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Publication : Lymphoangiocrine signals promote cardiac growth and repair.

First Author  Liu X Year  2020
Journal  Nature Volume  588
Issue  7839 Pages  705-711
PubMed ID  33299187 Mgi Jnum  J:299970
Mgi Id  MGI:6492436 Doi  10.1038/s41586-020-2998-x
Citation  Liu X, et al. (2020) Lymphoangiocrine signals promote cardiac growth and repair. Nature 588(7839):705-711
abstractText  Recent studies have suggested that lymphatics help to restore heart function after cardiac injury(1-6). Here we report that lymphatics promote cardiac growth, repair and cardioprotection in mice. We show that a lymphoangiocrine signal produced by lymphatic endothelial cells (LECs) controls the proliferation and survival of cardiomyocytes during heart development, improves neonatal cardiac regeneration and is cardioprotective after myocardial infarction. Embryos that lack LECs develop smaller hearts as a consequence of reduced cardiomyocyte proliferation and increased cardiomyocyte apoptosis. Culturing primary mouse cardiomyocytes in LEC-conditioned medium increases cardiomyocyte proliferation and survival, which indicates that LECs produce lymphoangiocrine signals that control cardiomyocyte homeostasis. Characterization of the LEC secretome identified the extracellular protein reelin (RELN) as a key component of this process. Moreover, we report that LEC-specific Reln-null mouse embryos develop smaller hearts, that RELN is required for efficient heart repair and function after neonatal myocardial infarction, and that cardiac delivery of RELN using collagen patches improves heart function in adult mice after myocardial infarction by a cardioprotective effect. These results highlight a lymphoangiocrine role of LECs during cardiac development and injury response, and identify RELN as an important mediator of this function.
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