Key result
Delayed LPAR4 downstream inhibition improves cardiac function and reduces fibrotic scarring after MI in mice.
Why the study?
The mechanisms regulating LPAR4 expression during cardiac development and its role in cardiac repair after myocardial infarction were not fully understood.
Does downstream inhibition of LPAR4 by a p38 MAPK blocker improve cardiac function and reduce fibrotic scarring after myocardial infarction in preclinical models?
Does downstream inhibition of LPAR4 by a p38 MAPK blocker improve cardiac function and reduce fibrotic scarring after myocardial infarction in preclinical models?
Inhibition of LPAR4 downstream signaling via p38 MAPK blockade improves cardiac repair and reduces fibrosis after myocardial infarction in preclinical models.
Answers are grounded in this paper and cite their sources.
SOX17-LPAR4 axis may refine PSC cardiac differentiation protocols; leaves open its role in human congenital heart disease.
Lysophosphatidic acid receptor 4 (LPAR4) exhibits transient expression at the cardiac progenitor stage during pluripotent stem cell (PSC)-derived cardiac differentiation. Using RNA sequencing, promoter analyses, and a loss-of-function study in human PSCs, we discovered that SRY-box transcription factor 17 (SOX17) is an essential upstream factor of LPAR4 during cardiac differentiation. We conducted mouse embryo analyses to further verify our human PSC in vitro findings and confirmed the transient and sequential expression of SOX17 and LPAR4 during in vivo cardiac development. In an adult bone marrow transplantation model using LPAR4 promoter-driven GFP cells, we observed two LPAR4 + cell types in the heart following myocardial infarction (MI). Cardiac differentiation potential was shown in heart-resident LPAR4 + cells, which are SOX17 + , but not bone marrow-derived infiltrated LPAR4 + cells. Furthermore, we tested various strategies to enhance cardiac repair through the regulation of downstream signals of LPAR4. During the early stages following MI, the downstream inhibition of LPAR4 by a p38 mitogen-activated protein kinase (p38 MAPK) blocker improved cardiac function and reduced fibrotic scarring compared to that observed following LPAR4 stimulation. These findings improve our understanding of heart development and suggest novel therapeutic strategies that enhance repair and regeneration after injury by modulating LPAR4 signaling.
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Lee et al. (2023) studied Myocardial Infarction (n=60). p38 MAPK blocker (SB203580) vs. PBS or early LPAR4 stimulation (ODP) was evaluated on Cardiac function and fibrotic scarring. Delayed inhibition of LPAR4 downstream signaling using a p38 MAPK blocker significantly improved cardiac function and reduced fibrotic scarring compared to early LPAR4 stimulation in a mouse myocardial infarction model.
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