Why the study?
Developing immunomodulatory therapy for heart failure from chronic pressure overload-induced LV hypertrophy requires examining underlying immune patterns, as the cardiac immune response differs by underlying cause.
Does CX3CR1 deficiency prevent cardiac hypertrophy and left ventricular dysfunction in a mouse model of pressure overload?
Does CX3CR1 deficiency prevent cardiac hypertrophy and left ventricular dysfunction in a mouse model of pressure overload?
CX3CR1 deficiency protects against pressure-overload induced left ventricular hypertrophy and dysfunction in mice, suggesting it as a potential immunomodulatory therapeutic target for heart failure.
Hypothesis-generating for CX3CR1 inhibition in heart failure; prospective human studies needed before clinical adoption.
The CX3CL1/CX3CR1 axis mediates recruitment and extravasation of CX3CR1-expressing subsets of leukocytes and plays a pivotal role in the inflammation-driven pathology of cardiovascular disease. The cardiac immune response differs depending on the underlying causes. This suggests that for the development of successful immunomodulatory therapy in heart failure due to chronic pressure overload induced left ventricular (LV) hypertrophy, the underlying immune patterns must be examined. Here, the authors demonstrate that Fraktalkine-receptor CX3CR1 is a prerequisite for the development of cardiac hypertrophy and left ventricular dysfunction in a mouse model of transverse aortic constriction (TAC). The comparison of C57BL/6 mice with CX3CR1 deficient mice displayed reduced LV hypertrophy and preserved cardiac function in response to pressure overload in mice lacking CX3CR1. Moreover, the normal immune response following TAC induced pressure overload which is dominated by Ly6Clow macrophages changed to an early pro-inflammatory immune response driven by neutrophils, Ly6Chigh macrophages and altered cytokine expression pattern in CX3CR1 deficient mice. In this early inflammatory phase of LV hypertrophy Ly6Chigh monocytes infiltrated the heart in response to a C-C chemokine ligand 2 burst. CX3CR1 expression impacts the immune response in the development of LV hypertrophy and its absence has clear cardioprotective effects. Hence, suppression of CX3CR1 may be an important immunomodulatory therapeutic target to ameliorate pressure-overload induced heart failure.
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Weisheit et al. (2021) studied this question.
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