PMID- 36841467 OWN - NLM STAT- MEDLINE DCOM- 20230404 LR - 20230404 IS - 1090-2449 (Electronic) IS - 0014-4894 (Linking) VI - 248 DP - 2023 May TI - Chronic Trypanosoma cruzi infection activates the TWEAK/Fn14 axis in cardiac myocytes and fibroblasts driving structural and functional changes that affect the heart. PG - 108491 LID - S0014-4894(23)00032-2 [pii] LID - 10.1016/j.exppara.2023.108491 [doi] AB - Sustained interaction between the cytokine tumor necrosis factor-like weak inducer of apoptosis (TWEAK) and its functional receptor, fibroblast growth factor-inducible 14 (Fn14), has been linked to cardiovascular disorders. Chagas cardiomyopathy, elicited by Trypanosoma cruzi infection, is associated with chronic inflammation, fibrosis and hypertrophy. This study aimed to explore the involvement of the TWEAK/Fn 14 axis in development of Chagas heart disease. Parasite infection in vitro triggered Fn14 overexpression in atrial HL-1 myocytes and cardiac MCF fibroblasts. Fn14 levels were also increased in heart tissue from C57BL/6 mice at 130 days post-infection, particularly in myocytes and fibroblasts. Concurrently, TWEAK expression in circulating monocytes from this group was higher than that determined in uninfected controls. TWEAK/Fn14 interaction was functional in myocytes and fibroblasts isolated from infected hearts, leading to TNF receptor-associated factor 2 (TRAF2)-mediated activation of nuclear factor kappa B (NFkappaB) signaling. Ex vivo stimulation of both cell types with recombinant TWEAK for 24 h boosted the NFkappaB-regulated production of proinflammatory/profibrotic mediators (IL-1beta, IL-6, TNF-alpha, IL-8, CCL2, CCL5, MMP-2, MMP-9, ICAM-1, E-selectin) involved in chronic T. cruzi cardiomyopathy. We further evaluated the therapeutic potential of the soluble decoy receptor Fn14-Fc to interfere with TWEAK/Fn14-dependent pathogenic activity. Fn14-Fc treatment of chronically infected mice was effective in neutralizing the ligand and reverting electrocardiographic abnormalities, maladaptive inflammation, adverse remodeling and hypertrophy in myocardium. Altogether, these findings suggest that sustained TWEAK/Fn14 induction by persistent T. cruzi infection is implicated in cardiopathogenesis and make TWEAK/Fn14 axis a promising target for the treatment of chronic Chagas heart disease. CI - Copyright (c) 2023 Elsevier Inc. All rights reserved. FAU - Santamaria, Miguel H AU - Santamaria MH AD - Laboratorio de Biologia Experimental, Centro de Estudios Metabolicos, Santander, Cantabria, Spain. FAU - Rios, Luisa Delgado AU - Rios LD AD - Laboratorio de Biologia Experimental, Centro de Estudios Metabolicos, Santander, Cantabria, Spain. FAU - Corral, Ricardo S AU - Corral RS AD - Instituto Multidisciplinario de Investigaciones en Patologias Pediatricas (IMIPP, CONICET-GCBA), Servicio de Parasitologia-Chagas, Hospital de Ninos "Dr. Ricardo Gutierrez", Buenos Aires, Argentina. Electronic address: ricardocorral@conicet.gov.ar. LA - eng PT - Journal Article DEP - 20230223 PL - United States TA - Exp Parasitol JT - Experimental parasitology JID - 0370713 RN - 0 (TWEAK Receptor) RN - 0 (NF-kappa B) RN - 0 (Tumor Necrosis Factor-alpha) SB - IM MH - Mice MH - Animals MH - Myocytes, Cardiac MH - TWEAK Receptor/metabolism MH - Mice, Inbred C57BL MH - NF-kappa B/metabolism MH - Tumor Necrosis Factor-alpha/metabolism MH - Inflammation MH - Fibroblasts MH - *Heart Diseases/metabolism MH - Hypertrophy/metabolism MH - *Chagas Disease OTO - NOTNLM OT - Adverse remodeling OT - Chagas heart disease OT - Inflammation OT - TWEAK/Fn14 axis OT - Trypanosoma cruzi COIS- Declarations of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/02/26 06:00 MHDA- 2023/04/04 06:42 CRDT- 2023/02/25 19:34 PHST- 2022/08/08 00:00 [received] PHST- 2023/01/04 00:00 [revised] PHST- 2023/02/18 00:00 [accepted] PHST- 2023/04/04 06:42 [medline] PHST- 2023/02/26 06:00 [pubmed] PHST- 2023/02/25 19:34 [entrez] AID - S0014-4894(23)00032-2 [pii] AID - 10.1016/j.exppara.2023.108491 [doi] PST - ppublish SO - Exp Parasitol. 2023 May;248:108491. doi: 10.1016/j.exppara.2023.108491. Epub 2023 Feb 23.