학술논문

B lymphocytes trigger monocyte mobilization and impair heart function after acute myocardial infarction
Document Type
article
Source
Nature Medicine. 19(10)
Subject
Medical Physiology
Biomedical and Clinical Sciences
Cardiovascular
Heart Disease - Coronary Heart Disease
Stem Cell Research
Stem Cell Research - Nonembryonic - Non-Human
Heart Disease
Aetiology
Underpinning research
1.1 Normal biological development and functioning
2.1 Biological and endogenous factors
Animals
B-Cell Activating Factor
B-Lymphocytes
Chemokine CCL7
Heart
Humans
Lymphocyte Depletion
Mice
Monocytes
Myocardial Infarction
Signal Transduction
Medical and Health Sciences
Immunology
Biomedical and clinical sciences
Health sciences
Language
Abstract
Acute myocardial infarction is a severe ischemic disease responsible for heart failure and sudden death. Here, we show that after acute myocardial infarction in mice, mature B lymphocytes selectively produce Ccl7 and induce Ly6C(hi) monocyte mobilization and recruitment to the heart, leading to enhanced tissue injury and deterioration of myocardial function. Genetic (Baff receptor deficiency) or antibody-mediated (CD20- or Baff-specific antibody) depletion of mature B lymphocytes impeded Ccl7 production and monocyte mobilization, limited myocardial injury and improved heart function. These effects were recapitulated in mice with B cell-selective Ccl7 deficiency. We also show that high circulating concentrations of CCL7 and BAFF in patients with acute myocardial infarction predict increased risk of death or recurrent myocardial infarction. This work identifies a crucial interaction between mature B lymphocytes and monocytes after acute myocardial ischemia and identifies new therapeutic targets for acute myocardial infarction.