Key result
Trypanosoma cruzi infection of cardiomyocytes upregulated oxidative stress-related and hypertrophic pathways and significantly increased intracellular reactive oxygen species levels compared to non-infected cells.
Why the study?
Genetic characteristics of circulating Trypanosoma cruzi are suspected determinants of Chagas disease phenotypic expression and Chagas cardiomyopathy progression, but the differential transcriptomic signatures of cardiomyocytes infected with discrete strains remained unknown.
Absolute Event Rate: 16.55% vs 6.85%
p-value: p=<0.0001
T. cruzi infection of cardiomyocytes upregulates oxidative stress and hypertrophic pathways, with strain-specific differences in nitrogen and glutathione metabolism, providing insights into Chagas cardiomyopathy pathogenesis.
Strain-specific cardiomyocyte transcriptomes may underlie CCM heterogeneity; leaves open whether T. cruzi genotyping informs prognosis or therapy.
BACKGROUND: Chagas disease can lead to life-threatening cardiac manifestations. Regional factors, including genetic characteristics of circulating Trypanosoma cruzi (T. cruzi), have attracted attention as likely determinants of Chagas disease phenotypic expression and Chagas cardiomyopathy (CCM) progression. Our objective was to elucidate the differential transcriptomic signatures of cardiomyocytes resulting from infection with genetically discrete T. cruzi strains and explore their relationships with CCM pathogenesis and progression. METHODS: HL-1 rodent cardiomyocytes were infected with T. cruzi trypomastigotes of the Colombian, Y, or Tulahuen strain. RNA was serially isolated post-infection for microarray analysis. Enrichment analyses of differentially expressed genes (fold-change ≥ 2 or ≤ 0.5) highlighted over-represented biological pathways. Intracellular levels of reactive oxygen species (ROS) were compared between T. cruzi-infected and non-infected HL-1 cardiomyocytes. RESULTS: We found that oxidative stress-related gene ontology terms (GO terms), 'Hypertrophy model', 'Apoptosis', and 'MAPK signaling' pathways (all with P < 0.01) were upregulated. 'Glutathione and one-carbon metabolism' pathway, and 'Cellular nitrogen compound metabolic process' GO term (all with P < 0.001) were upregulated exclusively in the cardiomyocytes infected with the Colombian/Y strains. Mean intracellular levels of ROS were significantly higher in the T. cruzi-infected cardiomyocytes compared to the non-infected (P < 0.0001). CONCLUSIONS: The upregulation of oxidative stress-related and hypertrophic pathways constitutes the universal hallmarks of the cardiomyocyte response elicited by T. cruzi infection. Nitrogen metabolism upregulation and glutathione metabolism imbalance may implicate a relationship between nitrosative stress and poor oxygen radicals scavenging in the unique pathophysiology of Chagas cardiomyopathy.
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Candray et al. (2023) studied Chagas cardiomyopathy. Trypanosoma cruzi infection vs. Non-infected cardiomyocytes was evaluated on Intracellular levels of reactive oxygen species (ROS) signal intensity (p=<0.0001). Trypanosoma cruzi infection of cardiomyocytes upregulated oxidative stress-related and hypertrophic pathways and significantly increased intracellular reactive oxygen species levels compared to non-infected cells.
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