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The role of PCSK9 on monocyte recruitment, cytokine synthesis and extramedullary hematopoiesis in acute myocardial infarction.

Applicant Dr. Jana Grune
Subject Area Cardiology, Angiology
Nutritional Sciences
Term from 2018 to 2021
Project identifier Deutsche Forschungsgemeinschaft (DFG) - Project number 399790507
 
Final Report Year 2022

Final Report Abstract

Sudden cardiac death, arising from pump failure during abnormal electrical conduction, occurs frequently in patients with coronary heart disease. Myocardial ischemia simultaneously induces arrhythmia and massive phenotypic changes of heart leukocytes. Using a new model in which hypokalemia combined with myocardial infarction triggered spontaneous ventricular tachycardia in ambulatory mice, we discovered that resident and monocyte-derived macrophages protected against arrhythmia. Both, depleting recruited macrophages in Ccr2-/- mice or all macrophage subsets with Csf1 receptor inhibition increased ventricular tachycardia and fibrillation. Higher arrhythmia burden and mortality in Cd36-/- and Mertk-/- mice, viewed together with deteriorated mitochondrial integrity and accelerated cardiomyocyte death in macrophages’ absence, indicated that receptor-mediated phagocytosis protects against lethal electrical storm. In conclusion, myeloid cells profoundly influence ischemia-induced rhythm disorders.

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