Why the study?
Studies conflict regarding whether mTOR regulation of macrophage phenotype and functionality plays a pro- or anti-inflammatory role after ischemia-reperfusion injury.
Does constitutive mTORC1 activation in macrophages ameliorate ventricular dysfunction and remodeling after ischemia-reperfusion injury in mice?
Does constitutive mTORC1 activation in macrophages ameliorate ventricular dysfunction and remodeling after ischemia-reperfusion injury in mice?
Constitutive mTORC1 activation in macrophages preserves heart function and reduces inflammation following ischemia-reperfusion injury via increased GPNMB expression.
Macrophage mTORC1 activation attenuates post-I/R remodeling in mice; hypothesis-generating for human cardioprotection.
Macrophages (MΦ) modulate myocardial inflammation and repair after ischemia-reperfusion (I/R) injury. The mechanistic target of rapamycin (mTOR) regulates MΦ phenotype and functionality, but studies conflict regarding its pro- or anti-inflammatory role. To test this, myeloid TSC2 depleted (MΦ TSC2−/− ) mice were generated by crossing Lys2 Cre with TSC2 flx/flx . In vitro, bone marrow-derived MΦ TSC2−/− vs. control MΦ had greater mTORC1 and less mTORC2 activity coupled with differential responses to pro- or anti-inflammatory ligands. These disparities were eliminated by inhibiting mTORC1 with rapamycin. MΦ TSC2−/− mice had substantially less cardiac dysfunction and ventricular remodeling after I/R, with reduced lung edema and activation of stress/pro fibrotic genes. These differences were eliminated by treating mice with rapamycin, supporting mTORC1 dependence. Post I/R MΦ TSC2−/− myocardium had fewer pro-inflammatory (CCR2 + MHC-II hi ) MΦ, LY6C + monocytes, LY6G + neutrophils, and CD8 + T cells at 5-days post-I/R, and fewer CCR2 + but more CCR2 − MΦ 2-wks after I/R. Synthesis of glycoprotein nonmetastatic melanoma protein B (GPNMB), a MΦ secreted anti-inflammatory protein was greater in MΦ TSC2−/− macrophages and myocardium after I/R in an mTORC1 dependent manner. Thus, constitutive mTORC1 activation in MΦ depresses pro-inflammatory cell infiltration, increases GPNMB protein expression, and preserves heart function following I/R. This reveals beneficial effects of a MΦ-dependent mTORC1-GPNMB cascade on the post I/R heart.
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Keykhaei et al. (2025) studied this question.
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