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Publication : Cardiac fibroblasts mediate IL-17A-driven inflammatory dilated cardiomyopathy.

First Author  Wu L Year  2014
Journal  J Exp Med Volume  211
Issue  7 Pages  1449-64
PubMed ID  24935258 Mgi Jnum  J:214440
Mgi Id  MGI:5602988 Doi  10.1084/jem.20132126
Citation  Wu L, et al. (2014) Cardiac fibroblasts mediate IL-17A-driven inflammatory dilated cardiomyopathy. J Exp Med 211(7):1449-64
abstractText  Inflammatory dilated cardiomyopathy (DCMi) is a major cause of heart failure in individuals below the age of 40. We recently reported that IL-17A is required for the development of DCMi. We show a novel pathway connecting IL-17A, cardiac fibroblasts (CFs), GM-CSF, and heart-infiltrating myeloid cells with the pathogenesis of DCMi. Il17ra(-/-) mice were protected from DCMi, and this was associated with significantly diminished neutrophil and Ly6Chi monocyte/macrophage (MO/MPhi) cardiac infiltrates. Depletion of Ly6Chi MO/MPhi also protected mice from DCMi. Mechanistically, IL-17A stimulated CFs to produce key chemokines and cytokines that are critical downstream effectors in the recruitment and differentiation of myeloid cells. Moreover, IL-17A directs Ly6Chi MO/MPhi in trans toward a more proinflammatory phenotype via CF-derived GM-CSF. Collectively, this IL-17A-fibroblast-GM-CSF-MO/MPhi axis could provide a novel target for the treatment of DCMi and related inflammatory cardiac diseases.
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