Why the study?
Excessive post-MI inflammation promotes adverse LV remodeling, but whether the apolipoprotein A-I mimetic peptide L-4F imparts beneficial effects after MI is unknown.
Does L-4F reduce inflammation and adverse cardiac remodeling in a mouse model of reperfused myocardial infarction?
Does L-4F reduce inflammation and adverse cardiac remodeling in a mouse model of reperfused myocardial infarction?
In a mouse model of reperfused MI, the apolipoprotein A-I mimetic L-4F reduced pro-inflammatory monocyte and macrophage expansion and improved post-MI LV remodeling.
L-4F attenuates post-MI monocyte expansion in mice; hypothesis-generating for apoA-I mimetics in human remodeling.
Excessive inflammation after myocardial infarction (MI) can promote infarct expansion and adverse left ventricular (LV) remodeling. L-4F, a mimetic peptide of apolipoprotein A-I (apoA-I), exhibits anti-inflammatory and anti-atherogenic properties; however, whether L-4F imparts beneficial effects after myocardial infarction (MI) is unknown. Here we demonstrate that L-4F suppresses the expansion of blood, splenic, and myocardial pro-inflammatory monocytes and macrophages in a mouse model of reperfused MI. Changes in immune cell profiles were accompanied by alleviation of post-MI LV remodeling and dysfunction. In vitro, L-4F also inhibited pro-inflammatory and glycolytic gene expression in macrophages. In summary, L-4F treatment prevents prolonged and excessive inflammation after MI, in part through modulation of pro-inflammatory monocytes and macrophages, and improves post-MI LV remodeling. These data suggest that L-4F could be a used as a therapeutic adjunct in humans with MI to limit inflammation and alleviate the progression to heart failure.
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Hamid et al. (2020) studied this question.
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