Abstract

Transforming growth factor-β1 (TGF-β1) is a potent inducer of fibroblast to myofibroblast differentiation and contributes to the pro-fibrotic microenvironment during cardiac remodeling. Fibroblast growth factor-2 (FGF-2) is a growth factor secreted by adipose tissue-derived stromal cells (ASC) which can antagonize TGF-β1 signaling. We hypothesized that TGF-β1-induced cardiac fibroblast to myofibroblast differentiation is abrogated by FGF-2 and ASC conditioned medium (ASC-CMed). Our experiments demonstrated that TGF-β1 treatment-induced cardiac fibroblast differentiation into myofibroblasts, as evidenced by the formation of contractile stress fibers rich in αSMA. FGF-2 blocked the differentiation, as evidenced by the reduction in gene (TAGLN, p < 0.0001; ACTA2, p = 0.0056) and protein (αSMA, p = 0.0338) expression of mesenchymal markers and extracellular matrix components gene expression (COL1A1, p < 0.0001; COL3A1, p = 0.0029). ASC-CMed did not block myofibroblast differentiation. The treatment with FGF-2 increased matrix metalloproteinases gene expression (MMP1, p < 0.0001; MMP14, p = 0.0027) and decreased the expression of tissue inhibitor of metalloproteinase gene TIMP2 (p = 0.0023). ASC-CMed did not influence these genes. The proliferation of TGF-β1-induced human cardiac fibroblasts was restored by both FGF-2 (p = 0.0002) and ASC-CMed (p = 0.0121). The present study supports the anti-fibrotic effects of FGF-2 through the blockage of cardiac fibroblast differentiation into myofibroblasts. ASC-CMed, however, did not replicate the anti-fibrotic effects of FGF-2 in vitro.

Highlights

  • Fibroblasts are the most abundant cell type in the heart and regulate the homeostasis of the extracellular matrix (ECM)

  • We demonstrated that Fibroblast growth factor 2 (FGF-2) - but not the secreted factors of adipose tissue-derived stromal cells – downmodulate TGF-ß1-induced fibroblast into myofibroblast differentiation

  • Our results show that FGF-2 reduced differentiation via the reduction of mesenchymal gene expression (TAGLN and ACTA2), and the reduction of αSMA expression subsequently

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Summary

Introduction

Fibroblasts are the most abundant cell type in the heart and regulate the homeostasis of the extracellular matrix (ECM). A major component of the ECM is collagen which is deposited primarily by cardiac fibroblasts[1] Pathological stimuli, such as myocardial infarction, disrupt the cardiac tissue homeostasis[2] which predisposes the onset and progression of fibrosis[3,4] by the activation and differentiation of fibroblasts into myofibroblasts[1,5]. Because ASC release a series of anti-fibrotic factors, among which are FGF, IGF and HGF31–34, a possible mechanism underlying their anti-fibrotic effect could be to antagonize TGF-β signaling and the inhibition of the transformation of fibroblasts into myofibroblasts as well as the reduction of extracellular matrix production. We demonstrated that TGF-β1-induced differentiation of dermal fibroblasts to myofibroblasts could be modulated by adipose tissue-derived stromal cells’ conditioned medium (ASC-CMed)[35]. We hypothesized that cardiac fibroblast differentiation into myofibroblast could be abrogated by ASC-CMed

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