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IL-33 and ST2 comprise a critical biomechanically induced and cardioprotective signaling system.

Abstract
ST2 is an IL-1 receptor family member with transmembrane (ST2L) and soluble (sST2) isoforms. sST2 is a mechanically induced cardiomyocyte protein, and serum sST2 levels predict outcome in patients with acute myocardial infarction or chronic heart failure. Recently, IL-33 was identified as a functional ligand of ST2L, allowing exploration of the role of ST2 in myocardium. We found that IL-33 was a biomechanically induced protein predominantly synthesized by cardiac fibroblasts. IL-33 markedly antagonized angiotensin II- and phenylephrine-induced cardiomyocyte hypertrophy. Although IL-33 activated NF-kappaB, it inhibited angiotensin II- and phenylephrine-induced phosphorylation of inhibitor of NF-kappa B alpha (I kappa B alpha) and NF-kappaB nuclear binding activity. sST2 blocked antihypertrophic effects of IL-33, indicating that sST2 functions in myocardium as a soluble decoy receptor. Following pressure overload by transverse aortic constriction (TAC), ST2(-/-) mice had more left ventricular hypertrophy, more chamber dilation, reduced fractional shortening, more fibrosis, and impaired survival compared with WT littermates. Furthermore, recombinant IL-33 treatment reduced hypertrophy and fibrosis and improved survival after TAC in WT mice, but not in ST2(-/-) littermates. Thus, IL-33/ST2 signaling is a mechanically activated, cardioprotective fibroblast-cardiomyocyte paracrine system, which we believe to be novel. IL-33 may have therapeutic potential for beneficially regulating the myocardial response to overload.
AuthorsShoji Sanada, Daihiko Hakuno, Luke J Higgins, Eric R Schreiter, Andrew N J McKenzie, Richard T Lee
JournalThe Journal of clinical investigation (J Clin Invest) Vol. 117 Issue 6 Pg. 1538-49 (Jun 2007) ISSN: 0021-9738 [Print] United States
PMID17492053 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Cardiotonic Agents
  • IL1RL1 protein, human
  • IL33 protein, human
  • Il1rl1 protein, mouse
  • Il33 protein, mouse
  • Interleukin-1 Receptor-Like 1 Protein
  • Interleukin-33
  • Interleukins
  • Membrane Proteins
  • NF-kappa B
  • Receptors, Cell Surface
  • Receptors, Interleukin
  • Recombinant Proteins
Topics
  • Animals
  • Biomechanical Phenomena
  • Cardiotonic Agents (metabolism, pharmacology)
  • Cells, Cultured
  • Fibroblasts (metabolism)
  • Humans
  • Interleukin-1 Receptor-Like 1 Protein
  • Interleukin-33
  • Interleukins (metabolism, pharmacology)
  • Membrane Proteins (deficiency, genetics, metabolism)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Myocytes, Cardiac (cytology, drug effects, metabolism)
  • NF-kappa B (metabolism)
  • Rats
  • Receptors, Cell Surface (metabolism)
  • Receptors, Interleukin
  • Recombinant Proteins (pharmacology)
  • Signal Transduction

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