PMID- 27551443 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20160823 LR - 20200930 IS - 2058-7716 (Print) IS - 2058-7716 (Electronic) IS - 2058-7716 (Linking) VI - 1 DP - 2015 TI - Rap1-mediated nuclear factor-kappaB (NF-kappaB) activity regulates the paracrine capacity of mesenchymal stem cells in heart repair following infarction. PG - 15007 LID - 10.1038/cddiscovery.2015.7 [doi] AB - Paracrine effect is the major mechanism that underlies mesenchymal stem cells (MSC)-based therapy. This study aimed to examine how Rap1, telomeric repeat-binding factor 2-interacting protein 1 (Terf2IP), which is a novel modulator involved in the nuclear factor-kappaB (NF-kappaB) pathway, regulates the paracrine effects of MSC-mediated heart repair following infarction. NF-kappaB activity of stromal cells was increased by Rap1 as measured by pNF-kappaB-luciferase reporter activity, and this was abolished by IkB-dominant-negative protein. Knockdown of Rap1 with shRap1 resulted in diminished translocation of p65-NF-kappaB from the cytoplasm to nuclei in response to tumor necrosis factor-alpha (TNF-alpha) stimulation. Compared with BM-MSCs, Rap1(-/-)-BM-MSCs displayed a significantly reduced ratio of phosphorylated NF-kappaB to NF-kappaB-p65 and of Bax to Bcl-2, and increased resistance to hypoxia-induced apoptosis by the terminal deoxynucleotidal transferase-mediated dUTP nick end labeling (TUNEL) assay. In contrast, re-expression of Rap1 in Rap1(-/-)-BM-MSCs resulted in loss of resistance to apoptosis in the presence of hypoxia. Moreover, absence of Rap1 in BM-MSCs led to downregulation of NF-kappaB activity accompanied by reduced pro-inflammatory paracrine cytokines TNF-alpha, IL (interleukin)-6 and monocyte chemotactic protein-1 in Rap1(-/-)-BM-MSCs compared with BM-MSCs. The apoptosis of neonatal cardiomyocytes (NCMCs) induced by hypoxia was significantly reduced when cocultured with Rap1(-/-)-BM-MSC hypoxic-conditioned medium (CdM). The increased cardioprotective effects of Rap1(-/-)-BM-MSCs were reduced when Rap1(-/-)-BM-MSCs were reconstituted with Rap1 re-expression. Furthermore, in vivo study showed that transplantation of Rap1(-/-)-BM-MSCs significantly improved heart function, decreased infarct size, prevented cardiomyocyte apoptosis and inhibited inflammation compared with controls and BM-MSCs (P<0.01). This study reveals that Rap1 has a critical role in the regulation of MSC paracrine actions. Compared with BM-MSCs, Rap1(-/-)-BM-MSCs decreased NF-kappaB sensitivity to stress-induced pro-inflammatory cytokine production and reduced apoptosis. Selective inhibition of Rap1 in BM-MSCs may be a novel strategy to enhance MSC-based therapeutic efficacy in myocardial infarction. FAU - Zhang, Y AU - Zhang Y AD - Division of Cardiology, Department of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Chiu, S AU - Chiu S AD - Division of Cardiology, Department of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Liang, X AU - Liang X AD - Division of Cardiology, Department of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Gao, F AU - Gao F AD - Department of Ophthalmology, Li Ka Shing Faculty of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Zhang, Z AU - Zhang Z AD - Department of Ophthalmology, Li Ka Shing Faculty of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Liao, S AU - Liao S AD - Division of Cardiology, Department of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Liang, Y AU - Liang Y AD - Division of Cardiology, Department of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Chai, Y-H AU - Chai YH AD - Division of Cardiology, Department of Medicine, The University of Hong Kong , Hong Kong SAR, China. FAU - Low, D J H AU - Low DJ AD - Institute of Molecular and Cellular Biology , Biopolis, Singapore. FAU - Tse, H-F AU - Tse HF AD - Division of Cardiology, Department of Medicine, The University of Hong Kong, Hong Kong SAR, China; Research Centre of Heart, Brain, Hormone, and Healthy Aging, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Tergaonkar, V AU - Tergaonkar V AD - Institute of Molecular and Cellular Biology , Biopolis, Singapore. FAU - Lian, Q AU - Lian Q AD - Division of Cardiology, Department of Medicine, The University of Hong Kong, Hong Kong SAR, China; Research Centre of Heart, Brain, Hormone, and Healthy Aging, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China; Department of Ophthalmology, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China; Shenzhen University Health Science Center, Shenzhen, China. LA - eng PT - Journal Article DEP - 20150824 PL - United States TA - Cell Death Discov JT - Cell death discovery JID - 101665035 PMC - PMC4981000 EDAT- 2015/01/01 00:00 MHDA- 2015/01/01 00:01 PMCR- 2015/08/24 CRDT- 2016/08/24 06:00 PHST- 2015/06/03 00:00 [received] PHST- 2015/06/05 00:00 [accepted] PHST- 2016/08/24 06:00 [entrez] PHST- 2015/01/01 00:00 [pubmed] PHST- 2015/01/01 00:01 [medline] PHST- 2015/08/24 00:00 [pmc-release] AID - cddiscovery20157 [pii] AID - 10.1038/cddiscovery.2015.7 [doi] PST - epublish SO - Cell Death Discov. 2015 Aug 24;1:15007. doi: 10.1038/cddiscovery.2015.7. eCollection 2015.