Cardiac fibrosis is the excess deposition of myocardial extracellular matrix components, which increases tissue stiffness and heterogeneity, causing impaired diastolic/systolic function and arrhythmias, and eventually leading to heart failure and death. There are no available treatments for cardiac fibrosis. Myofibroblasts mediate fibrosis, and are characterized by hypersynthesis of collagens, decreased migration, and increased α-smooth muscle actin, which is incorporated into stress fibers, imparting contractility. Scleraxis is a transcriptional regulator of collagen-rich tissues, increased in response to the same stimuli that drive the myofibroblast phenotype, such as cyclic stretch. We show that Scleraxis mediates the conversion of cardiac fibroblasts to myofibroblasts, by increasing myofibroblast marker expression and contraction, and decreasing migration. Additionally, a proximal 1500 bp human SCLERAXIS promoter is activated by stretch and is responsive to transforming growth factor-β1. Thus, Scleraxis is a specific mechanoresponsive regulator of the myofibroblast, representing a novel target for the treatment of cardiac fibrosis.

Transforming growth factor-β1 (TGFβ1) is a mediator of the fibrotic response through activation of quiescent cardiac fibroblasts to hypersynthetic myofibroblasts. Scleraxis (Scx) is a pro-fibrotic transcription factor that is induced by TGFβ1-3 and works synergistically with Smads to promote collagen expression. Ski is a negative regulator of TGFβ/Smad signaling through its interactions with Smad proteins at the promoter region of TGFβ regulated genes. To date, no studies have examined the direct DNA:protein transcriptional mechanisms that regulate Scx expression by TGFβ1-3 or Ski, nor the mechanisms that govern Ski expression by Scx. We hypothesize that Ski and Scx regulate one another, and form a negative feedback loop that represses gene expression and is a central regulator of the fibrotic response in cardiac myofibroblasts. Primary adult rat cardiac myofibroblasts were isolated via retrograde Langendorff perfusion. First passage (P1) cells were infected with adenovirus encoding HA-Ski, HA-Scx, or LacZ at the time of plating. Twenty-four hours later, cells were harvested for Western blot, quantitative real-time PCR (qPCR), and electrophoretic gel shift assays (EMSA). NIH-3T3 or Cos7 cells were transfected with equal quantities of plasmid DNA for 24 hours prior to harvesting for luciferase, qPCR, and EMSA analysis. Ski overexpression in P1 myofibroblasts resulted in a reduction in both Scx mRNA and protein levels. Overexpression of Scx had no effect on Ski expression. Luciferase reporter assays demonstrated that Scx was induced by TGFβ1 treatment in a concentration dependent manner. However, ectopic Smad2/3 expression was unable to transactivate the Scx promoter in a luciferase reporter assay. Inhibition of p44/42-MAPK signaling modestly counteracted the effect of TGFβ1 on Scx expression. Scx had no effect on Ski promoter expression, however, both tumor necrosis factor-α (TNFα) and p65 expression repressed the Ski promoter and correlated with reduced Ski mRNA levels. We conclude that Ski is a repressor of Scx and that Scx expression is partially mediated through a Smad-independent, p44/42-MAPK pathway in cardiac myofibroblasts. Furthermore, this study proposes a role for TNFα/p65 NF-κΒ signaling in the regulation of Ski gene expression in the cardiac myofibroblast. / October 2016

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第22646号 / 医博第4629号 / 新制||医||1044(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 篠原 隆司, 教授 松田 秀一, 教授 安達 泰治 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

Background: Multipotent mesenchymal stromal cells (MSC) can be recovered from a variety of tissues in the body. Yet, their functional properties were shown to vary depending on tissue origin. While MSC have emerged as a favoured cell type for tendon regenerative therapies, very little is known about the influence of the MSC source on their properties relevant to tendon regeneration. The aim of this study was to assess and compare the expression of tendon extracellular matrix proteins and tendon differentiation markers in MSC derived from different sources as well as in native tendon tissue. MSC isolated from equine bone marrow, adipose tissue, umbilical cord tissue, umbilical cord blood and tendon tissue were characterized and then subjected to mRNA analysis by real-time polymerase chain reaction. Results: MSC derived from adipose tissue displayed the highest expression of collagen 1A2, collagen 3A1 and decorin compared to MSC from all other sources and native tendon tissue (p < 0.01). Tenascin-C and scleraxis expressions were highest in MSC derived from cord blood compared to MSC derived from other sources, though both tenascin-C and scleraxis were expressed at significantly lower levels in all MSC compared to native tendon tissue (p < 0.01). Conclusions: These findings demonstrate that the MSC source impacts the cell properties relevant to tendon regeneration. Adipose derived MSC might be superior regarding their potential to positively influence tendon matrix reorganization.

Background: Multipotent mesenchymal stromal cells (MSC) can be recovered from a variety of tissues in the body. Yet, their functional properties were shown to vary depending on tissue origin. While MSC have emerged as a favoured cell type for tendon regenerative therapies, very little is known about the influence of the MSC source on their properties relevant to tendon regeneration. The aim of this study was to assess and compare the expression of tendon extracellular matrix proteins and tendon differentiation markers in MSC derived from different sources as well as in native tendon tissue. MSC isolated from equine bone marrow, adipose tissue, umbilical cord tissue, umbilical cord blood and tendon tissue were characterized and then subjected to mRNA analysis by real-time polymerase chain reaction. Results: MSC derived from adipose tissue displayed the highest expression of collagen 1A2, collagen 3A1 and decorin compared to MSC from all other sources and native tendon tissue (p < 0.01). Tenascin-C and scleraxis expressions were highest in MSC derived from cord blood compared to MSC derived from other sources, though both tenascin-C and scleraxis were expressed at significantly lower levels in all MSC compared to native tendon tissue (p < 0.01). Conclusions: These findings demonstrate that the MSC source impacts the cell properties relevant to tendon regeneration. Adipose derived MSC might be superior regarding their potential to positively influence tendon matrix reorganization.