iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction

The role of proinflammation, and specifically TNF-α, on downstream fibrosis and healing after cardiac injury remains unknown. Using iRhom2-deficient mice, which lack myeloid-specific shedding of TNF-α, we reveal increased macrophages (MΦs) that were skewed towards a more proinflammatory (M1) state a...

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Main Authors: Barnette, D, Cahill, T, Gunadasa-Rohling, M, Carr, C, Freeman, M, Riley, P
Format: Journal article
Language:English
Published: American Society for Clinical Investigation 2018
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author Barnette, D
Cahill, T
Gunadasa-Rohling, M
Carr, C
Freeman, M
Riley, P
author_facet Barnette, D
Cahill, T
Gunadasa-Rohling, M
Carr, C
Freeman, M
Riley, P
author_sort Barnette, D
collection OXFORD
description The role of proinflammation, and specifically TNF-α, on downstream fibrosis and healing after cardiac injury remains unknown. Using iRhom2-deficient mice, which lack myeloid-specific shedding of TNF-α, we reveal increased macrophages (MΦs) that were skewed towards a more proinflammatory (M1) state at day 4, followed by more reparative, antiinflammatory (M2) state at day 7 after myocardial infarction (MI). However, associated functional cytokine expression was significantly reduced in iRhom2-mutant M1 and M2 MΦs, respectively. A dampened proinflammatory signature in iRhom2-deficient mice during the acute phase of injury and subsequent changes in MΦ polarization were associated with reduced phagocytosis and a more sparse distribution within the scar region. This resulted in impaired collagen deposition and fibrosis, and increased left ventricular remodelling and mortality in iRhom2-deficient mice after MI. Our findings reveal a requirement for an iRhom2-mediated proinflammatory response during downstream scarring and fibrosis, which is driven in part by TNF-α signaling. These conclusions challenge the existing model that infarct repair is determined exclusively by antiinflammatory signaling of M2 MΦs, and as such we propose an alternative view of immunomodulation to maintain effective healing after infarction.
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spelling oxford-uuid:cd233363-b43c-454a-96a4-c7a4ac917f462022-03-27T07:26:42ZiRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarctionJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:cd233363-b43c-454a-96a4-c7a4ac917f46EnglishSymplectic Elements at OxfordAmerican Society for Clinical Investigation2018Barnette, DCahill, TGunadasa-Rohling, MCarr, CFreeman, MRiley, PThe role of proinflammation, and specifically TNF-α, on downstream fibrosis and healing after cardiac injury remains unknown. Using iRhom2-deficient mice, which lack myeloid-specific shedding of TNF-α, we reveal increased macrophages (MΦs) that were skewed towards a more proinflammatory (M1) state at day 4, followed by more reparative, antiinflammatory (M2) state at day 7 after myocardial infarction (MI). However, associated functional cytokine expression was significantly reduced in iRhom2-mutant M1 and M2 MΦs, respectively. A dampened proinflammatory signature in iRhom2-deficient mice during the acute phase of injury and subsequent changes in MΦ polarization were associated with reduced phagocytosis and a more sparse distribution within the scar region. This resulted in impaired collagen deposition and fibrosis, and increased left ventricular remodelling and mortality in iRhom2-deficient mice after MI. Our findings reveal a requirement for an iRhom2-mediated proinflammatory response during downstream scarring and fibrosis, which is driven in part by TNF-α signaling. These conclusions challenge the existing model that infarct repair is determined exclusively by antiinflammatory signaling of M2 MΦs, and as such we propose an alternative view of immunomodulation to maintain effective healing after infarction.
spellingShingle Barnette, D
Cahill, T
Gunadasa-Rohling, M
Carr, C
Freeman, M
Riley, P
iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction
title iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction
title_full iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction
title_fullStr iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction
title_full_unstemmed iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction
title_short iRhom2-mediated proinflammatory signalling regulates heart repair following myocardial infarction
title_sort irhom2 mediated proinflammatory signalling regulates heart repair following myocardial infarction
work_keys_str_mv AT barnetted irhom2mediatedproinflammatorysignallingregulatesheartrepairfollowingmyocardialinfarction
AT cahillt irhom2mediatedproinflammatorysignallingregulatesheartrepairfollowingmyocardialinfarction
AT gunadasarohlingm irhom2mediatedproinflammatorysignallingregulatesheartrepairfollowingmyocardialinfarction
AT carrc irhom2mediatedproinflammatorysignallingregulatesheartrepairfollowingmyocardialinfarction
AT freemanm irhom2mediatedproinflammatorysignallingregulatesheartrepairfollowingmyocardialinfarction
AT rileyp irhom2mediatedproinflammatorysignallingregulatesheartrepairfollowingmyocardialinfarction