Myeloperoxidase Mediates Postischemic Arrhythmogenic Ventricular Remodeling
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Myeloperoxidase Mediates Postischemic Arrhythmogenic Ventricular Remodeling. / Mollenhauer, Martin; Friedrichs, Kai; Lange, Max; Gesenberg, Jan; Remane, Lisa; Kerkenpaß, Christina; Krause, Jenny; Schneider, Johanna; Ravekes, Thorben; Maass, Martina; Halbach, Marcel; Peinkofer, Gabriel; Saric, Tomo; Mehrkens, Dennis; Adam, Matti; Deuschl, Florian G; Lau, Denise; Geertz, Birgit; Manchanda, Kashish; Eschenhagen, Thomas; Kubala, Lukas; Rudolph, Tanja K; Wu, Yuping; Tang, W H Wilson; Hazen, Stanley L; Baldus, Stephan; Klinke, Anna; Rudolph, Volker.
in: CIRC RES, Jahrgang 121, Nr. 1, 23.06.2017, S. 56-70.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Myeloperoxidase Mediates Postischemic Arrhythmogenic Ventricular Remodeling
AU - Mollenhauer, Martin
AU - Friedrichs, Kai
AU - Lange, Max
AU - Gesenberg, Jan
AU - Remane, Lisa
AU - Kerkenpaß, Christina
AU - Krause, Jenny
AU - Schneider, Johanna
AU - Ravekes, Thorben
AU - Maass, Martina
AU - Halbach, Marcel
AU - Peinkofer, Gabriel
AU - Saric, Tomo
AU - Mehrkens, Dennis
AU - Adam, Matti
AU - Deuschl, Florian G
AU - Lau, Denise
AU - Geertz, Birgit
AU - Manchanda, Kashish
AU - Eschenhagen, Thomas
AU - Kubala, Lukas
AU - Rudolph, Tanja K
AU - Wu, Yuping
AU - Tang, W H Wilson
AU - Hazen, Stanley L
AU - Baldus, Stephan
AU - Klinke, Anna
AU - Rudolph, Volker
N1 - © 2017 American Heart Association, Inc.
PY - 2017/6/23
Y1 - 2017/6/23
N2 - RATIONALE: Ventricular arrhythmias remain the leading cause of death in patients suffering myocardial ischemia. Myeloperoxidase, a heme enzyme released by polymorphonuclear neutrophils, accumulates within ischemic myocardium and has been linked to adverse left ventricular remodeling.OBJECTIVE: To reveal the role of myeloperoxidase for the development of ventricular arrhythmias.METHODS AND RESULTS: In different murine models of myocardial ischemia, myeloperoxidase deficiency profoundly decreased vulnerability for ventricular tachycardia on programmed right ventricular and burst stimulation and spontaneously as assessed by ECG telemetry after isoproterenol injection. Experiments using CD11b/CD18 integrin-deficient (CD11b-/-) mice and intravenous myeloperoxidase infusion revealed that neutrophil infiltration is a prerequisite for myocardial myeloperoxidase accumulation. Ventricles from myeloperoxidase-deficient (Mpo-/-) mice showed less pronounced slowing and decreased heterogeneity of electric conduction in the peri-infarct zone than wild-type mice. Expression of the redox-sensitive gap junctional protein Cx43 (Connexin 43) was reduced in the peri-infarct area of wild-type compared with Mpo-/-mice. In isolated wild-type cardiomyocytes, Cx43 protein content decreased on myeloperoxidase/H2O2incubation. Mapping of induced pluripotent stem cell-derived cardiomyocyte networks and in vivo investigations linked Cx43 breakdown to myeloperoxidase-dependent activation of matrix metalloproteinase 7. Moreover, Mpo-/-mice showed decreased ventricular postischemic fibrosis reflecting reduced accumulation of myofibroblasts. Ex vivo, myeloperoxidase was demonstrated to induce fibroblast-to-myofibroblast transdifferentiation by activation of p38 mitogen-activated protein kinases resulting in upregulated collagen generation. In support of our experimental findings, baseline myeloperoxidase plasma levels were independently associated with a history of ventricular arrhythmias, sudden cardiac death, or implantable cardioverter-defibrillator implantation in a cohort of 2622 stable patients with an ejection fraction >35% undergoing elective diagnostic cardiac evaluation.CONCLUSIONS: Myeloperoxidase emerges as a crucial mediator of postischemic myocardial remodeling and may evolve as a novel pharmacological target for secondary disease prevention after myocardial ischemia.
AB - RATIONALE: Ventricular arrhythmias remain the leading cause of death in patients suffering myocardial ischemia. Myeloperoxidase, a heme enzyme released by polymorphonuclear neutrophils, accumulates within ischemic myocardium and has been linked to adverse left ventricular remodeling.OBJECTIVE: To reveal the role of myeloperoxidase for the development of ventricular arrhythmias.METHODS AND RESULTS: In different murine models of myocardial ischemia, myeloperoxidase deficiency profoundly decreased vulnerability for ventricular tachycardia on programmed right ventricular and burst stimulation and spontaneously as assessed by ECG telemetry after isoproterenol injection. Experiments using CD11b/CD18 integrin-deficient (CD11b-/-) mice and intravenous myeloperoxidase infusion revealed that neutrophil infiltration is a prerequisite for myocardial myeloperoxidase accumulation. Ventricles from myeloperoxidase-deficient (Mpo-/-) mice showed less pronounced slowing and decreased heterogeneity of electric conduction in the peri-infarct zone than wild-type mice. Expression of the redox-sensitive gap junctional protein Cx43 (Connexin 43) was reduced in the peri-infarct area of wild-type compared with Mpo-/-mice. In isolated wild-type cardiomyocytes, Cx43 protein content decreased on myeloperoxidase/H2O2incubation. Mapping of induced pluripotent stem cell-derived cardiomyocyte networks and in vivo investigations linked Cx43 breakdown to myeloperoxidase-dependent activation of matrix metalloproteinase 7. Moreover, Mpo-/-mice showed decreased ventricular postischemic fibrosis reflecting reduced accumulation of myofibroblasts. Ex vivo, myeloperoxidase was demonstrated to induce fibroblast-to-myofibroblast transdifferentiation by activation of p38 mitogen-activated protein kinases resulting in upregulated collagen generation. In support of our experimental findings, baseline myeloperoxidase plasma levels were independently associated with a history of ventricular arrhythmias, sudden cardiac death, or implantable cardioverter-defibrillator implantation in a cohort of 2622 stable patients with an ejection fraction >35% undergoing elective diagnostic cardiac evaluation.CONCLUSIONS: Myeloperoxidase emerges as a crucial mediator of postischemic myocardial remodeling and may evolve as a novel pharmacological target for secondary disease prevention after myocardial ischemia.
KW - Animals
KW - Arrhythmias, Cardiac
KW - Cells, Cultured
KW - Humans
KW - Male
KW - Mice
KW - Mice, Inbred C57BL
KW - Mice, Knockout
KW - Myocardial Ischemia
KW - Myocytes, Cardiac
KW - Organ Culture Techniques
KW - Peroxidase
KW - Ventricular Remodeling
KW - Journal Article
U2 - 10.1161/CIRCRESAHA.117.310870
DO - 10.1161/CIRCRESAHA.117.310870
M3 - SCORING: Journal article
C2 - 28404615
VL - 121
SP - 56
EP - 70
JO - CIRC RES
JF - CIRC RES
SN - 0009-7330
IS - 1
ER -