Increased angiogenesis parallels cardiac tissue remodelling in experimental acute Trypanosoma cruzi infection

实验性急性克氏锥虫感染中血管生成增加与心脏组织重塑平行

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作者:Lindice Mitie Nisimura, Roberto Rodrigues Ferreira, Laura Lacerda Coelho, Elen Mello de Souza, Beatriz Matheus Gonzaga, Patrícia Mello Ferrão, Mariana Caldas Waghabi, Liliane Batista de Mesquita, Mirian Claudia de Souza Pereira, Otacilio da Cruz Moreira, Joseli Lannes-Vieira, Luciana Ribeiro Garzoni

Background

Angiogenesis has been implicated in tissue injury in several noninfectious diseases, but its role in Chagas disease (CD) physiopathology is unclear. Objectives: The present study aimed to investigate the effect of Trypanosoma cruzi infection on cardiac angiogenesis during the acute phase of experimental CD.

Conclusions

We observed cardiac angiogenesis during acute experimental T. cruzi infection parallels cardiac inflammation and remodelling.

Methods

The signalling pathway involved in blood vessel formation and cardiac remodelling was evaluated in Swiss Webster mice infected with the Y strain of T. cruzi. The levels of molecules involved in the regulation of angiogenesis, such as vascular endothelial growth factor-A (VEGF-A), Flk-1, phosphorylated extracellular-signal-regulated protein kinase (pERK), hypoxia-inducible factor-1α (HIF-1α), CD31, α-smooth muscle actin (α-SMA) and also the blood vessel growth were analysed during T. cruzi infection. Hearts were analysed using conventional histopathology, immunohistochemistry and western blotting. Findings: In this study, our data demonstrate that T. cruzi acute infection in mice induces exacerbated angiogenesis in the heart and parallels cardiac remodelling. In comparison with noninfected controls, the cardiac tissue of T. cruzi-infected mice presented higher levels of (i) HIF-1α, VEGF-A, Flk-1 and pERK; (ii) angiogenesis; (iii) α-SMA+ cells in the tissue; and (iv) collagen -1 deposition around blood vessels and infiltrating throughout the myocardium. Main conclusions: We observed cardiac angiogenesis during acute experimental T. cruzi infection parallels cardiac inflammation and remodelling.

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