Why the study?
Although TGF-beta1 activation mediated by integrin alphanu-beta5 during fibrosis and cardiac myofibroblast differentiation is recognized, the effects of integrin alphanu-beta5 inhibition on cardiac fibroblasts from spontaneously hypertensive rats remained to be evaluated.
Does in vitro treatment with cilengitide prevent pro-fibrotic differentiation in cardiac fibroblasts from spontaneously hypertensive rats?
Does in vitro treatment with cilengitide prevent pro-fibrotic differentiation in cardiac fibroblasts from spontaneously hypertensive rats?
In vitro inhibition of integrin ανβ5 with cilengitide limits the pro-fibrotic differentiation of cardiac fibroblasts from spontaneously hypertensive rats, suggesting a potential therapeutic target for hypertension-induced cardiac fibrosis.
Integrin ανβ5 inhibition merits further study as an antifibrotic target; leaves open translation beyond this in vitro hypertensive rat model.
BACKGROUND: To date the TGF-β1 activation mediated by integrin ανβ5 during fibrosis is well-known. This process has been shown also in the heart, where cardiac fibroblasts (CF) differentiate into α-smooth muscle actin (α-SMA)-positive myofibroblasts (MyoFB). Here, we studied the effects on CF, isolated by spontaneously hypertensive rats (SHR), of integrin ανβ5 inhibition in MyoFB differentiation. METHODS: Staining and immunohistochemistry were performed on rat cardiac tissue. CF were isolated by enzymatic digestion from SHR (SHR-CF) and normotensive WKY (WKY-CF) rat hearts and then treated for in vitro evaluation. RESULTS: SHR heart tissues revealed a higher TGF-β1 expression vs. WKY samples. SHR-CF showed an enhanced SMAD2/3 activation and an up-regulated expression of α-SMA, a typical MyoFB marker, especially after TGF-β1 treatment. Immunostaining on cardiac tissues revealed a higher expression of integrin ανβ5 in SHR vs. WKY rat hearts. In vitro results confirmed the up-regulation of integrin ανβ5 expression in SHR-CF at basal condition and after TGF-β1 treatment, in comparison with WKY-CF. Inhibition of integrin ανβ5 by cilengitide treatment led a decreased expression of ανβ5, collagen I, and α-SMA in SHR-CF vs. WKY-CF, resulting in a diminished differentiation of CF into MyoFB. Taking together, results suggested that SHR-CF are more susceptible to TGF-β1, showing an up-regulated activation of SMAD2/3 signaling, and an increased ανβ5, α-SMA, and collagen I expression. Hypertension stimulus promoted an up-regulation of integrin ανβ5 on SHR cardiac tissue and its in vitro inhibition reverted pro-fibrotic events of SHR-CF. CONCLUSION: Inhibition of integrin ανβ5 exerted by cilengitide strongly diminished SHR-CF differentiation into detrimental MyoFB. So, integrin ανβ5 might be considered a novel therapeutic target and cilengitide an effective pharmacological tool to limit the progression of hypertension-induced cardiac fibrosis.
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Perrucci et al. (2018) studied this question.
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