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On the cusps of the second heart field: insights from zebrafish into arterial valve origins and disease. 第二心脏领域的尖端:斑马鱼对动脉瓣膜起源和疾病的见解。
IF 10.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-21 DOI: 10.1093/cvr/cvae249
Robert G Kelly
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引用次数: 0
Anaplerotic filling in heart failure: a review of mechanism and potential therapeutics 心力衰竭中的无张力充盈:机制与潜在疗法综述
IF 10.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-21 DOI: 10.1093/cvr/cvae248
Karm A Alhasan, Melissa A King, Badal S B Pattar, Ian A Lewis, Gary D Lopaschuk, Steven C Greenway
Heart failure (HF) is a complex syndrome and a leading cause of mortality worldwide. While current medical treatment is based on known pathophysiology and is effective for many patients, the underlying cellular mechanisms are poorly understood. Energy deficiency is a characteristic of HF, marked by complex alterations in metabolism. Within the tricarboxylic acid cycle, anaplerosis emerges as an essential metabolic process responsible for replenishing lost intermediates, thereby playing a crucial role in sustaining energy metabolism and consequently cardiac function. Alterations in cardiac anaplerosis are commonly observed in HF, demonstrating potential for therapeutic intervention. This review discusses recent advances in understanding the anaplerotic adaptations that occur in HF. We also explore therapeutics that can directly modulate anaplerosis or are likely to confer cardioprotective effects through anaplerosis, which could potentially be implemented to rescue the failing heart.
心力衰竭(HF)是一种复杂的综合征,也是导致全球死亡的主要原因。虽然目前的医学治疗以已知的病理生理学为基础,并对许多患者有效,但对其潜在的细胞机制却知之甚少。能量缺乏是高血压的一个特征,表现为新陈代谢的复杂变化。在三羧酸循环中,无功生成是一个重要的代谢过程,负责补充失去的中间产物,从而在维持能量代谢和心脏功能方面发挥关键作用。在高房颤动中通常会观察到心脏无功代谢的改变,这显示了治疗干预的潜力。本综述讨论了在了解高血脂发生的无凋亡适应性方面的最新进展。我们还探讨了可直接调节无凋亡或可能通过无凋亡产生心脏保护作用的疗法,这些疗法有可能用于挽救衰竭的心脏。
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引用次数: 0
TGF-β signalling: the Dr. Jekyll and Mr. Hyde of the aortic aneurysms. TGF-β 信号:主动脉瘤的 "杰基尔博士 "和 "海德先生"。
IF 10.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-19 DOI: 10.1093/cvr/cvae245
Sara Perrotta, Daniela Carnevale, Giuseppe Lembo
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引用次数: 0
C-C motif chemokine receptor-2 blockade ameliorates pulmonary hypertension in rats and synergizes with a pulmonary vasodilator. C-C motif趋化因子受体-2阻断剂可改善大鼠肺动脉高压,并与肺血管扩张剂协同作用。
IF 10.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-18 DOI: 10.1093/cvr/cvae244
Naoki Tsuboya, Hirofumi Sawada, Yoshihide Mitani, Hironori Oshita, Kazunobu Ohya, Mami Takeoka, Jane Chanda Kabwe, Yoshiki Miyasaka, Hiromasa Ito, Noriko Yodoya, Hiroyuki Ohashi, Junko Maruyama, Ryuji Okamoto, Tomoji Mashimo, Kaoru Dohi, Yuhei Nishimura, Kazuo Maruyama, Masahiro Hirayama

Aims: We investigated whether the disruption of C-C motif chemokine receptor (CCR) 2 may attenuate the development of pulmonary arterial hypertension (PAH) in any rat models with the reversal of the associated pro-inflammatory state and vascular dysfunction, and synergize with a conventional pulmonary vasodilator.

Methods and results: Using Ccr2(-/-) rats generated by CRISPR/Cas9, we investigated pulmonary hypertension (PH) in Ccr2(+/+) or Ccr2(-/-) rats treated with monocrotaline (MCT), SU5416/hypoxia (SuHx) and chronic hypoxia (CH). Ccr2(-/-) decreased the right ventricular systolic pressure, an index of right ventricular hypertrophy and mortality rate, and reversed increased expression of inflammatory cytokines/chemokines (interleukin-6, tumor necrosis factor-α, C-C motif chemokine receptor (CCL)-2, interleukin-1β, transforming growth factor-β) in rats 3weeks after MCT injection, but not in SuHx or CH models. Consistently, Ccr2(-/-) decreased indices of pulmonary vascular diseases (PVD) and perivascular macrophage infiltration, as well as reversed impaired bone morphogenetic protein receptor type 2 signaling, increased endothelial apoptosis and impaired nitric oxide signaling and decreased phosphodiesterase-5 (PDE5) expression in lungs in MCT-treated rats. Gene expression of receptors for prostaglandin I2 and endothelin was not changed by Ccr2(-/-) in MCT-treated rats. In cultured pulmonary arterial smooth muscle cells (PASMCs), Ccr2(-/-) suppressed CCL2-induced hyperproliferation and dedifferentiation as well as reversed CCL2-induced decrease in PDE5 expression. The whole-genome RNA sequencing analysis identified differentially expressed genes in CCL2-stimulated Ccr2(-/-) PASMCs, which are related to regulation of cellular differentiation and contraction. Based on studies in rats and cultured PASMCs, we investigated whether a PDE5 inhibitor, tadalafil, synergizes with Ccr2(-/-). Tadalafil administration ameliorated PH and PVDs in MCT-treated Ccr2(-/-) rats but not in Ccr2(+/+) rats. Tadalafil further improved survival in MCT-treated Ccr2(-/-) rats.

Conclusion: The present findings demonstrated that CCR2 disruption ameliorated PAH in MCT-treated rats, which was associated with the reversal of dysregulated inflammatory pathways and vascular dysfunction and synergized with tadalafil. These findings suggest that CCR2 may be a therapeutic target in intractable PAH patients with a certain CCR2-related inflammatory phenotype and refractory to conventional pulmonary vasodilators.

目的:我们研究了C-C基调趋化因子受体(CCR)2的破坏是否可以在任何大鼠模型中减轻肺动脉高压(PAH)的发展,逆转相关的促炎状态和血管功能障碍,并与传统的肺血管扩张剂协同作用:我们利用 CRISPR/Cas9 技术生成的 Ccr2(-/-)大鼠,研究了 Ccr2(+/+)或 Ccr2(-/-)大鼠在接受单克洛他林(MCT)、SU5416/缺氧(SuHx)和慢性缺氧(CH)治疗后的肺动脉高压(PH)情况。注射 MCT 3 周后,Ccr2(-/-)降低了大鼠的右心室收缩压(右心室肥厚和死亡率的指标),并逆转了炎性细胞因子/趋化因子(白细胞介素-6、肿瘤坏死因子-α、C-C 矩阵趋化因子受体(CCL)-2、白细胞介素-1β、转化生长因子-β)表达的增加,但在 SuHx 或 CH 模型中没有逆转。一致的是,Ccr2(-/-)降低了肺血管疾病(PVD)和血管周围巨噬细胞浸润的指数,并逆转了骨形态发生蛋白受体2型信号传导受损、内皮细胞凋亡增加、一氧化氮信号传导受损以及磷酸二酯酶-5(PDE5)表达减少的情况。前列腺素 I2 和内皮素受体的基因表达未因 Ccr2(-/-)而改变。在培养的肺动脉平滑肌细胞(PASMCs)中,Ccr2(-/-)抑制了 CCL2 诱导的过度增殖和去分化,并逆转了 CCL2 诱导的 PDE5 表达下降。全基因组 RNA 测序分析确定了 CCL2 刺激的 Ccr2(-/-)PASMC 中的差异表达基因,这些基因与细胞分化和收缩的调控有关。根据对大鼠和培养的 PASMCs 的研究,我们研究了 PDE5 抑制剂他达拉非是否与 Ccr2(-/-)协同作用。他达拉非能改善经 MCT 处理的 Ccr2(-/-)大鼠的 PH 和 PVDs,但不能改善 Ccr2(+/+)大鼠的 PH 和 PVDs。他达拉非进一步改善了经MCT处理的Ccr2(-/-)大鼠的存活率:本研究结果表明,CCR2干扰能改善MCT治疗大鼠的PAH,这与炎症通路失调和血管功能障碍的逆转有关,并与他达拉非协同作用。这些研究结果表明,CCR2可能是具有某种CCR2相关炎症表型且对常规肺血管扩张剂难治的难治性PAH患者的治疗靶点。
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引用次数: 0
Inflammation and heart failure: are we facing a "hedgehog's dilemma"? 炎症与心力衰竭:我们是否面临 "刺猬的困境"?
IF 10.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-16 DOI: 10.1093/cvr/cvae246
Stefano Ministrini, Giovanni G Camici
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引用次数: 0
Advancing cardiovascular risk assessment. 推进心血管风险评估。
IF 10.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-13 DOI: 10.1093/cvr/cvae234
Christos P Kotanidis, Brittany Weber
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引用次数: 0
Inflammaging, a targetable pathway for preventing cardiovascular diseases 炎症--预防心血管疾病的目标途径
IF 10.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-12 DOI: 10.1093/cvr/cvae240
Juan Francisco Aranda, Cristina M Ramírez, María Mittelbrunn
Inflammaging, characterized by persistent chronic inflammation in older adults, has emerged as a critical factor linked to age-related diseases such as cardiovascular diseases (CVDs), metabolic disorders, and cognitive decline, which collectively contribute to the leading causes of death globally. Elevated levels of cytokines, chemokines, and others inflammatory mediators characterize inflammaging and serve as indicators of biological age. Among the causes of inflammaging, deterioration of the immune system, mitochondrial dysfunction, dysbiosis, accumulation of DAMPs, together with genetic or epigenetic factors, contribute to inflammaging not only in CVD but also in other age-related conditions. This review examines the causes and consequences of inflammaging, particularly its implications for atherosclerosis and heart failure with preserved ejection fraction (HFpEF) and explores potential strategies to mitigate it in the onset of CVD.
炎症是老年人持续慢性炎症的特征,已成为与心血管疾病(CVDs)、代谢紊乱和认知能力下降等老年相关疾病有关的关键因素,这些疾病共同构成了全球死亡的主要原因。细胞因子、趋化因子和其他炎症介质水平的升高是炎症老化的特征,也是生物年龄的指标。在炎症老化的原因中,免疫系统衰退、线粒体功能障碍、菌群失调、DAMPs 的积累以及遗传或表观遗传因素不仅会导致心血管疾病的炎症老化,也会导致其他与年龄有关的疾病的炎症老化。这篇综述探讨了炎症反应的原因和后果,特别是它对动脉粥样硬化和射血分数保留型心力衰竭(HFpEF)的影响,并探讨了在心血管疾病发病过程中减轻炎症反应的潜在策略。
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引用次数: 0
Regulation of blood pressure by METTL3 via RUNX1b-eNOS pathway in endothelial cells in mice 小鼠内皮细胞中的 METTL3 通过 RUNX1b-eNOS 通路调节血压
IF 10.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-12 DOI: 10.1093/cvr/cvae242
Yanhong Zhang, Xiaoxiao Yang, Mei Lan, Ze Yuan, Shuai Li, Yangping Liu, Cha Han, Ding Ai, Yang Yang, Yi Zhu, Bochuan Li
Aims Endothelial cells regulate vascular tone to control the blood pressure (BP) by producing both relaxing and contracting factors. Previously, we identified methyltransferase-like 3 (METTL3), a primary N6-methyladenosine (m6A) methyltransferase, as a key player in alleviating endothelial atherogenic progression. However, its involvement in BP regulation remains unclear. Methods and results To evaluate the role of METTL3 in vivo, mice with EC specific METTL3 deficiency (EC-Mettl3KO) with or without Ang II infusion were used to create a hypertensive model. Functional and MeRIP sequencing analysis were performed to explore the mechanism of METTL3-mediated hypertension. We observed a reduction in endothelial METTL3 activity by Ang II in vitro and in vivo. Endothelial METTL3-deficient mice exhibited higher BP than controls, with no gender disparity observed. The subsequent study primarily conducted in male mice. Through m6A sequencing and functional analysis, we identified m6A modification of various RUNX1 monomers resulted in endothelial dysfunction. Mutations in the 3′UTR region of RUNX1b abolished its luciferase reporter activity, and enhanced eNOS promoter luciferase reporter activity with or without METTL3 overexpression. Overexpression of METTL3 by adeno-associated virus reduced Ang II-induced BP elevation. Conclusion This study reveals that METTL3 alleviates hypertension through m6A-dependent stabilization of RUNX1b mRNA, leading to upregulation of eNOS, thus underscoring the pivotal role of RNA transcriptomics in the regulation of hypertension.
目的 内皮细胞通过产生松弛和收缩因子来调节血管张力,从而控制血压(BP)。此前,我们发现类似甲基转移酶 3(METTL3)是一种主要的 N6-甲基腺苷(m6A)甲基转移酶,是缓解内皮动脉粥样硬化进展的关键因素。然而,它参与血压调节的情况仍不清楚。方法和结果 为了评估 METTL3 在体内的作用,研究人员利用 EC 特异性 METTL3 缺乏(EC-Mettl3KO)的小鼠输注或不输注 Ang II 来创建高血压模型。为了探索METTL3介导高血压的机制,我们进行了功能和MeRIP测序分析。我们观察到 Ang II 在体外和体内降低了内皮 METTL3 的活性。内皮 METTL3 缺陷小鼠的血压高于对照组,但未观察到性别差异。随后的研究主要在雄性小鼠中进行。通过 m6A 测序和功能分析,我们发现各种 RUNX1 单体的 m6A 修饰导致了内皮功能障碍。RUNX1b的3′UTR区突变会取消其荧光素酶报告活性,而在METTL3过表达或不表达的情况下,eNOS启动子荧光素酶报告活性会增强。通过腺相关病毒过表达 METTL3 可降低 Ang II 诱导的血压升高。结论 本研究揭示了 METTL3 通过 m6A 依赖性稳定 RUNX1b mRNA,导致 eNOS 上调来缓解高血压,从而强调了 RNA 转录组学在高血压调控中的关键作用。
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引用次数: 0
miR-24-3p secreted as extracellular vesicle cargo by cardiomyocytes inhibits fibrosis in human cardiac microtissues 心肌细胞作为细胞外囊泡货物分泌的 miR-24-3p 可抑制人类心脏微组织的纤维化
IF 10.8 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-11 DOI: 10.1093/cvr/cvae243
Giorgia Senesi, Alessandra M Lodrini, Shafeeq Mohammed, Simone Mosole, Jesper Hjortnaes, Rogier J A Veltrop, Bela Kubat, Davide Ceresa, Sara Bolis, Andrea Raimondi, Tiziano Torre, Paolo Malatesta, Marie-José Goumans, Francesco Paneni, Giovanni G Camici, Lucio Barile, Carolina Balbi, Giuseppe Vassalli
Background and Aims Cardiac fibrosis in response to injury leads to myocardial stiffness and heart failure. At the cellular level, fibrosis is triggered by the conversion of cardiac fibroblasts (CF) into extracellular matrix–producing myofibroblasts. miR-24-3p regulates this process in animal models. Here, we investigated whether miR-24-3p plays similar roles in human models. Methods and Results Gain– and loss–of–function experiments were performed using human induced pluripotent stem cell–derived cardiomyocytes (hCM) and primary hCF under normoxic or ischaemia–simulating conditions. hCM–derived extracellular vesicles (EVs) were added to hCF. Similar experiments were performed using three-dimensional human cardiac microtissues and ex vivo–cultured human cardiac slices. hCF transfection with miR-24-3p mimic prevented TGFβ1–mediated induction of FURIN, CCND1 and SMAD4—miR-24-3p target genes participating in TGFβ1–dependent fibrinogenesis —, regulating hCF–to–myofibroblast conversion. hCM secreted miR-24-3p as EV cargo. hCM–derived EVs modulated hCF activation. Ischaemia–simulating conditions induced miR-24-3p depletion in hCM-EVs and microtissues. Similarly, hypoxia downregulated miR-24-3p in cardiac slices. Analyses of clinical samples revealed decreased miR-24-3p levels in circulating EVs in acute myocardial infarction (AMI) patients, compared with healthy subjects. Post-mortem RNAScope analysis showed miR-24-3p downregulation in myocardium from AMI patients, compared with patients who died from noncardiac diseases. Berberin, a plant–derived agent with miR-24-3p–stimulatory activity, increased miR-24-3p contents in hCM-EVs, downregulated FURIN, CCND1 and SMAD4, and inhibited fibrosis in cardiac microtissues. Conclusions These findings suggest that hCM may control hCF activation through miR-24-3p secreted as EV cargo. Ischaemia impairs this mechanism, favouring fibrosis.
背景和目的 心肌纤维化会导致心肌僵硬和心力衰竭。在细胞水平上,纤维化是由心脏成纤维细胞(CF)转化为产生细胞外基质的肌成纤维细胞引发的。在此,我们研究了 miR-24-3p 是否在人体模型中发挥类似作用。方法与结果 在常氧或缺血模拟条件下,使用人诱导多能干细胞衍生的心肌细胞(hCM)和原代 hCF 进行了功能增益和功能缺失实验。用 miR-24-3p mimic 转染 hCF 可阻止 TGFβ1 介导的 FURIN、CCND1 和 SMAD4(参与 TGFβ1 依赖性纤维蛋白生成的 miR-24-3p 靶基因)的诱导,从而调节 hCF 向肌成纤维细胞的转化。缺血模拟条件诱导了 hCM-EVs 和微组织中 miR-24-3p 的耗竭。同样,缺氧也会下调心脏切片中的 miR-24-3p。对临床样本的分析表明,与健康人相比,急性心肌梗死(AMI)患者循环EV中的miR-24-3p水平降低了。死后 RNAScope 分析显示,与死于非心脏病的患者相比,急性心肌梗塞患者心肌中的 miR-24-3p 下调了。具有 miR-24-3p 刺激活性的植物源制剂小檗碱增加了 hCM-EVs 中的 miR-24-3p 含量,下调了 FURIN、CCND1 和 SMAD4,并抑制了心脏微组织的纤维化。结论 这些研究结果表明,hCM 可能通过作为 EV 货物分泌的 miR-24-3p 来控制 hCF 的激活。缺血损害了这一机制,有利于纤维化。
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引用次数: 0
Correction to: Modulation of lncRNA links endothelial glycocalyx to vascular dysfunction of tyrosine kinase inhibitor. Correction to:lncRNA的调节将内皮糖萼与酪氨酸激酶抑制剂的血管功能障碍联系起来。
IF 10.2 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2024-11-06 DOI: 10.1093/cvr/cvae233
{"title":"Correction to: Modulation of lncRNA links endothelial glycocalyx to vascular dysfunction of tyrosine kinase inhibitor.","authors":"","doi":"10.1093/cvr/cvae233","DOIUrl":"https://doi.org/10.1093/cvr/cvae233","url":null,"abstract":"","PeriodicalId":9638,"journal":{"name":"Cardiovascular Research","volume":" ","pages":""},"PeriodicalIF":10.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142589605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Cardiovascular Research
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