Key result
CILP1 expression is significantly elevated in human and murine cardiac remodeling, and its overexpression in vitro strongly inhibits pro-fibrotic TGFβ signaling activity by 5-fold.
p-value: p=<0.05
CILP1 is identified as a novel cardiac matricellular protein that interferes with pro-fibrotic TGFβ signaling and may serve as a sensitive marker for cardiac fibrosis and extracellular matrix remodeling.
CILP1 may mark fibrosis without altering practice; leaves open its therapeutic targeting pending human studies.
Heart failure is accompanied by extracellular matrix (ECM) remodelling, often leading to cardiac fibrosis. In the present study we explored the significance of cartilage intermediate layer protein 1 (CILP1) as a novel mediator of cardiac ECM remodelling. Whole genome transcriptional analysis of human cardiac tissue samples revealed a strong association of CILP1 with many structural (e.g. COL1A2 r 2 = 0.83) and non-structural (e.g. TGFB3 r 2 = 0.75) ECM proteins. Gene enrichment analysis further underscored the involvement of CILP1 in human cardiac ECM remodelling and TGFβ signalling. Myocardial CILP1 protein levels were significantly elevated in human infarct tissue and in aortic valve stenosis patients. CILP1 mRNA levels markedly increased in mouse heart after myocardial infarction, transverse aortic constriction, and angiotensin II treatment. Cardiac fibroblasts were found to be the primary source of cardiac CILP1 expression. Recombinant CILP1 inhibited TGFβ-induced αSMA gene and protein expression in cardiac fibroblasts. In addition, CILP1 overexpression in HEK293 cells strongly (5-fold p < 0.05) inhibited TGFβ signalling activity. In conclusion, our study identifies CILP1 as a new cardiac matricellular protein interfering with pro-fibrotic TGFβ signalling, and as a novel sensitive marker for cardiac fibrosis.
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Nieuwenhoven et al. (2017) studied Cardiac fibrosis and extracellular matrix remodelling. CILP1 (Cartilage intermediate layer protein 1) vs. Healthy controls, sham-operated mice, or unexposed cells was evaluated on CILP1 expression levels and effect on TGFβ signalling activity (p=<0.05). CILP1 expression is significantly elevated in human and murine cardiac remodeling, and its overexpression in vitro strongly inhibits pro-fibrotic TGFβ signaling activity by 5-fold.
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