Key result
ADAM17 inhibition reduces post-MI cardiac fibrosis and improves LVEF via ATF6 suppression and mitophagy activation.
Why the study?
The role of ADAM17 within mouse cardiac fibroblasts in heart fibrosis remained to be determined.
Does downregulation or pharmacological inhibition of ADAM17 attenuate cardiac fibrosis and improve cardiac function after myocardial infarction by regulating endoplasmic reticulum stress and mitophagy?
Does downregulation or pharmacological inhibition of ADAM17 attenuate cardiac fibrosis and improve cardiac function after myocardial infarction by regulating endoplasmic reticulum stress and mitophagy?
Preclinical evidence demonstrates that genetic or pharmacological inhibition of ADAM17 (via TMI-005) attenuates post-MI cardiac fibrosis and improves left ventricular function by suppressing the ATF6 branch of ER stress and promoting PINK1/Parkin-mediated mitophagy.
Should not yet change post-MI care; hypothesis-generating for ADAM17 inhibition in humans.
Background . A disintegrin and metalloproteinase 17 (ADAM17) is a transmembrane protein that is widely expressed in various tissues; it mediates the shedding of many membrane‐bound molecules, involving cell‐cell and cell‐matrix interactions. We investigated the role of ADAM17 within mouse cardiac fibroblasts (mCFs) in heart fibrosis. Methods . mCFs were isolated from the hearts of neonatal mice. Effects of ADAM17 on the differentiation of mCFs towards myofibroblasts and their fibrotic behaviors following induction with TGF‐ β 1 were examined. The expression levels of fibrotic proteins, such as collagen I and α ‐SMA, were assessed by qRT‐PCR analysis and western blotting. Cell proliferation and migration were measured using the CCK‐8 and wound healing assay. To identify the target gene for ADAM17, the protein levels of the components of endoplasmic reticulum (ER) stress and the PINK1/Parkin pathway were assessed following ADAM17 silencing. The effects of ADAM17 silencing or treatment with thapsigargin, a key stimulator of acute ER stress, on mCFs proliferation, migration, and collagen secretion were also examined. In vivo , we used a mouse model of cardiac fibrosis established by left anterior descending artery ligation; the mice were administered oral gavage with a selective ADAM17 inhibitor (TMI‐005) for 4 weeks after the operation. Results . We found that the ADAM17 expression levels were higher in fibrosis heart tissues and TGF‐ β 1‐treated mCFs. The ADAM17‐specific siRNAs decreased TGF‐ β 1‐induced increase in the collagen secretion, proliferation, and migration of mCFs. Knockdown of ADAM17 reduces the activation of mCFs by inhibiting the ATF6 branch of ER stress and further activating mitophagy. Moreover, decreased ADAM17 expression also ameliorated cardiac fibrosis and improved heart function. Conclusions . This study highlights that mCF ADAM17 expression plays a key role in cardiac fibrosis by regulating ER stress and mitophagy, thereby limiting fibrosis and improving heart function. Therefore, ADAM17 downregulation, within the physiological range, could exert protective effects against cardiac fibrosis.
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Guan et al. (2021) studied Cardiac fibrosis (post-myocardial infarction mouse model and isolated mouse cardiac fibroblasts) (n=24). ADAM17 inhibitor (TMI-005) in vivo and ADAM17-specific siRNA (siRNA3) in vitro vs. Vehicle buffer (2% Tween 80 and 0.5% methylcellulose) in vivo; scramble siRNA negative control in vitro was evaluated on Cardiac fibrosis area (Masson's trichrome staining), cardiac function (LVEF, LVFS via echocardiography), and fibrotic protein expression (collagen I, alpha-SMA) (p=<0.05). ADAM17 inhibition via TMI-005 (10 mg/kg twice daily) or siRNA knockdown (~80% reduction) reduced cardiac fibrosis and improved LVEF and LVFS in post-MI mice by inhibiting ATF6 and activating mitophagy.
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