (P<0.05). Conclusion—CCR2-targeted RNAi reduced recruitment of Ly-6Chigh monocytes, attenuated infarct inflammation, and curbed post-MI left ventricular remodeling. National Heart, Lung, and Blood Institute United States. Dept. of Health and Human Services (contract No. HHSN268201000044C) National Institutes of Health (U.S.) (grant R01-HL096576) National Institutes of Health (U.S.) (grant R01-HL095629) National Institutes of Health (U.S.) (grant T32-HL094301) Deutsche Forschungsgemeinschaft (HE-6382/1-1) 2014-10-31T16:27:27Z 2014-10-31T16:27:27Z 2013-04 2012-11 Article http://purl.org/eprint/type/JournalArticle 0009-7322 1524-4539 http://hdl.handle.net/1721.1/91250 Majmudar, M. D., E. J. Keliher, T. Heidt, F. Leuschner, J. Truelove, B. F. Sena, R. Gorbatov, et al. “Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice.” Circulation 127, no. 20 (April 24, 2013): 2038–2046. https://orcid.org/0000-0001-5629-4798 en_US http://dx.doi.org/10.1161/circulationaha.112.000116 Circulation Creative Commons Attribution-Noncommercial-Share Alike http://creativecommons.org/licenses/by-nc-sa/4.0/ application/pdf American Heart Association PMC
spellingShingle Majmudar, Maulik D.
Keliher, Edmund J.
Heidt, Timo
Leuschner, Florian
Truelove, Jessica
Sena, Brena F.
Gorbatov, Rostic
Iwamoto, Yoshiko
Dutta, Partha
Wojtkiewicz, Gregory
Courties, Gabriel
Sebas, Matt
Borodovsky, Anna
Fitzgerald, Kevin
Nolte, Marc W.
Dickneite, Gerhard
Chen, John W.
Anderson, Daniel Griffith
Swirski, Filip K.
Weissleder, Ralph
Nahrendorf, Matthias
Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice
title Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice
title_full Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice
title_fullStr Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice
title_full_unstemmed Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice
title_short Monocyte-Directed RNAi Targeting CCR2 Improves Infarct Healing in Atherosclerosis-Prone Mice
title_sort monocyte directed rnai targeting ccr2 improves infarct healing in atherosclerosis prone mice
url http://hdl.handle.net/1721.1/91250
https://orcid.org/0000-0001-5629-4798
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