New insights into lipid raft function regulating myocardial vascularization competency in human idiopathic dilated cardiomyopathy.
OBJECTIVE
Idiopathic dilated cardiomyopathy (IDCM) affects myocardial vascularization. Whether a lack of demand for increased myocardial vascularization and/or an impaired response of circulating angiogenic-supportive cells are responsible for the vascular derangements found in IDCM is unknown.


RESULTS
Left ventricle (LV) samples obtained at transplant from IDCM hearts were compared to control hearts from non-cardiac decedents. Peripheral colony-forming myeloid cells were extracted from age- and sex-matched IDCM patients and healthy volunteers. At the tissue level, no differences were detected in stromal cell-derived factor (SDF)-1α expression, but integrin-linked kinase (ILK) levels and activity were increased in IDCM. A marked co-localization of SDF-1α and the specific marker of cholesterol-enriched lipid rafts Flotillin (Flot)-1 was found in IDCM. SDF-1α was also highly distributed into IDCM lipid rafts. Non-adherent pro-angiogenic cells from both groups, which were found increased in patients but showed similar surface levels of CXCR-4, equally supported Matrigel-mediated cell network formation. However, SDF-1-mediated migration was reduced in IDCM-derived cells, which also exhibited decreased ILK activity and downstream ERK activation.


CONCLUSIONS
Taken together, our results point out that myocardial competency to increase vascularization is not altered in IDCM, but dysfunctional SDF-1-mediated migration by peripheral pro-angiogenic cells through ILK and downstream ERK signaling may compromise endothelial recovery in patients. We provide new insights into lipid raft function in human IDCM and envision more effective treatments.
ICREC Research Program, Germans Trias i Pujol Health Science Research Institute, Badalona, Spain. Electronic address: sroura@gmail.com.
Santiago
S
Roura
Carolina
C
Gálvez-Montón
Josep M
JM
Pujal
Laura
L
Casani
Marco A
MA
Fernández
Laura
L
Astier
Paloma
P
Gastelurrutia
Maite
M
Domingo
Cristina
C
Prat-Vidal
Carolina
C
Soler-Botija
Aida
A
Llucià-Valldeperas
Vicenta
V
Llorente-Cortés
Antoni
A
Bayes-Genis
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D009202:Cardiomyopathies; D002311:Cardiomyopathy, Dilated / Q000473:pathology*; D016022:Case-Control Studies; D002465:Cell Movement; D054377:Chemokine CXCL12 / Q000378:metabolism; D003094:Collagen / Q000737:chemistry; D004338:Drug Combinations; D004789:Enzyme Activation; D048049:Extracellular Signal-Regulated MAP Kinases / Q000378:metabolism; D005260:Female; D020869:Gene Expression Profiling; D005786:Gene Expression Regulation; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D007150:Immunohistochemistry; D007797:Laminin / Q000737:chemistry; D008297:Male; D021962:Membrane Microdomains / Q000737:chemistry* / Q000502:physiology; D008875:Middle Aged; D022423:Myeloid Cells / Q000473:pathology; D017202:Myocardial Ischemia / Q000473:pathology; D009206:Myocardium / Q000473:pathology; D009389:Neovascularization, Pathologic / Q000378:metabolism*; D017346:Protein Serine-Threonine Kinases / Q000378:metabolism; D011509:Proteoglycans / Q000737:chemistry; D015398:Signal Transduction; D000099200:Scaffold Protein ILK
D054377:Chemokine CXCL12; D003094:Collagen; D004338:Drug Combinations; D048049:Extracellular Signal-Regulated MAP Kinases; D007797:Laminin; D017346:Protein Serine-Threonine Kinases; D011509:Proteoglycans; D000099200:Scaffold Protein ILK; C059485:matrigel
Angiogenic-supportive myeloid cells; ILK; Idiopathic dilated cardiomyopathy; Lipid rafts; SDF-1