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Publication : Cytotoxic CD8<sup>+</sup> T cells promote granzyme B-dependent adverse post-ischemic cardiac remodeling.

First Author  Santos-Zas I Year  2021
Journal  Nat Commun Volume  12
Issue  1 Pages  1483
PubMed ID  33674611 Mgi Jnum  J:304977
Mgi Id  MGI:6515174 Doi  10.1038/s41467-021-21737-9
Citation  Santos-Zas I, et al. (2021) Cytotoxic CD8(+) T cells promote granzyme B-dependent adverse post-ischemic cardiac remodeling. Nat Commun 12(1):1483
abstractText  Acute myocardial infarction is a common condition responsible for heart failure and sudden death. Here, we show that following acute myocardial infarction in mice, CD8(+) T lymphocytes are recruited and activated in the ischemic heart tissue and release Granzyme B, leading to cardiomyocyte apoptosis, adverse ventricular remodeling and deterioration of myocardial function. Depletion of CD8(+) T lymphocytes decreases apoptosis within the ischemic myocardium, hampers inflammatory response, limits myocardial injury and improves heart function. These effects are recapitulated in mice with Granzyme B-deficient CD8(+) T cells. The protective effect of CD8 depletion on heart function is confirmed by using a model of ischemia/reperfusion in pigs. Finally, we reveal that elevated circulating levels of GRANZYME B in patients with acute myocardial infarction predict increased risk of death at 1-year follow-up. Our work unravels a deleterious role of CD8(+) T lymphocytes following acute ischemia, and suggests potential therapeutic strategies targeting pathogenic CD8(+) T lymphocytes in the setting of acute myocardial infarction.
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