PMID- 28826664 OWN - NLM STAT- MEDLINE DCOM- 20180514 LR - 20181211 IS - 1095-8584 (Electronic) IS - 0022-2828 (Print) IS - 0022-2828 (Linking) VI - 111 DP - 2017 Oct TI - Aicar treatment reduces interstitial fibrosis in aging mice: Suppression of the inflammatory fibroblast. PG - 81-85 LID - S0022-2828(17)30283-3 [pii] LID - 10.1016/j.yjmcc.2017.08.003 [doi] AB - In 2030, elderly people will represent 20% of the United States population. Even now, chronic cardiac diseases, especially heart failure with preserved systolic function (HFpEF), are the most expensive DRGs for Medicare. Progressive interstitial fibrosis in the aging heart is well recognized as an important component of HFpEF. Our recent studies suggested an important pathophysiologic role for reduced TGF-beta receptor 1 (TGFbetaR1) signaling in mesenchymal stem cells (MSCs) and their mesenchymal fibroblast progeny in the development of interstitial fibrosis. This report arises from our previous studies, which suggest that an inflammatory phenotype exists in these mesenchymal fibroblasts as a result of a reduced TGF-beta-Smad-dependent pathway but upregulated farnesyltransferase (FTase)-Ras-Erk signaling. In this report we provide evidence for a therapeutic approach that downregulates Erk activation through an adenosine monophosphate-activated kinase (AMPK) pathway. Aging C57BL/6J mice were treated with AICAR (an AMPK activator) for a 30-day period. This treatment suppressed excessive monocyte chemoattractant protein-1 (MCP-1) generation, which diminished leukocyte infiltration and in consequence suppressed the formation of macrophage-derived myeloid fibroblasts. Interestingly, the number of mesenchymal fibroblasts was also reduced. In addition, we observed changes in extracellular matrix (ECM) deposition, specifically that collagen type I and the alternatively spliced variant of fibronectin (EDA) expressions were reduced. These data suggest that the upregulation of AMPK activity is a potential therapeutic approach to fibrosis in the aging heart. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Cieslik, Katarzyna A AU - Cieslik KA AD - Division of Cardiovascular Sciences, DeBakey Heart Center, Department of Medicine, Baylor College of Medicine, Houston, TX, United States; Houston Methodist Hospital, Houston, TX, United States. FAU - Trial, JoAnn AU - Trial J AD - Division of Cardiovascular Sciences, DeBakey Heart Center, Department of Medicine, Baylor College of Medicine, Houston, TX, United States; Houston Methodist Hospital, Houston, TX, United States. FAU - Entman, Mark L AU - Entman ML AD - Division of Cardiovascular Sciences, DeBakey Heart Center, Department of Medicine, Baylor College of Medicine, Houston, TX, United States; Houston Methodist Hospital, Houston, TX, United States. Electronic address: mentman@bcm.edu. LA - eng GR - R01 HL089792/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 - 20170804 PL - England TA - J Mol Cell Cardiol JT - Journal of molecular and cellular cardiology JID - 0262322 RN - 0 (Biomarkers) RN - 0 (Ribonucleotides) RN - 360-97-4 (Aminoimidazole Carboxamide) RN - F0X88YW0YK (AICA ribonucleotide) SB - IM MH - Aging/*pathology MH - Aminoimidazole Carboxamide/*analogs & derivatives/pharmacology MH - Animals MH - Biomarkers/metabolism MH - Cell Count MH - Fibroblasts/drug effects/*pathology MH - Fibrosis MH - Inflammation/*pathology MH - Male MH - Mice, Inbred C57BL MH - Myocardium/pathology MH - Ribonucleotides/*pharmacology PMC - PMC5600709 MID - NIHMS900124 OTO - NOTNLM OT - AMPK OT - Fibroblast OT - Fibrosis OT - Heart OT - Macrophage EDAT- 2017/08/23 06:00 MHDA- 2018/05/15 06:00 PMCR- 2018/10/01 CRDT- 2017/08/23 06:00 PHST- 2017/05/09 00:00 [received] PHST- 2017/08/01 00:00 [revised] PHST- 2017/08/03 00:00 [accepted] PHST- 2017/08/23 06:00 [pubmed] PHST- 2018/05/15 06:00 [medline] PHST- 2017/08/23 06:00 [entrez] PHST- 2018/10/01 00:00 [pmc-release] AID - S0022-2828(17)30283-3 [pii] AID - 10.1016/j.yjmcc.2017.08.003 [doi] PST - ppublish SO - J Mol Cell Cardiol. 2017 Oct;111:81-85. doi: 10.1016/j.yjmcc.2017.08.003. Epub 2017 Aug 4.