Why the study?
Although cardiac Troponin-T is used to diagnose myocardial infarction and ischemic cardiovascular diseases, the mechanism of its upregulation and release remains relatively obscure.
Does inhibition of the eRNA-TLR3 pathway reduce acute hypoxia-induced cTrop-T release and myocardial injury in mice?
Does inhibition of the eRNA-TLR3 pathway reduce acute hypoxia-induced cTrop-T release and myocardial injury in mice?
Acute hypoxia-induced cTrop-T release and myocardial injury are mediated via the eRNA-TLR3-Caspase 3 pathway, identifying a potential therapeutic target for ischemic cardiovascular diseases.
Suggests eRNA-TLR3 inhibition as target in ischemic injury; hypothesis-generating in mice, requires human studies before clinical consideration.
Myocardial infarction (MI), atherosclerosis and other inflammatory and ischemic cardiovascular diseases (CVDs) have a very high mortality rate and limited therapeutic options. Although the diagnosis is based on markers such as cardiac Troponin-T (cTrop-T), the mechanism of cTrop-T upregulation and release is relatively obscure. In the present study, we have investigated the mechanism of cTrop-T release during acute hypoxia (AH) in a mice model by ELISA & immunohistochemistry. Our study showed that AH exposure significantly induces the expression and release of sterile inflammatory as well as MI markers in a time-dependent manner. We further demonstrated that activation of TLR3 (mediated by eRNA) by AH exposure in mice induced cTrop-T release and Poly I:C (TLR3 agonist) also induced cTrop-T release, but the pre-treatment of TLR3 immuno-neutralizing antibody or silencing of Tlr3 gene or RNaseA treatment two hrs before AH exposure, significantly abrogated AH-induced Caspase 3 activity as well as cTrop-T release. Our immunohistochemistry and Masson Trichrome (MT) staining studies further established the progression of myocardial injury by collagen accumulation, endothelial cell and leukocyte activation and adhesion in myocardial tissue which was abrogated significantly by pre-treatment of RNaseA 2 hrs before AH exposure. These data indicate that AH induced cTrop-T release is mediated via the eRNA-TLR3-Caspase 3 pathway.
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Bhagat et al. (2021) studied this question.
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