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Klf9 promotes the repair of myocardial infarction by regulating macrophage recruitment and polarization
Sheng Xu, Hao Li, Jun Han, Yawei Xu, Niannian Li, Wenliang Che, Feng Liu, Wenhui Yue
Sheng Xu, Hao Li, Jun Han, Yawei Xu, Niannian Li, Wenliang Che, Feng Liu, Wenhui Yue
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Research Article Cardiology Inflammation

Klf9 promotes the repair of myocardial infarction by regulating macrophage recruitment and polarization

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Abstract

The inflammatory response after myocardial infarction (MI) is a precisely regulated process that greatly affects subsequent wound healing and remodeling. However, understanding about the process is still limited. Macrophages are critically involved in inflammation resolution after MI. Krüppel-like factor 9 (Klf9) is a C2H2 zinc finger–containing transcription factor that has been implicated in glucocorticoid regulation of macrophages. However, the contribution of Klf9 to macrophage phenotype and function in the context of MI remains unclear. Our study revealed that KLF9 deficiency resulted in higher mortality and cardiac rupture rate, as well as a considerable exacerbation in cardiac function. Single-cell RNA sequencing and flow cytometry analyses revealed that, compared with WT mice, Klf9–/– mice displayed excessive neutrophil infiltration, insufficient macrophage infiltration, and a reduced proportion of monocyte-derived CD206+ macrophages after MI. Moreover, the expression of IFN-γ/STAT1 pathway genes in Klf9–/– cardiac macrophages was dysregulated, characterized by insufficient expression at 1 day post-MI and excessive expression at day 3 post-MI. Mechanistically, Klf9 directly binds to the promoters of Stat1 gene, regulating its transcription. Overall, these findings indicate that Klf9 beneficially influences wound healing after MI by modulating macrophage recruitment and differentiation by regulating the IFN-γ/STAT1 signaling pathway.

Authors

Sheng Xu, Hao Li, Jun Han, Yawei Xu, Niannian Li, Wenliang Che, Feng Liu, Wenhui Yue

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Figure 2

KLF9 is involved in the early repair process post-MI.

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KLF9 is involved in the early repair process post-MI.
(A–D) Representati...
(A–D) Representative photographs of Masson’s trichrome staining and quantitative data of infarcted/scar size% and left ventricular (LV) thickness at 3 days (A and B) and 1 week (C and D) post-MI (n = 11–13, scale bar = 0.5 mm). (E) Representative images of Sirius red staining and quantification of collagen area% in cardiac tissue 4 days post-MI (sham n = 8, MI4d n = 13, scale bars = 50 μm). (F) Real-time quantitative PCR (RT-qPCR) of myofibroblast activation marker genes was performed in cardiac tissues from the injured zone 3 days post-MI. The gene expression was analyzed using the ΔΔCt method (WT n = 7, Klf9–/– n = 6). (G) Representative images and quantification of α-SMA and collagen 1 (COL1) IHC staining in heart tissues 4 days post-MI (Sham n = 5, MI4d n = 6, Scale bars = 50 μm). (H) Representative immunofluorescence staining and quantification of vWF+ endothelial cells in the hearts 4 days post-MI (n = 5–6, scale bars = 50 μm). Each point represents a mouse sample, and all data are expressed as means ± SEM. Unpaired 2-tailed Student’s t test (B and D–H) was used for statistical analyses. *P < 0.05, **P < 0.01, ***P < 0.001.

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