2022
DOI: 10.1111/imm.13490
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Myeloid differentiation factor‐2 activates monocytes in patients with dilated cardiomyopathy

Abstract: Plasma levels of myeloid differentiation factor-2 (MD-2), a co-receptor of toll-like-receptor 4 (TLR4), independently predict mortality in patients with dilated cardiomyopathy (DCM). We tested whether monocyte activation by MD-2 contributes to immune activation and inflammatory status in DCM patients. We found increased MD-2 plasma levels in 25 patients with recent-onset DCM (1250 AE 80.7 ng/ml) compared to 25 age-and gender-matched healthy controls (793.4 AE 52.0 ng/ml; p < 0.001). Monocytes isolated from DCM… Show more

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Cited by 5 publications
(3 citation statements)
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“…215 MD-2 directly acts on monocytes and ECs through TLR4/NF-κB pathway to stimulate the synthesis of chemokines and pro-inflammatory cytokines, which could facilitate monocyte recruitment and macrophage activation. 216,217 Moreover, the NLRP3 inflammasome, synthesized by recruited macrophages in DCM, facilitates the cleavage of apoptosisassociated speck-like protein containing a CARD (ASC), caspase-1, IL-1β, IL-18, and gasdermin-D (GSDMD) into active states, which promote inflammation, cardiomyocyte pyroptosis and myocardial fibrosis. 218,219 In genetic DCM, recruited macrophages are also the main source of OPN.…”
Section: Heterogeneity and Regulatory Mechanisms Of Cardiac Macrophag...mentioning
confidence: 99%
“…215 MD-2 directly acts on monocytes and ECs through TLR4/NF-κB pathway to stimulate the synthesis of chemokines and pro-inflammatory cytokines, which could facilitate monocyte recruitment and macrophage activation. 216,217 Moreover, the NLRP3 inflammasome, synthesized by recruited macrophages in DCM, facilitates the cleavage of apoptosisassociated speck-like protein containing a CARD (ASC), caspase-1, IL-1β, IL-18, and gasdermin-D (GSDMD) into active states, which promote inflammation, cardiomyocyte pyroptosis and myocardial fibrosis. 218,219 In genetic DCM, recruited macrophages are also the main source of OPN.…”
Section: Heterogeneity and Regulatory Mechanisms Of Cardiac Macrophag...mentioning
confidence: 99%
“…MD-2 is a 20–25 kDa protein that can be found in plasma or associated with the membrane, and it is in close proximity to TLR4 [ 61 , 62 ]. Feldtmann et al [ 63 ] demonstrated that MD-2 can induce a pro-inflammatory state in monocytes and endothelial cells through TLR4/NF-κB signaling in patients with DCM. MD-2 activation of endothelial cells results in the secretion of monocyte-chemoattractant protein-1 (MCP-1) and increased expression of adhesion molecules CD54, CD106, and CD62E, thereby promoting enhanced monocyte recruitment and the progression of DCM.…”
Section: Regulatory Mechanisms Of Immune Cells In Dcmmentioning
confidence: 99%
“…Studies have revealed that many pathogenic pathways, including metabolism and immunological inflammation, are connected to the incidence and progression of DCM. [2][3][4] A variety of cell deaths have been reported to be involved in the development of DCM including apoptosis, autophagy and pyroptosis. [5][6][7] However, as one of the important types of cell death, the role of ferroptosis in DCM has not been clearly elucidated.…”
Section: Introductionmentioning
confidence: 99%