Abstract

BackgroundIschemic cardiac damage is associated with upregulation of cardiac pro-inflammatory cytokines, as well as invasion of lymphocytes into the heart. Regulatory T cells (Tregs) are known to exert a suppressive effect on several immune cell types. We sought to determine whether the Treg pool is influenced by myocardial damage and whether Tregs transfer and deletion affect cardiac remodeling.Methods and ResultsThe number and functional suppressive activity of Tregs were assayed in mice subjected to experimental myocardial infarction. The numbers of splenocyte-derived Tregs in the ischemic mice were significantly higher after the injury than in the controls, and their suppressive properties were significantly compromised. Compared with PBS, adoptive Treg transfer to mice with experimental infarction reduced infarct size and improved LV remodeling and functional performance by echocardiography. Treg deletion with blocking anti-CD25 antibodies did not influence infarct size or echocardiographic features of cardiac remodeling.ConclusionTreg numbers are increased whereas their function is compromised in mice with that underwent experimental infarction. Transfer of exogeneous Tregs results in attenuation of myocardial remodeling whereas their ablation has no effect. Thus, Tregs may serve as interesting potential interventional targets for attenuating left ventricular remodeling.

Highlights

  • Heart failure is a frequent cause of death in the industrialized world [1,2]

  • Percentages of Tregs in lymphoid tissue is increased after myocardial infarction For the quantitative assay, 40 mice were included in the experiment; two mice died during induction of anesthesia or myocardial infarction

  • At all experimental time points the levels of CD4+CD25+forkhead box P3 (FOXP3) in the shamoperated mice group were similar

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Summary

Introduction

Heart failure is a frequent cause of death in the industrialized world [1,2]. Approximately 6 million people suffer from heart failure in the United States alone, resulting in about 300,000 deaths per year [3]. Heart failure following myocardial infarction can result from a substantial loss of cardiomyocytes in the infarcted zone, but more often is precipitated by delayed and progressive pathological remodeling of the left ventricle (LV). The macrophages are responsible for clearing the infarcted zone and for recruiting cells such as fibroblasts, endothelial cells and stem/progenitor cells, with consequent formation of granulation tissue. Methods and Results: The number and functional suppressive activity of Tregs were assayed in mice subjected to experimental myocardial infarction. Compared with PBS, adoptive Treg transfer to mice with experimental infarction reduced infarct size and improved LV remodeling and functional performance by echocardiography. Conclusion: Treg numbers are increased whereas their function is compromised in mice with that underwent experimental infarction. Transfer of exogeneous Tregs results in attenuation of myocardial remodeling whereas their ablation has no effect. Tregs may serve as interesting potential interventional targets for attenuating left ventricular remodeling

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