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Publication : Myocardial healing requires Reg3β-dependent accumulation of macrophages in the ischemic heart.

First Author  Lörchner H Year  2015
Journal  Nat Med Volume  21
Issue  4 Pages  353-62
PubMed ID  25751817 Mgi Jnum  J:227930
Mgi Id  MGI:5704019 Doi  10.1038/nm.3816
Citation  Lorchner H, et al. (2015) Myocardial healing requires Reg3beta-dependent accumulation of macrophages in the ischemic heart. Nat Med 21(4):353-62
abstractText  Cardiac healing after myocardial ischemia depends on the recruitment and local expansion of myeloid cells, particularly macrophages. Here we identify Reg3beta as an essential regulator of macrophage trafficking to the damaged heart. Using mass spectrometry-based secretome analysis, we found that dedifferentiating cardiomyocytes release Reg3beta in response to the cytokine OSM, which signals through Jak1 and Stat3. Loss of Reg3beta led to a large decrease in the number of macrophages in the ischemic heart, accompanied by increased ventricular dilatation and insufficient removal of neutrophils. This defect in neutrophil removal in turn caused enhanced matrix degradation, delayed collagen deposition and increased susceptibility to cardiac rupture. Our data indicate that OSM, acting through distinct intracellular pathways, regulates both cardiomyocyte dedifferentiation and cardiomyocyte-dependent regulation of macrophage trafficking. Release of OSM from infiltrating neutrophils and macrophages initiates a positive feedback loop in which OSM-induced production of Reg3beta in cardiomyocytes attracts additional OSM-secreting macrophages. The activity of the feedback loop controls the degree of macrophage accumulation in the heart, which is instrumental in myocardial healing.
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