Extracellular Matrix Protein-1 as a Mediator of Inflammation-Induced Fibrosis After Myocardial Infarction

Sean A. Hardy, Laura Liesinger, Ralph Patrick, Maria Poettler, Lavinia Rech, Juergen Gindlhuber, Nishani S. Mabotuwana, Diyaa Eldin Ashour, Verena Stangl, Mark Bigland, Lucy A. Murtha, Malcolm R. Starkey, Daniel Scherr, Philip M. Hansbro, Gerald Hoefler, Gustavo Campos Ramos, Clement Cochain, Richard P. Harvey, Ruth Birner-Gruenberger, Andrew J. BoylePeter P. Rainer

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Irreversible fibrosis is a hallmark of myocardial infarction (MI) and heart failure. Extracellular matrix protein-1 (ECM-1) is up-regulated in these hearts, localized to fibrotic, inflammatory, and perivascular areas. ECM-1 originates predominantly from fibroblasts, macrophages, and pericytes/vascular cells in uninjured human and mouse hearts, and from M1 and M2 macrophages and myofibroblasts after MI. ECM-1 stimulates fibroblast-to-myofibroblast transition, up-regulates key fibrotic and inflammatory pathways, and inhibits cardiac fibroblast migration. ECM-1 binds HuCFb cell surface receptor LRP1, and LRP1 inhibition blocks ECM-1 from stimulating fibroblast-to-myofibroblast transition, confirming a novel ECM-1-LRP1 fibrotic signaling axis. ECM-1 may represent a novel mechanism facilitating inflammation-fibrosis crosstalk.

Original languageEnglish
Pages (from-to)1539-1554
Number of pages16
JournalJACC: Basic to Translational Science
Volume8
Issue number12
DOIs
Publication statusPublished - Dec 2023

Keywords

  • extracellular matrix
  • fibroblasts
  • fibrosis
  • heart
  • inflammation
  • myocardial infarction

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