Key result
Long-term PM2.5 exposure induced cardiac fibrosis by increasing the release of TGF-β-containing small extracellular vesicles from macrophages, which activated the TGF-β-Smad2/3 signaling pathway in cardiomyocytes.
Why the study?
PM2.5 exposure is associated with cardiovascular morbidity, mortality, and cardiac fibrosis, but the underlying mechanisms remained largely unaddressed.
PM2.5 exposure induces cardiac fibrosis through a mechanism involving TGF-β-enriched small extracellular vesicles released from activated macrophages.
Numerous epidemiological and experimental studies have demonstrated that the exposure to fine particulate matter (aerodynamic diameter <2.5 μm, PM 2.5 ) was closely associated with cardiovascular morbidity and mortality. Our previous studies revealed that PM 2.5 exposure induced cardiac dysfunction and fibrosis. However, the corresponding underlying mechanism remains largely unaddressed. Here, PM 2.5 -induced cardiotoxicity is presented to directly promote collagen deposition in cardiomyocytes through the transforming growth factor-β (TGF-β)-containing small extracellular vesicles (sEV). The sEV transition may play an important role in PM 2.5 -induced cardiac fibrosis. Firstly, long-term PM 2.5 exposure can directly induce cardiac fibrosis and increase the level of serum sEV. Secondly, PM 2.5 can directly activate macrophages and increase the release of tumor necrosis factor α (TNF-α), interleukin-6 (IL-6), and TGF-β-containing sEV. Thirdly, TGF-β-containing sEV increases the expression of α-smooth muscle actin (α-SMA), collagen I, and collagen III in mouse cardiac muscle HL-1 cells. Finally, TGF-β-containing sEV released from PM 2.5 -treated macrophages can increase collagen through the activation of the TGF-β-Smad2/3 signaling pathway in HL-1 cells from which some fibroblasts involved in cardiac fibrosis are thought to originate. These findings suggest that TGF-β-containing sEV from PM 2.5 -activated macrophages play a critical role in the process of increasing cardiac collagen content via activating the TGF-β-Smad2/3 signaling pathway.
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Hu et al. (2022) studied Cardiotoxicity and cardiac fibrosis. PM2.5 vs. Filtered air (FA) or untreated control was evaluated on Cardiac fibrosis and expression of fibrosis-related proteins (α-SMA, Col I, Col III). Long-term PM2.5 exposure induced cardiac fibrosis by increasing the release of TGF-β-containing small extracellular vesicles from macrophages, which activated the TGF-β-Smad2/3 signaling pathway in cardiomyocytes.
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