Myocardial contraction and hyaluronic acid mechanotransduction in epithelial-to-mesenchymal transformation of endocardial cells

MK Sewell-Loftin, DM DeLaughter, JR Peacock… - Biomaterials, 2014 - Elsevier
MK Sewell-Loftin, DM DeLaughter, JR Peacock, CB Brown, HS Baldwin, JV Barnett
Biomaterials, 2014Elsevier
Epithelial-to-mesenchymal transition (EMT) of endocardial cells is a critical initial step in the
formation of heart valves. The collagen gel in vitro model has provided significant
information on the role of growth factors regulating EMT but has not permitted investigation
of mechanical factors. Therefore we sought to develop a system to probe the effects of
mechanical inputs on endocardial EMT by incorporating hyaluronic acid (HA), the primary
component of endocardial cushions in developing heart valves, into the gel assay. This was …
Abstract
Epithelial-to-mesenchymal transition (EMT) of endocardial cells is a critical initial step in the formation of heart valves. The collagen gel in vitro model has provided significant information on the role of growth factors regulating EMT but has not permitted investigation of mechanical factors. Therefore we sought to develop a system to probe the effects of mechanical inputs on endocardial EMT by incorporating hyaluronic acid (HA), the primary component of endocardial cushions in developing heart valves, into the gel assay. This was achieved using a combination collagen and crosslinkable methacrylated HA hydrogel (Coll-MeHA). Avian atrioventricular canal explants on Coll-MeHA gels showed increased numbers of transformed cells. Analysis of the mechanical properties of Coll-MeHA gels shows that stiffness does not directly affect EMT. Hydrogel deformation from the beating myocardium of explants directly led to higher levels of regional gel deformation and larger average strain magnitudes associated with invaded cells on Coll-MeHA gels. Inhibition of this contraction reduced EMT on all gel types, although to a lesser extent on Coll-MeHA gels. Using the system we have developed, which permits the manipulation of mechanical factors, we have demonstrated that active mechanical forces play a role in the regulation of endocardial EMT.
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