Key result
Anti-ST2 mAb reduces cardiac fibrosis in murine viral myocarditis by preventing sST2-mediated inhibition of senescence.
Why the study?
The molecular mechanism by which sST2 regulates cellular senescence in cardiac fibrosis during viral myocarditis is unclear.
p-value: p=<0.05
Blockade of sST2 with a monoclonal antibody attenuates cardiac fibrosis in a mouse model of viral myocarditis, highlighting a potential therapeutic target.
No immediate clinical implications in myocarditis; leaves open sST2 blockade as a hypothesis-generating target for human trials.
Soluble interleukin 1 receptor-like 1 (sST2) is a novel predictor of poor outcomes, which is involved in inflammatory response and fibrosis of myocarditis. Cellular senescence is a state of irreversible cell cycle arrest. Studies have shown that senescence of myofibroblasts can limit or reduce cardiac fibrosis. However, the molecular mechanism of sST2 regulating cellular senescence is still unclear. Here, we investigate the role of sST2 on cellular senescence in cardiac fibrosis. Our results found that sST2 was upregulated in coxsackievirus group B type 3 (CVB3)-induced viral myocarditis (VMC), which correlated with the expression of senescence markers. In vitro, sST2 activated TGFβ signaling through the phosphorylation of the SMAD complex to induce mouse cardiac fibroblast (MCF) activation and inhibit cellular senescence by the Sirt1/p53/p21 signaling pathway. In vivo, anti-ST2 mAb attenuated CVB3-induced cardiac fibrosis. Our findings elucidate a crucial mechanism underlying through which sST2 inhibits cellular senescence and regulates MCF activation, providing a potential treatment strategy for cardiac fibrosis.
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Tan et al. (2023) studied Viral myocarditis and cardiac fibrosis. Anti-ST2 mAb (in vivo) and sST2 (in vitro) vs. Untreated VMC mice / Control fibroblasts was evaluated on Cardiac fibrosis and cellular senescence markers (p=<0.05). In a mouse model of viral myocarditis, sST2 promoted cardiac fibrosis by inhibiting cellular senescence via the Sirt1/p53/p21 signaling pathway, an effect that was attenuated by anti-ST2 monoclonal antibody treatment.
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