2021
DOI: 10.1038/s41467-021-22178-0
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Cardiac macrophages prevent sudden death during heart stress

Abstract: Cardiac arrhythmias are a primary contributor to sudden cardiac death, a major unmet medical need. Because right ventricular (RV) dysfunction increases the risk for sudden cardiac death, we examined responses to RV stress in mice. Among immune cells accumulated in the RV after pressure overload-induced by pulmonary artery banding, interfering with macrophages caused sudden death from severe arrhythmias. We show that cardiac macrophages crucially maintain cardiac impulse conduction by facilitating myocardial in… Show more

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Cited by 47 publications
(58 citation statements)
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References 47 publications
(63 reference statements)
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“…The development of AV blocks is accelerated by pressure overload, as demonstrated by experiments where cardiac macrophage is depleted using clodronate liposomes, or when the mouse line CX3CR1-DTR and DT administration before pulmonary artery banding resulted in sudden death a few hours after banding, due to the development of a complete AV block and ventricular arrest [ 66 ], which is not observed after the depletion of other immune cells including lymphocytes and granulocytes [ 66 ]. Amphiregulin (Areg) is a membrane protein that could be secreted by multiple cell types, including cardiac-resident macrophages [ 66 ].…”
Section: Homeostatic Impact Of Cardiac Macrophagesmentioning
confidence: 99%
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“…The development of AV blocks is accelerated by pressure overload, as demonstrated by experiments where cardiac macrophage is depleted using clodronate liposomes, or when the mouse line CX3CR1-DTR and DT administration before pulmonary artery banding resulted in sudden death a few hours after banding, due to the development of a complete AV block and ventricular arrest [ 66 ], which is not observed after the depletion of other immune cells including lymphocytes and granulocytes [ 66 ]. Amphiregulin (Areg) is a membrane protein that could be secreted by multiple cell types, including cardiac-resident macrophages [ 66 ].…”
Section: Homeostatic Impact Of Cardiac Macrophagesmentioning
confidence: 99%
“…The development of AV blocks is accelerated by pressure overload, as demonstrated by experiments where cardiac macrophage is depleted using clodronate liposomes, or when the mouse line CX3CR1-DTR and DT administration before pulmonary artery banding resulted in sudden death a few hours after banding, due to the development of a complete AV block and ventricular arrest [ 66 ], which is not observed after the depletion of other immune cells including lymphocytes and granulocytes [ 66 ]. Amphiregulin (Areg) is a membrane protein that could be secreted by multiple cell types, including cardiac-resident macrophages [ 66 ]. In the heart, it was demonstrated that Areg, secreted by cardiac-resident macrophages and acting through the epidermal growth factor receptor (Egfr), promotes the phosphorylation of Cx43 in CMs, resulting in the correct localization of Cx43 in gap junctions between CMs and the enhancement of membrane permeability and cardiac conductivity [ 66 ].…”
Section: Homeostatic Impact Of Cardiac Macrophagesmentioning
confidence: 99%
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“…In a mouse model of right ventricular pressure overload, it was recently shown that cardiac macrophages are involved in the maintenance of cardiac gap junctional communication and impulse conduction by the release of amphiregulin which controls connexin 43 phosphorylation and translocation in cardiomyocytes (Sugita et al, 2021) [114]. The lateralization of gap junctions also occurs in the hearts of Duchenne muscular dystrophy.…”
Section: Gap Junction Remodeling In Cardiomyopathymentioning
confidence: 99%