CTRP1 Aggravates Cardiac Fibrosis by Regulating The NOX2/P38 Pathway in Macrophages

Document Type : Original Article

Authors

1 Department of Cardiology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, P.R. China

2 Department of Cardiology, Jiangxi provincial People’s Hospital, Affiliated to Nanchang University, Nanchang, Jiangxi, China

Abstract

Objective

C1q/TNF-related proteins 1 (CTRP1) is a recently identified adiponectin associated with obesity-linked disorders and adverse cardiovascular events. The effect of CTRP1 on cardiac fibrosis has not yet been fully elucidated; thus, we aimed to explore this association.

Materials and Methods

In this experimental study, a mouse model of cardiac fibrosis was established by administering
isoproterenol (ISO) (subcutaneously injecting 10 mg/kg/day for 3 days and then 5 mg/kg/day for 11 days). Mice were also injected with recombinant CTRP1 protein (200 μg/kg) 14 days after the final ISO administration. Adult mouse fibroblasts were isolated and stimulated with transforming growth factor (TGF) β1, followed by treatment with recombinant CTRP1. Primary bone marrow-derived macrophages were isolated from C57BL/6J mice and treated with recombinant CTRP1 as well.

Results
CTRP1 level was increased in mouse plasma and heart tissue 2 weeks after ISO injection. Our findings
indicated that recombinant CTRP1 injection aggravated ISO-induced cardiac fibrosis and dysfunction. However,
recombinant CTRP1 did not alter TGFβ1-induced fibroblast proliferation and activation or collagen transcription.
Recombinant CTRP1 exacerbated ISO-induced macrophage infiltration and inflammatory response. We determined
that macrophages treated with recombinant CTRP1 showed increased pro-inflammatory cytokine release. Fibroblasts
co-cultured with macrophages treated with recombinant CTRP1 showed increased proliferation and collagen
transcription. We also found that CTRP1 upregulated the NADPH oxidase 2 (NOX2)/p38 pathway in macrophages.
When we inhibited p38 signaling, the pro-inflammatory effect of CTRP1 on macrophages was counteracted. Fibroblasts
co-cultured with macrophages treated with a p38 inhibitor also showed limited proliferation and collagen transcription.
Conclusion: Cardiac fibrosis was aggravated with the activation of the NOX2/p38 pathway in macrophages after
CTRP1 treatment.

Keywords


1. Spoladore R, Falasconi G, Fiore G, Di Maio S, Preda A, Slavich M, et al. Cardiac fibrosis: emerging agents in preclinical and clinical development. Expert Opin Investig Drugs. 2021; 30(2): 153-166.
2. Reichardt IM, Robeson KZ, Regnier M, Davis J. Controlling cardiac fibrosis through fibroblast state space modulation. Cell Signal. 2021; 79: 109888.
3. Zaidi Y, Aguilar EG, Troncoso M, Ilatovskaya DV, DeLeon-Pennell KY. Immune regulation of cardiac fibrosis post myocardial infarction. Cell Signal. 2021; 77: 109837.
4. Park S, Nguyen NB, Pezhouman A, Ardehali R. Cardiac fibrosis: potential therapeutic targets. Transl Res. 2019; 209: 121-137.
5. Hara H, Takeda N, Komuro I. Pathophysiology and therapeutic potential of cardiac fibrosis. Inflamm Regen. 2017; 37: 13.
6. Baci D, Bosi A, Parisi L, Buono G, Mortara L, Ambrosio G, et al. Innate immunity effector cells as inflammatory drivers of cardiac fibrosis. Int J Mol Sci. 2020; 21(19): 7165.
7. Frangogiannis NG. Cardiac fibrosis: cell biological mechanisms, molecular pathways and therapeutic opportunities. Mol Aspects Med. 2019; 65: 70-99.
8. Bai B, Ban B, Liu Z, Zhang MM, Tan BK, Chen J. Circulating C1q ncomplement/TNF-related protein (CTRP) 1, CTRP9, CTRP12 and CTRP13 concentrations in Type 2 diabetes mellitus: in vivo regulation by glucose. PLoS One. 2017; 12(2): e0172271.
9. Jiang W, Li W, Hu X, Hu R, Li B, Lan L. CTRP1 prevents sepsisinduced cardiomyopathy via Sirt1-dependent pathways. Free Radic Biol Med. 2020; 152: 810-820.
10. Yagmur E, Buergerhausen D, Koek GH, Weiskirchen R, Trautwein C, Koch A, et al. Elevated CTRP1 plasma concentration is associated with sepsis and pre-existing type 2 diabetes mellitus in critically Ill patients. J Clin Med. 2019; 8(5): 661.
11. Su Z, Tian S, Liang W. Circulating CTRP1 levels are increased and associated with the STOD in essential hypertension in Chinese patients. Cardiovasc Ther. 2019; 2019: 4183781.
12. Shen L, Wang S, Ling Y, Liang W. Association of C1q/TNF-related protein-1 (CTRP1) serum levels with coronary artery disease. J Int Med Res. 2019; 47(6): 2571-2579.
13. Muendlein A, Leiherer A, Saely C, Ebner J, Geiger K, Brandtner EM, et al. The novel adipokine ctrp1 is significantly associated with the incidence of major adverse cardiovascular events. Atherosclerosis. 2019; 286: 1-6.
14. Rodriguez S, Lei X, Petersen PS, Tan SY, Little HC, Wong GW. Loss of CTRP1 disrupts glucose and lipid homeostasis. Am J Physiol Endocrinol Metab. 2016; 311(4): E678-E697.
15. Han S, Kim JD, Lee S, Jeong AL, Park JS, Yong HJ, et al. Circulating CTRP1 levels in type 2 diabetes and their association with FGF21. Int J Endocrinol. 2016; 2016: 5479627.
16. Lei H, Wu D, Wang JY, Li L, Zhang CL, Feng H, et al. C1q/tumor necrosis factor-related protein-6 attenuates post-infarct cardiac fibrosis by targeting RhoA/MRTF-A pathway and inhibiting myofibroblast differentiation. Basic Res Cardiol. 2015; 110(4): 35.
17. Lu L, Zhang RY, Wang XQ, Liu ZH, Shen Y, Ding FH, et al. C1q/TNF-related protein-1: an adipokine marking and promoting atherosclerosis. Eur Heart J. 2016; 37(22): 1762-1771.
18. Yang Y, Liu S, Zhang RY, Luo H, Chen L, He WF, et al. Association between C1q/TNF-related protein-1 levels in human plasma and epicardial adipose tissues and congestive heart failure. Cell Physiol Biochem. 2017; 42(5): 2130-2143.
19. Chen H, Gao L, Huang Z, Liu Y, Guo S, Xing J, et al. C1qTNFrelated protein 1 attenuates doxorubicin-induced cardiac injury via activation of AKT. Life Sci. 2018; 207: 492-498.
20. Wu L, Gao L, Zhang D, Yao R, Huang Z, Du B, et al. C1QTNF1 attenuates angiotensin II-induced cardiac hypertrophy via activation of the AMPKa pathway. Free Radic Biol Med. 2018; 121: 215-230.
21. Li W, Cheng F, Songyang YY, Wei J, Ruan Y. CTRP1 attenuates UUO-induced renal fibrosis via AMPK/NOX4 pathway in mice. Curr Med Sci. 2020; 40(1): 48-54.
22. Lu Z, Chang L, Du Q, Huang Y, Zhang X, Wu X, et al. Arctigenin induces an activation response in porcine alveolar macrophage through TLR6-NOX2-MAPKs signaling pathway. Front Pharmacol. 2018; 9: 475.
23. Kleniewska P, Piechota A, Skibska B, Gorąca A. The NADPH oxidase family and its inhibitors. Arch Immunol Ther Exp (Warsz). 2012; 60(4): 277-294.
24. Youn GS, Lee KW, Choi SY, Park J. Overexpression of HDAC6 induces pro-inflammatory responses by regulating ROS-MAPKNF- kappaB/AP-1 signaling pathways in macrophages. Free Radic Biol Med. 2016; 97: 14-23.