2023
DOI: 10.1172/jci156436
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Targeting myeloid cell coagulation signaling blocks MAP kinase/TGF-β1–driven fibrotic remodeling in ischemic heart failure

Abstract: Despite major advances in acute interventions of myocardial infarction (MI), adverse cardiac remodeling and excess fibrosis post MI causing ischemic heart failure (IHF) remains a leading cause of death worldwide. Here we identify a pro-fibrotic coagulation signaling pathway that can be targeted for improved cardiac function following MI with persistent ischemia. Quantitative phospho-proteomics of cardiac tissue revealed an up-regulated mitogen activated protein kinase (MAPK) pathway in human IHF. Intervention … Show more

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Cited by 22 publications
(12 citation statements)
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“…Similarly, TF-PAR2 signaling has been linked to ischemia-mediated heart failure and fibrosis. 65 We propose coagulation-independent inhibition of TF-FVIIa-PAR2-β-arrestin signaling as a therapeutic approach for mitigating metabolic and inflammatory disturbances in CVB3 infection. The coagulation and innate immune response systems interact to form an integrated defense against tissue injury and infection.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, TF-PAR2 signaling has been linked to ischemia-mediated heart failure and fibrosis. 65 We propose coagulation-independent inhibition of TF-FVIIa-PAR2-β-arrestin signaling as a therapeutic approach for mitigating metabolic and inflammatory disturbances in CVB3 infection. The coagulation and innate immune response systems interact to form an integrated defense against tissue injury and infection.…”
Section: Discussionmentioning
confidence: 99%
“…The Ras/Raf/MEK/ERK signaling pathway is one of the mitogen-activated protein kinase (MAPK) signaling pathways. The MAPK pathway is associated with diseases including excessive fibrosis of human body tissues . Substances acting on the RAS/MAPK pathway can be designed for the purpose of curing diseases and improving health …”
Section: Discussionmentioning
confidence: 99%
“…The MAPK pathway is associated with diseases including excessive fibrosis of human body tissues. 37 Substances acting on the RAS/MAPK pathway can be designed for the purpose of curing diseases and improving health. 38 Ras is a proto-oncogene of the GTP/GDP binding protein.…”
Section: Discussionmentioning
confidence: 99%
“…To protect the heart, the TGF-β signaling system controls apoptosis, autophagy, and antifibrotic activities ( Deng et al, 2019 ; Shen et al, 2020a ; Liang et al, 2022 ). Of these, the most in-depth studies have been conducted on the effects of TGF-β1 on myocardial fibrosis ( Garlapati et al, 2023 ).…”
Section: Cardiovascular Disease-related Signal Pathwaysmentioning
confidence: 99%