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Cardiac Fibroblast-Specific Activating Transcription Factor 3 Protects Against Heart Failure by Suppressing MAP2K3-p38 Signaling

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机构: [1]Thomas Jefferson Univ, Dept Emergency Med, 1025 Walnut St, Philadelphia, PA 19107 USA; [2]Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China; [3]Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China; [4]Capital Med Univ, Beijing Anzhen Hosp, Beijing Inst Heart Lung & Blood Vessel Dis, 2 Anzhen Ave, Beijing 100029, Peoples R China
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关键词: activating transcription factor 3 fibroblast heart failure p38 mitogen-activated protein kinases

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BACKGROUND: Hypertensive ventricular remodeling is a common cause of heart failure. However, the molecular mechanisms regulating ventricular remodeling remain poorly understood. METHODS: We used a discovery-driven/nonbiased approach to identify increased activating transcription factor 3 (ATF3) expression in hypertensive heart. We used loss/gain of function approaches to understand the role of ATF3 in heart failure. We also examined the mechanisms through transcriptome, chromatin immunoprecipitation sequencing analysis, and in vivo and in vitro experiments. RESULTS: ATF3 expression increased in murine hypertensive heart and human hypertrophic heart. Cardiac fibroblast cells are the primary cell type expressing high ATF3 levels in response to hypertensive stimuli. ATF3 knockout ( ATF3KO) markedly exaggerated hypertensive ventricular remodeling, a state rescued by lentivirus-mediated/miRNA-aided cardiac fibroblast-selective ATF3 overexpression. Conversely, conditional cardiac fibroblast cell-specific ATF3 transgenic overexpression significantly ameliorated ventricular remodeling and heart failure. We identified Map2K3 as a novel ATF3 target. ATF3 binds with the Map2K3 promoter, recruiting HDAC1, resulting in Map2K3 gene-associated histone deacetylation, thereby inhibiting Map2K3 expression. Genetic Map2K3 knockdown rescued the profibrotic/hypertrophic phenotype in ATF3KO cells. Last, we demonstrated that p38 is the downstream molecule of Map2K3 mediating the profibrotic/hypertrophic effects in ATF3KO animals. Inhibition of p38 signaling reduced transforming growth factor-beta signaling-related profibrotic and hypertrophic gene expression, and blocked exaggerated cardiac remodeling in ATF3KO cells. CONCLUSIONS: Our study provides the first evidence that ATF3 upregulation in cardiac fibroblasts in response to hypertensive stimuli protects the heart by suppressing Map2K3 expression and subsequent p38-transforming growth factor-beta signaling. These results suggest that positive modulation of cardiac fibroblast ATF3 may represent a novel therapeutic approach against hypertensive cardiac remodeling.

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出版当年[2016]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 外周血管病
最新[2023]版:
大类 | 1 区 医学
小类 | 1 区 心脏和心血管系统 1 区 外周血管病
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出版当年[2015]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 PERIPHERAL VASCULAR DISEASE
最新[2023]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Q1 PERIPHERAL VASCULAR DISEASE

影响因子: 最新[2023版] 最新五年平均 出版当年[2015版] 出版当年五年平均 出版前一年[2014版] 出版后一年[2016版]

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第一作者机构: [2]Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China; [3]Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China;
通讯作者:
通讯机构: [1]Thomas Jefferson Univ, Dept Emergency Med, 1025 Walnut St, Philadelphia, PA 19107 USA; [2]Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China; [3]Beijing Inst Heart Lung & Blood Vessel Dis, Beijing, Peoples R China; [4]Capital Med Univ, Beijing Anzhen Hosp, Beijing Inst Heart Lung & Blood Vessel Dis, 2 Anzhen Ave, Beijing 100029, Peoples R China
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