title: Macrophages modulate cardiac function in lipotoxic cardiomyopathy.
abstract: Diabetes is associated with myocardial lipid accumulation and an increased risk of heart failure. Although cardiac myocyte lipid overload is thought to contribute to the pathogenesis of cardiomyopathy in the setting of diabetes, the mechanism(s) through which this occurs is not well understood. Increasingly, inflammation has been recognized as a key pathogenic feature of lipid excess and diabetes. In this study, we sought to investigate the role of inflammatory activation in the pathogenesis of lipotoxic cardiomyopathy using the α-myosin heavy chain promoter-driven long-chain acylCoA synthetase 1 (MHC-ACS) transgenic mouse model. We found that several inflammatory cytokines were upregulated in the myocardium of MHC-ACS mice before the onset of cardiac dysfunction, and this was accompanied by macrophage infiltration. Depletion of macrophages with liposomal clodrolip reduced the cardiac inflammatory response and improved cardiac function. Thus, in this model of lipotoxic cardiac injury, early induction of inflammation and macrophage recruitment contribute to adverse cardiac remodeling. These findings have implications for our understanding of heart failure in the setting of obesity and diabetes.
authors.affiliation: Diabetic Cardiovascular Disease Center, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: Joel D
authors.initials: JD
authors.lastname: Schilling
authors.forename: Heather M
authors.initials: HM
authors.lastname: Machkovech
authors.forename: Alfred H J
authors.initials: AH
authors.lastname: Kim
authors.forename: Reto
authors.initials: R
authors.lastname: Schwendener
authors.forename: Reto
authors.initials: R
authors.lastname: Schwedwener
authors.forename: Jean E
authors.initials: JE
authors.lastname: Schaffer
mesh_terms: D000818:Animals; D009202:Cardiomyopathies / Q000378:metabolism / Q000473:pathology* / Q000503:physiopathology*; D002465:Cell Movement / Q000502:physiology; D003066:Coenzyme A Ligases / Q000235:genetics / Q000378:metabolism; D016207:Cytokines / Q000378:metabolism; D004195:Disease Models, Animal; D006321:Heart / Q000503:physiopathology*; D050356:Lipid Metabolism / Q000502:physiology; D008055:Lipids / Q000502:physiology*; D008264:Macrophages / Q000473:pathology / Q000502:physiology*; D051379:Mice; D008815:Mice, Inbred Strains; D008822:Mice, Transgenic; D018995:Myosin Heavy Chains / Q000235:genetics / Q000378:metabolism
chemical_list: D016207:Cytokines; D008055:Lipids; D018995:Myosin Heavy Chains; D003066:Coenzyme A Ligases; C561832:Acsl1 protein, rat