Complement Upregulates Runx-2 to Induce Profibrogenic Change in Aortic Valve Interstitial Cells.

Complement Upregulates Runx-2 to Induce Profibrogenic Change in Aortic Valve Interstitial Cells.
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DOI:
10.1016/j.athoracsur.2020.12.058
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发表时间:
2021-12
期刊:
The Annals of thoracic surgery
影响因子:
--
通讯作者:
Jaggers J
Jaggers J
中科院分区:
其他
文献类型:
--
作者:
Deng XS;Meng X;Fullerton D;Stone M;Jaggers J

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钙化性主动脉瓣病(CAVD)的主要发病机制是钙化和纤维化活动。在人狭窄主动脉瓣中观察到活性补体产物。Runt相关转录因子2(Runx-2)参与组织钙化。我们假设补体上调Runx-2诱导人主动脉瓣间质细胞(AVIC)的促纤维化变化。从6个正常和6个CAVD供体瓣膜中分离AVIC。用补体混合物处理细胞。通过蛋白质印迹分析和胶原染色分析促纤维化活性和相关信号分子。补体时间和剂量依赖性地增强AVIC中的促纤维化活性,并且补体暴露还诱导AVIC中的总胶原沉积。补体诱导的促纤维化反应与Runx-2表达增加和ERK 1/2磷酸化相关。Runx-2基因沉默降低MMP-9和胶原I水平。ERK 1/2的药理学抑制降低了人AVIC中补体介导的MMP-9、胶原I和Runx-2表达以及总胶原沉积。此外,与活性补体治疗相比,用热失活补体治疗AVIC导致MMP-9、胶原蛋白I和Runx-2水平降低。补体通过激活ERK 1/2介导的Runx-2信号通路诱导AVIC中的促纤维化活性。本研究证明了补体介导的CAVD发病机制的潜在作用,建立了限制CAVD进展的可能治疗靶点。
Calcium accumulation and fibrotic activities are principal mechanisms for calcific aortic valve disease (CAVD). Active complement products are observed in human stenotic aortic valves. Runt-related transcription factor 2 (Runx-2) is involved in tissue calcification. We hypothesized that complement up-regulates Runx-2 to induce pro-fibrogenic change in human aortic valve interstitial cells (AVICs). AVICs were isolated from 6 normal and 6 CAVD donor valves. Cells were treated with complement cocktails. Pro-fibrogenic activities and associated signaling molecules were analyzed by Western blot assay and collagen staining. Complement time and dose dependently enhanced pro-fibrogenic activities in AVICs, and complement exposure also induced total collagen deposition in AVICs. Complement induced pro-fibrogenic responses were associated with increased Runx-2 expression and phosphorylation of ERK1/2. Genetic silencing of Runx-2 decreased both MMP-9 and collagen I levels. Pharmacological inhibition of ERK1/2 decreased complement mediated MMP-9, collagen I and Runx-2 expression as well as total collagen deposition in human AVICs. Further, treating AVICs with heat-deactivated complement resulted in reduced MMP-9, collagen I and Runx-2 levels compared to active complement treatment. Complement induced pro-fibrogenic activities in AVICs by activation of ERK1/2 mediated Runx-2 signaling pathways. This study demonstrates a potential role for complement-mediated CAVD pathogenesis, establishing a possible therapeutic target to limit CAVD progression.
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