The glucocorticoid receptor in monocyte‐derived macrophages is critical for cardiac infarct repair and remodeling

Cell‐ and tissue‐specific actions of glucocorticoids are mediated by the glucocorticoid receptor. Here, we demonstrate that the glucocorticoid receptor (GR) in macrophages is essential for cardiac healing after myocardial infarction. Compared with GRflox (wild‐type controls), GRLysMCre mice that lac...

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Veröffentlicht in:The FASEB journal 2017-11, Vol.31 (11), p.5122-5132
Hauptverfasser: Galuppo, Paolo, Vettorazzi, Sabine, Hovelmann, Julian, Scholz, Claus‐Jürgen, Tuckermann, Jan Peter, Bauersachs, Johann, Fraccarollo, Daniela
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container_end_page 5132
container_issue 11
container_start_page 5122
container_title The FASEB journal
container_volume 31
creator Galuppo, Paolo
Vettorazzi, Sabine
Hovelmann, Julian
Scholz, Claus‐Jürgen
Tuckermann, Jan Peter
Bauersachs, Johann
Fraccarollo, Daniela
description Cell‐ and tissue‐specific actions of glucocorticoids are mediated by the glucocorticoid receptor. Here, we demonstrate that the glucocorticoid receptor (GR) in macrophages is essential for cardiac healing after myocardial infarction. Compared with GRflox (wild‐type controls), GRLysMCre mice that lacked GR in myeloid cells showed increased acute mortality as a result of cardiac rupture. Seven days after left coronary artery ligation, GRLysMCre mice exhibited worse cardiac function and adverse remodeling associated with impaired scar formation and angiogenic response to ischemic injury. Inactivation of GR altered the functional differentiation/maturation of monocyte‐derived macrophages in the infarcted myocardium. Mechanistically, CD45+/CD11b+/Ly6G−/F4/80+ macrophages isolated from GRLysMCre infarcts showed deregulation of factors that control inflammation, neovascularization, collagen degradation, and scar tissue formation. Moreover, we demonstrate that cardiac fibroblasts sorted from the ischemic myocardium of GRLysMCre mice compared with cells isolated from injured GRflox hearts displayed higher matrix metalloproteinase 2 expression, and we provide evidence that the macrophage GR regulates myofibroblast differentiation in the infarct microenvironment during the early phase of wound healing. In summary, GR signaling in macrophages, playing a crucial role in tissue‐repairing mechanisms, could be a potential therapeutic target during wound healing after ischemic myocardial injury.—Galuppo, P., Vettorazzi, S., Hövelmann, J., Scholz, C.‐J., Tuckermann, J. P., Bauersachs, J., Fraccarollo, D. The glucocorticoid receptor in monocyte‐derived macrophages is critical for cardiac infarct repair and remodeling. FASEB J. 31, 5122–5132 (2017). www.fasebj.org
doi_str_mv 10.1096/fj.201700317R
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Here, we demonstrate that the glucocorticoid receptor (GR) in macrophages is essential for cardiac healing after myocardial infarction. Compared with GRflox (wild‐type controls), GRLysMCre mice that lacked GR in myeloid cells showed increased acute mortality as a result of cardiac rupture. Seven days after left coronary artery ligation, GRLysMCre mice exhibited worse cardiac function and adverse remodeling associated with impaired scar formation and angiogenic response to ischemic injury. Inactivation of GR altered the functional differentiation/maturation of monocyte‐derived macrophages in the infarcted myocardium. Mechanistically, CD45+/CD11b+/Ly6G−/F4/80+ macrophages isolated from GRLysMCre infarcts showed deregulation of factors that control inflammation, neovascularization, collagen degradation, and scar tissue formation. Moreover, we demonstrate that cardiac fibroblasts sorted from the ischemic myocardium of GRLysMCre mice compared with cells isolated from injured GRflox hearts displayed higher matrix metalloproteinase 2 expression, and we provide evidence that the macrophage GR regulates myofibroblast differentiation in the infarct microenvironment during the early phase of wound healing. In summary, GR signaling in macrophages, playing a crucial role in tissue‐repairing mechanisms, could be a potential therapeutic target during wound healing after ischemic myocardial injury.—Galuppo, P., Vettorazzi, S., Hövelmann, J., Scholz, C.‐J., Tuckermann, J. P., Bauersachs, J., Fraccarollo, D. The glucocorticoid receptor in monocyte‐derived macrophages is critical for cardiac infarct repair and remodeling. 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Here, we demonstrate that the glucocorticoid receptor (GR) in macrophages is essential for cardiac healing after myocardial infarction. Compared with GRflox (wild‐type controls), GRLysMCre mice that lacked GR in myeloid cells showed increased acute mortality as a result of cardiac rupture. Seven days after left coronary artery ligation, GRLysMCre mice exhibited worse cardiac function and adverse remodeling associated with impaired scar formation and angiogenic response to ischemic injury. Inactivation of GR altered the functional differentiation/maturation of monocyte‐derived macrophages in the infarcted myocardium. Mechanistically, CD45+/CD11b+/Ly6G−/F4/80+ macrophages isolated from GRLysMCre infarcts showed deregulation of factors that control inflammation, neovascularization, collagen degradation, and scar tissue formation. 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Moreover, we demonstrate that cardiac fibroblasts sorted from the ischemic myocardium of GRLysMCre mice compared with cells isolated from injured GRflox hearts displayed higher matrix metalloproteinase 2 expression, and we provide evidence that the macrophage GR regulates myofibroblast differentiation in the infarct microenvironment during the early phase of wound healing. In summary, GR signaling in macrophages, playing a crucial role in tissue‐repairing mechanisms, could be a potential therapeutic target during wound healing after ischemic myocardial injury.—Galuppo, P., Vettorazzi, S., Hövelmann, J., Scholz, C.‐J., Tuckermann, J. P., Bauersachs, J., Fraccarollo, D. The glucocorticoid receptor in monocyte‐derived macrophages is critical for cardiac infarct repair and remodeling. 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subjects Angiogenesis
Animals
Antigens, Differentiation - genetics
Antigens, Differentiation - metabolism
CD11b antigen
CD45 antigen
Collagen
Coronary artery
Deactivation
Deregulation
Differentiation
fibroblast
Fibroblasts
Glucocorticoids
Heart
Heart diseases
Inactivation
Injuries
Ischemia
Macrophages
Macrophages - metabolism
Macrophages - pathology
Matrix metalloproteinase
Metalloproteinase
Mice
Mice, Transgenic
Monocytes
Monocytes - metabolism
Monocytes - pathology
Myeloid cells
Myocardial infarction
Myocardial Infarction - genetics
Myocardial Infarction - metabolism
Myocardial Infarction - pathology
Myocardium
Myocardium - metabolism
Myocardium - pathology
Myofibroblasts - metabolism
Myofibroblasts - pathology
Receptors, Glucocorticoid - genetics
Receptors, Glucocorticoid - metabolism
Repair
Rodents
Signal Transduction
Signaling
Vascularization
Wound healing
title The glucocorticoid receptor in monocyte‐derived macrophages is critical for cardiac infarct repair and remodeling
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