Inflammation and oxidative stress are involved in the initiation and progress of
heart failure (HF). However, the role of the
IL6/STAT3 pathway in the pressure overload-induced HF remains controversial.
METHODS AND RESULTS: Transverse aortic constriction (TAC) was used to induce pressure overload-HF in C57BL/6J mice. 18 mice were randomized into three groups (
Sham, TAC, and TAC+raloxifene, n = 6, respectively). Echocardiographic and histological results showed that
cardiac hypertrophy,
fibrosis, and
left ventricular dysfunction were manifested in mice after TAC treatment of eight weeks, with aggravation of macrophage infiltration and
interleukin-6 (IL-6) and
tumor necrosis factor-alpha (TNF-α) expression in the myocardium. TAC (four and eight weeks) elevated the phosphorylation of
signal transducer and activator of transcription 3 (p-STAT3) and prohibitin2 (PHB2)
protein expression. Importantly, IL-6/gp130/STAT3 inhibition by
raloxifene alleviated TAC-induced myocardial
inflammation, cardiac remodeling, and dysfunction. In vitro, we demonstrated cellular
hypertrophy with STAT3 activation and oxidative stress exacerbation could be elicited by
IL-6 (25 ng/mL, 48 h) in H9c2 myoblasts. Sustained
IL-6 stimulation increased intracellular
reactive oxygen species, repressed mitochondrial membrane potential (
MMP), decreased intracellular content of
ATP, and led to decreased SOD activity, an increase in iNOS
protein expression, and increased
protein expression of Pink1, Parkin, and Bnip3 involving in mitophagy, all of which were reversed by
raloxifene.
CONCLUSION:
Inflammation and IL-6/STAT3 signaling were activated in TAC-induced HF in mice, while sustained
IL-6 incubation elicited oxidative stress and mitophagy-related
protein increase in H9c2 myoblasts, all of which were inhibited by
raloxifene. These indicated IL-6/STAT3 signaling might be involved in the pathogenesis of myocardial
hypertrophy and HF.