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Antibodies aggravate the development of ischemic heart failure

dc.contributor.authorKeppner, Lea
dc.contributor.authorHeinrichs, Margarete
dc.contributor.authorRieckmann, Max
dc.contributor.authorJocelyne, Demengeot
dc.contributor.authorFrantz, Stefan
dc.contributor.authorHofmann, Ulrich
dc.contributor.authorRamos, Gustavo
dc.date.accessioned2020-03-30T09:58:54Z
dc.date.available2020-04-01T00:30:09Z
dc.date.issued2018-08
dc.description.abstractHeart-specific antibodies have been widely associated with myocardial infarction (MI). However, it remains unclear whether autoantibodies mediate disease progression or are a byproduct of cardiac injury. To disambiguate the role of immunoglobulins in MI, we characterized the development of ischemic heart failure in agammaglobulinemic mice (AID-/-μS-/-). Although these animals can produce functional B cells, they cannot synthesize secretory IgM (μS-/-) or perform Ig class switching (AID-/-), leading to complete antibody deficiency. Agammaglobulinemia did not affect overall post-MI survival but resulted in a significant reduction in infarct size. Echocardiographic analyses showed that, compared with wild-type infarcted control mice, AID-/-μS-/- mice exhibited improved cardiac function and reduced remodeling on day 56 post-MI. These differences remained significant even after animals with matched infarct sizes were compared. Infarcted AID-/-μS-/- mice also showed reduced myocardial expression levels of transcripts known to promote adverse remodeling, such as matrix metalloproteinase-9, collagen type I a1, collagen type III a1, and IL-6. An unbiased screening of the heart reactivity potential in the plasma of wild-type MI animals revealed the presence of antibodies that target the myocardial scar and collagenase-sensitive epitopes. Moreover, we found that IgG accumulated within the scar tissues of infarcted mice and remained in close proximity with cells expressing Fcγ receptors (CD16/32), suggesting the existence of an in situ IgG-Fcγ receptor axis. Collectively, our study results confirm that antibodies contribute to ischemic heart failure progression and provide novel insights into the mechanisms underlying this phenomenon. NEW & NOTEWORTHY Our study sheds some light on the long-standing debate over the relevance of autoantibodies in heart failure and might stimulate future research in the field. The observation of extracellular matrix-specific antibodies and the detection of Fcγ receptor-expressing cells within the scar provide novel insights into the mechanisms by which antibodies may contribute to adverse remodeling.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1152/ajpheart.00144.2018pt_PT
dc.identifier.issn0363-6135
dc.identifier.urihttp://hdl.handle.net/10400.7/948
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAmerican Physiological Societypt_PT
dc.relationDeutsche Forschungsgemein- schaft (DFG; SFB 688, TPA10)pt_PT
dc.relationInterdisciplinary Center for Clinical Research-Würzburgpt_PT
dc.relationGraduate School of Life Sciences- Würzburgpt_PT
dc.subjectAgammaglobulinemiapt_PT
dc.subjectAnimalspt_PT
dc.subjectAutoantibodiespt_PT
dc.subjectDisease Models, Animalpt_PT
dc.subjectExtracellular Matrixpt_PT
dc.subjectFibrosispt_PT
dc.subjectHeart Failurept_PT
dc.subjectImmunoglobulin Mpt_PT
dc.subjectMalept_PT
dc.subjectMice, Inbred C57BLpt_PT
dc.subjectMice, Transgenicpt_PT
dc.subjectMyocardial Infarctionpt_PT
dc.subjectMyocarditispt_PT
dc.subjectMyocardiumpt_PT
dc.subjectReceptors, IgGpt_PT
dc.subjectVentricular Function, Leftpt_PT
dc.subjectVentricular Remodelingpt_PT
dc.subjectImmunoglobulin Class Switchingpt_PT
dc.titleAntibodies aggravate the development of ischemic heart failurept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPageH1367pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPageH1358pt_PT
oaire.citation.titleAmerican Journal of Physiology-Heart and Circulatory Physiologypt_PT
oaire.citation.volume315pt_PT
person.familyNameDemengeot
person.givenNameJocelyne
person.identifier21837
person.identifier.ciencia-id3A12-B260-A36C
person.identifier.orcid0000-0002-4761-614X
person.identifier.ridK-8072-2014
person.identifier.scopus-author-id6603702602
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationeda6ec95-9595-42b6-9dfe-078e88d8cb2b
relation.isAuthorOfPublication.latestForDiscoveryeda6ec95-9595-42b6-9dfe-078e88d8cb2b

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