BNIP3L is identified as a novel mediator of pressure overload-induced cardiac fibrosis in cardiac fibroblasts via the [Ca2+]i-TGF-β-Smad2/3 pathway.
BNIP3L upregulation in CFs may promote fibrosis; hypothesis-generating in rats, leaves open human HF relevance.
Fibrosis is an important, structurally damaging event that occurs in pathological cardiac remodeling, leading to cardiac dysfunction. BNIP3L is up-regulated in pressure overload-induced heart failure and has been reported to play an important role in cardiomyocyte apoptosis; however, its involvement in cardiac fibroblasts (CFs) remains unknown. We prove for the first time that the expression of BNIP3L is significantly increased in the CFs of rats undergoing pressure overload-induced heart failure. Furthermore, this increased BNIP3L expression was confirmed in cultured neonatal rat CFs undergoing proliferation and extracellular matrix (ECM) protein over-expression that was induced by norepinephrine (NE). The overexpression or suppression of BNIP3L promoted or inhibited NE-induced proliferation and ECM expression in CFs, respectively. In addition, [Ca 2+ ] i , transforming growth factor beta (TGF-β) and the nuclear accumulation of Smad2/3 were successively increased when BNIP3L was overexpressed and reduced when BNIP3L was inhibited. Furthermore, the down-regulation of TGF-β by TGF-β-siRNA attenuated the increase of BNIP3L-induced fibronectin expression. We also demonstrated that the increase of BNIP3L in CFs was regulated by NE-AR-PKC pathway in vitro and in vivo . These results reveal that BNIP3L is a novel mediator of pressure overload-induced cardiac fibrosis through the [Ca 2+ ] i -TGF-β-Smad2/3 pathway in CFs.
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Liu et al. (2017) studied this question.
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