Why the study?
The study aimed to explore the effects of tissue inhibitor of metalloproteinases-1 on levocarnitine-mediated regulation of angiotensin II-induced myocardial fibrosis and its underlying mechanisms.
Levocarnitine mitigates Angiotensin II-induced fibrotic responses in H9C2 cells via TIMP-1 regulation, highlighting a potential mechanism for delaying myocardial fibrosis.
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Hypothesis-generating for levocarnitine in cardiac fibrosis pathways; leaves open translation to in vivo or clinical settings.
This study aimed to explore the effects of tissue inhibitor of metalloproteinases‐1 (TIMP‐1) on levocarnitine (LC)-mediated regulation of angiotensin II (AngII)-induced myocardial fibrosis (MF) and its underlying mechanisms. H9C2 cells were treated with AngII for 24 h to induce fibrosis. The cells were then treated with LC or transfected with TIMP‐1-OE plasmid/si‑TIMP‐1. Cell apoptosis, viability, migration, and related gene expression were analyzed. AngII treatment significantly upregulated Axl , α-SMA , and MMP3 expression ( P < 0.05) and downregulated STAT4 and TIMP1 expression ( P < 0.05) relative to the control levels. After transfection, cells with TIMP-1 overexpression/knockdown were successfully established. Compared with that of the control, AngII significantly inhibited cell viability and cell migration while promoting cell apoptosis ( P < 0.05). LC and TIMP-1-OE transfection further suppressed cell viability and migration induced by Ang II and upregulated apoptosis, whereas si-TIMP-1 had the opposite effect. Furthermore, LC and TIMP-1-OE transfection downregulated Axl, AT1R, α-SMA, collagen III, Bcl-2 , and MMP3 expression caused by AngII and upregulated caspase 3, p53, and STAT4 expression, whereas si-TIMP-1 had the opposite effect. TIMP-1 is therefore a potential therapeutic target for delaying MF progression.
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Jin et al. (2023) studied this question.
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