子宮内での心臓形成の鍵が発見され、海綿状心疾患の原因が解明される(Discovery Unveils Key to Heart Development in Womb, Unravels Cause of Spongy Heart Disease)

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2024-06-10 ヒューストン大学(UH)

ヒューストン大学の薬理学研究者であるウー・ミンフー教授は、胎内での心臓形成と左室非コンパクション(LVNC)という心筋症の原因について研究を発表しました。LVNCは「スポンジ心臓」とも呼ばれ、心臓移植が必要な場合があります。研究によると、Itgb1という遺伝子の欠如が心臓の正常な形成を妨げ、LVNCを引き起こす可能性があるとされています。トラベクレーという心臓の壁から突出する構造が重要であり、これが過剰になると心臓壁が多孔質になりLVNCを引き起こすことが分かりました。この研究は、臓器形成と再生における組織の組織化と発展についての理解を深めるものです。

<関連情報>

β1インテグリンは心室壁形成時の細胞挙動と心筋細胞組織を制御する β1 integrins regulate cellular behaviour and cardiomyocyte organization during ventricular wall formation

Lianjie Miao, Yangyang Lu, Anika Nusrat, Luqi Zhao, Micah Castillo, Yongqi Xiao, Hongyang Guo, Yu Liu, Preethi Gunaratne, Robert J Schwartz …
Cardiovascular Research  Published:24 May 2024
DOI:https://doi.org/10.1093/cvr/cvae111

Abstract

Aims
The mechanisms regulating the cellular behaviour and cardiomyocyte organization during ventricular wall morphogenesis are poorly understood. Cardiomyocytes are surrounded by extracellular matrix (ECM) and interact with ECM via integrins. This study aims to determine whether and how β1 integrins regulate cardiomyocyte behaviour and organization during ventricular wall morphogenesis in the mouse.

Methods and results
We applied mRNA deep sequencing and immunostaining to determine the expression repertoires of α/β integrins and their ligands in the embryonic heart. Integrin β1 subunit (β1) and some of its ECM ligands are asymmetrically distributed and enriched in the luminal side of cardiomyocytes, and fibronectin surrounds cardiomyocytes, creating a network for them. Itgb1, which encodes the β1, was deleted via Nkx2.5Cre/+ to generate myocardial-specific Itgb1 knockout (B1KO) mice. B1KO hearts display an absence of a trabecular zone but a thicker compact zone. The levels of hyaluronic acid and versican, essential for trabecular initiation, were not significantly different between control and B1KO. Instead, fibronectin, a ligand of β1, was absent in the myocardium of B1KO hearts. Furthermore, B1KO cardiomyocytes display a random cellular orientation and fail to undergo perpendicular cell division, be organized properly, and establish the proper tissue architecture to form trabeculae. Mosaic clonal lineage tracing showed that Itgb1 regulates cardiomyocyte transmural migration and proliferation autonomously.

Conclusion
β1 is asymmetrically localized in the cardiomyocytes, and some of its ECM ligands are enriched along the luminal side of the myocardium, and fibronectin surrounds cardiomyocytes. β1 integrins are required for cardiomyocytes to attach to the ECM network. This engagement provides structural support for cardiomyocytes to maintain shape, undergo perpendicular division, and establish cellular organization. Deletion of Itgb1 leads to loss of β1 and fibronectin and prevents cardiomyocytes from engaging the ECM network, resulting in failure to establish tissue architecture to form trabeculae.

子宮内での心臓形成の鍵が発見され、海綿状心疾患の原因が解明される(Discovery Unveils Key to Heart Development in Womb, Unravels Cause of Spongy Heart Disease)

Graphical Abstract

医療・健康
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