Cardiac fibroblasts mediate IL-17A–driven inflammatory dilated cardiomyopathy

L Wu, SF Ong, MV Talor, JG Barin… - Journal of Experimental …, 2014 - rupress.org
L Wu, SF Ong, MV Talor, JG Barin, GC Baldeviano, DA Kass, D Bedja, H Zhang, A Sheikh
Journal of Experimental Medicine, 2014rupress.org
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/MΦ) cardiac infiltrates. Depletion of Ly6Chi MO/MΦ also …
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/MΦ) cardiac infiltrates. Depletion of Ly6Chi MO/MΦ 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/MΦ in trans toward a more proinflammatory phenotype via CF-derived GM-CSF. Collectively, this IL-17A–fibroblast–GM-CSF–MO/MΦ axis could provide a novel target for the treatment of DCMi and related inflammatory cardiac diseases.
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