Monoamine oxidase
(MAO) is rapidly gaining appreciation for its
pathophysiologic role in cardiac injury and failure. Oxidative deamination
of norepinephrine by MAO generates H
2
O
2
and
the catecholaldehyde 3,4-dihydroxyphenylglycolaldehyde (DOPEGAL),
the latter of which is a highly potent and reactive electrophile that
has been linked to cardiotoxicity. However, many questions remain
as to whether catecholaldehydes regulate basic physiological processes
in the myocardium and the pathways involved. Here, we examined the
role of MAO-derived oxidative metabolites in mediating the activation
of cardiac fibroblasts in response to norepinephrine. In neonatal
murine cardiac fibroblasts, norepinephrine increased reactive oxygen
species (ROS), accumulation of catechol-modified protein adducts,
expression and secretion of collagens I/III, and other markers of
profibrotic activation including STAT3 phosphorylation. These effects
were attenuated with MAO inhibitors, the aldehyde-scavenging dipeptide
l
-carnosine, and FPS-ZM1, an antagonist for the receptor for
advanced glycation endproducts (RAGE). Interestingly, treatment of
cardiac fibroblasts with a low dose (1 μM) of DOPEGAL-modified
albumin phenocopied many of the effects of norepinephrine and also
induced an increase in RAGE expression. Higher doses (>10 μM)
of DOPEGAL-modified albumin were determined to be toxic to cardiac
fibroblasts in a RAGE-dependent manner, which was mitigated by
l
-carnosine. Collectively, these findings suggest that norepinephrine
may influence extracellular matrix remodeling via an adrenergic-independent
redox pathway in cardiac fibroblasts involving the MAO-mediated generation
of ROS, catecholaldehydes, and RAGE. Furthermore, since elevations
in the catecholaminergic tone and oxidative stress in heart disease
are linked with cardiac fibrosis, this study illustrates novel drug
targets that could potentially mitigate this serious disorder.