PMID- 26280121 OWN - NLM STAT- MEDLINE DCOM- 20151208 LR - 20220410 IS - 1546-170X (Electronic) IS - 1078-8956 (Print) IS - 1078-8956 (Linking) VI - 21 IP - 9 DP - 2015 Sep TI - Tumor necrosis factor-alpha confers cardioprotection through ectopic expression of keratins K8 and K18. PG - 1076-84 LID - 10.1038/nm.3925 [doi] AB - Tumor necrosis factor-alpha (TNF-alpha), one of the major stress-induced proinflammatory cytokines, is upregulated in the heart after tissue injury, and its sustained expression can contribute to the development of heart failure. Whether TNF-alpha also exerts cytoprotective effects in heart failure is not known. Here we provide evidence for a cardioprotective function of TNF-alpha in a genetic heart failure model, desmin-deficient mice. The cardioprotective effects of TNF-alpha are a consequence of nuclear factor-kappaB (NF-kappaB)-mediated ectopic expression in cardiomyocytes of keratin 8 (K8) and keratin 18 (K18), two epithelial-specific intermediate filament proteins. In cardiomyocytes, K8 and K18 (K8/K18) formed an alternative cytoskeletal network that localized mainly at intercalated discs (IDs) and conferred cardioprotection by maintaining normal ID structure and mitochondrial integrity and function. Ectopic induction of K8/K18 expression in cardiomyocytes also occurred in other genetic and experimental models of heart failure. Loss of the K8/K18 network resulted in a maladaptive cardiac phenotype following transverse aortic constriction. In human failing myocardium, where TNF-alpha expression is upregulated, K8/K18 were also ectopically expressed and localized primarily at IDs, which did not contain detectable amounts of desmin. Thus, TNF-alpha- and NF-kappaB-mediated formation of an alternative, stress-induced intermediate filament cytoskeleton has cardioprotective function in mice and potentially in humans. FAU - Papathanasiou, Stamatis AU - Papathanasiou S AD - Center of Basic Research, Biomedical Research Foundation, Academy of Athens, Athens, Greece. FAU - Rickelt, Steffen AU - Rickelt S AD - Helmholtz Group for Cell Biology, German Cancer Research Center, Heidelberg, Germany. FAU - Soriano, Maria Eugenia AU - Soriano ME AD - Department of Biology, University of Padova, Padova, Italy. FAU - Schips, Tobias G AU - Schips TG AD - Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA. FAU - Maier, Harald J AU - Maier HJ AD - Institute of Physiological Chemistry, University of Ulm, Ulm, Germany. FAU - Davos, Constantinos H AU - Davos CH AD - Clinical, Experimental Surgery &Translational Research Center, Biomedical Research Foundation, Academy of Athens, Athens, Greece. FAU - Varela, Aimilia AU - Varela A AD - Clinical, Experimental Surgery &Translational Research Center, Biomedical Research Foundation, Academy of Athens, Athens, Greece. FAU - Kaklamanis, Loukas AU - Kaklamanis L AD - Department of Pathology, Onassis Cardiac Surgery Center, Athens, Greece. FAU - Mann, Douglas L AU - Mann DL AD - Center for Cardiovascular Research, Division of Cardiology, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA. FAU - Capetanaki, Yassemi AU - Capetanaki Y AD - Center of Basic Research, Biomedical Research Foundation, Academy of Athens, Athens, Greece. LA - eng GR - R01 HL058081/HL/NHLBI NIH HHS/United States GR - R01 HL089543/HL/NHLBI NIH HHS/United States GR - R01 HL111094/HL/NHLBI NIH HHS/United States GR - R01 HL 111094/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150817 PL - United States TA - Nat Med JT - Nature medicine JID - 9502015 RN - 0 (Desmin) RN - 0 (Keratin-18) RN - 0 (Keratin-8) RN - 0 (NF-kappa B) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Animals MH - Cardiomegaly/prevention & control MH - Desmin/physiology MH - Female MH - Humans MH - Keratin-18/*physiology MH - Keratin-8/*physiology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - NF-kappa B/physiology MH - Tumor Necrosis Factor-alpha/*physiology PMC - PMC5419049 MID - NIHMS845977 EDAT- 2015/08/19 06:00 MHDA- 2015/12/15 06:00 PMCR- 2017/05/05 CRDT- 2015/08/18 06:00 PHST- 2015/02/20 00:00 [received] PHST- 2015/07/15 00:00 [accepted] PHST- 2015/08/18 06:00 [entrez] PHST- 2015/08/19 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2017/05/05 00:00 [pmc-release] AID - nm.3925 [pii] AID - 10.1038/nm.3925 [doi] PST - ppublish SO - Nat Med. 2015 Sep;21(9):1076-84. doi: 10.1038/nm.3925. Epub 2015 Aug 17.