Activation of E-prostanoid 3 receptor in macrophages facilitates cardiac healing after myocardial infarction.

Tang, Juan; Shen, Yujun; Chen, Guilin; Wan, Qiangyou; Wang, Kai; Zhang, Jian; Qin, Jing; Liu, Guizhu et al. · Nat Commun · 2017

basic_science · Level V

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Abstract

Two distinct monocyte (Mo)/macrophage (Mp) subsets (Ly6C<sup>low</sup> and Ly6C<sup>high</sup>) orchestrate cardiac recovery process following myocardial infarction (MI). Prostaglandin (PG) E<sub>2</sub> is involved in the Mo/Mp-mediated inflammatory response, however, the role of its receptors in Mos/Mps in cardiac healing remains to be determined. Here we show that pharmacological inhibition or gene ablation of the Ep3 receptor in mice suppresses accumulation of Ly6C<sup>low</sup> Mos/Mps in infarcted hearts. Ep3 deletion in Mos/Mps markedly attenuates healing after MI by reducing neovascularization in peri-infarct zones. Ep3 deficiency diminishes CX3C chemokine receptor 1 (CX3CR1) expression and vascular endothelial growth factor (VEGF) secretion in Mos/Mps by suppressing TGFβ1 signalling and subsequently inhibits Ly6C<sup>low</sup> Mos/Mps migration and angiogenesis. Targeted overexpression of Ep3 receptors in Mos/Mps improves wound healing by enhancing angiogenesis. Thus, the PGE<sub>2</sub>/Ep3 axis promotes cardiac healing after MI by activating reparative Ly6C<sup>low</sup> Mos/Mps, indicating that Ep3 receptor activation may be a promising therapeutic target for acute MI.

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