Abstract
The present work was conducted to examine the cardioprotective effects of conditioned medium (CM) obtained from human amniotic membrane mesenchymal stem cells (hAMSCs-CM) in a rat model of isoproterenol (ISO)-induced myocardial damage and to clarify its effect on activity of mitogen-activated protein kinase (MAPK)/nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) pathway. ISO was subcutaneously injected at 170 mg/kg/day for 4 consecutive days to create model. The cardiac function was determined using echocardiography. The expression of inflammatory cytokine was investigated using enzyme-linked immunosorbent assay (ELISA). The activity of MAPK/NF-κB was evaluated by immunohistochemistry assay. Trichrome Masson’s staining was used to evaluate the fibrosis. ISO-induced myocardial damage was indicated by loss of cardiac function, excessive secretion of inflammatory cytokines, increased fibrosis and activity of NF-κB and increasing phosphorylated levels of p38 MAPK. Intramyocardial post-treatment with 150 µL of hAMSCs-CM significantly improved heart function and reduced fibrosis and expression levels of inflammatory cytokines, NF-κB expression, and phosphorylated levels of p38 MAPK (p < 0. 05). Collectively, findings of present study demonstrate that cardioprotective effects of hAMSCs-CM are associated with attenuation of inflammation through reduction in activity of MAPK/NF-κB pathway. This can be attributed to paracrine factors secreted by MSCs including exosomes, cytokines, antiapoptotic, angiogenic, and growth factors.
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References
Amani H, Habibey R, Hajmiresmail S, Latifi S, Pazoki-Toroudi H, Akhavan O (2017) Antioxidant nanomaterials in advanced diagnoses and treatments of ischemia reperfusion injuries. J Mater Chem B 5:9452–9476
Ardjmand A, Shahaboddin ME, Mazoochi T, Ghavipanjeh G (2019) Ameliorative effects of cerebrolysin against isoproterenol-induced myocardial injury in male rats. Life Sci 227:187–192
Asaria P, Elliott P, Douglass M, Obermeyer Z, Soljak M, Majeed A et al (2017) Acute myocardial infarction hospital admissions and deaths in England: a national follow-back and follow-forward record-linkage study. Lancet Public Health 2:e191–e201
Attalla DM, Ahmed LA, Zaki HF, Khattab MM (2018) Paradoxical effects of atorvastatin in isoproterenol-induced cardiotoxicity in rats: Role of oxidative stress and inflammation. Biomed Pharmacother 104:542–549
Boarescu P-M, Boarescu I, Boarescu IC, Pop RM, Gheban D, Bulboacă AE et al (2019) Curcumin nanoparticles protect against isoproterenol induced myocardial infarction by alleviating myocardial tissue oxidative stress, electrocardiogram, and biological changes. Molecules 24:2802
Buja LM, Vander Heide RS (2016) Pathobiology of ischemic heart disease: past, present and future. Cardiovasc Pathol 25:214–220
Chen Y, Peng L, Shi S, Guo G, Wen H (2021) Boeravinone B alleviates gut dysbiosis during myocardial infarction-induced cardiotoxicity in rats. J Cell Mol Med 25:6403–6416
Cunningham CJ, Redondo-Castro E, Allan SM (2018) The therapeutic potential of the mesenchymal stem cell secretome in ischaemic stroke. J Cereb Blood Flow Metab 38:1276–1292
Danieli P, Malpasso G, Ciuffreda MC, Cervio E, Calvillo L, Copes F et al (2015) Conditioned medium from human amniotic mesenchymal stromal cells limits infarct size and enhances angiogenesis. Stem Cells Transl Med 4:448–458
Dhalla NS, Ganguly PK, Bhullar SK, Tappia PS (2019) Role of catecholamines in the pathogenesis of diabetic cardiomyopathy. Can J Physiol Pharmacol 97:815–819
Gaidai O, Cao Y, Loginov S (2023) Global cardiovascular diseases death rate prediction. Curr Proble Cardiol 101622
Han X, Liu P, Liu M, Wei Z, Fan S, Wang X et al (2020) [6]-Gingerol ameliorates ISO-induced myocardial fibrosis by reducing oxidative stress, inflammation, and apoptosis through inhibition of TLR4/MAPKs/NF-κB pathway. Mol Nutr Food Res 64:2000003
Khan SI, Malhotra RK, Rani N, Sahu AK, Tomar A, Garg S et al (2017) Febuxostat modulates MAPK/NF-κBp65/TNF-α signaling in cardiac ischemia-reperfusion injury. Oxid Med Cell Longev. 2017.
Kheila M, Gorjipour F, Gohari LH, Sharifi M, Aboutaleb N (2021) Human mesenchymal stem cells derived from amniotic membrane attenuate isoproterenol (ISO)-induced myocardial injury by targeting apoptosis. Med J Islam Repub Iran 35:82
Kitagawa Y, Yamashita D, Ito H, Takaki M (2004) Reversible effects of isoproterenol-induced hypertrophy on in situ left ventricular function in rat hearts. Am J Physiol-Heart Circul Physiol 287:H277–H285
Kocak C, Kocak FE, Akcilar R, Isiklar OO, Kocak H, Bayat Z et al (2016) Molecular and biochemical evidence on the protective effects of embelin and carnosic acid in isoproterenol-induced acute myocardial injury in rats. Life Sci 147:15–23
Kura B, Szeiffova Bacova B, Kalocayova B, Sykora M, Slezak J (2020) Oxidative stress-responsive microRNAs in heart injury. Int J Mol Sci 21:358
Li M, Li T, Jin J, Xie C, Zhu J (2023) Human amniotic mesenchymal stem cell-conditioned medium inhibited LPS-induced cell injury and inflammation by modulating CD14/TLR4-mediated signaling pathway in monocytes. Mol Immunol 158:10–21
Lyu J, Wang M, Kang X, Xu H, Cao Z, Yu T et al (2020) Macrophage-mediated regulation of catecholamines in sympathetic neural remodeling after myocardial infarction. Basic Res Cardiol 115:1–15
Meeran MFN, Jagadeesh GS, Selvaraj P (2015) Thymol attenuates inflammation in isoproterenol induced myocardial infarcted rats by inhibiting the release of lysosomal enzymes and downregulating the expressions of proinflammatory cytokines. Eur J Pharmacol 754:153–161
Mnafgui K, Hajji R, Derbali F, Khlif I, Kraiem F, Ellefi H et al (2016) Protective effect of hydroxytyrosol against cardiac remodeling after isoproterenol-induced myocardial infarction in rat. Cardiovasc Toxicol 16:147–155
Mokhtari B, Badalzadeh R, Aboutaleb N (2021) Modulation of autophagy as the target of mesenchymal stem cells-derived conditioned medium in rat model of myocardial ischemia/reperfusion injury. Mol Biol Rep 48:3337–3348
Muslin AJ (2008) MAPK signalling in cardiovascular health and disease: molecular mechanisms and therapeutic targets. Clin Sci 115:203–218
Naseroleslami M, Aboutaleb N, Parivar K (2018) The effects of superparamagnetic iron oxide nanoparticles-labeled mesenchymal stem cells in the presence of a magnetic field on attenuation of injury after heart failure. Drug Deliv Transl Res 8:1214–1225
Naseroleslami M, Sharifi M, Rakhshan K, Mokhtari B, Aboutaleb N (2020) Nesfatin-1 attenuates injury in a rat model of myocardial infarction by targeting autophagy, inflammation, and apoptosis. Arch Physiol Biochem 1–9.
Nazarinia D, Aboutaleb N, Gholamzadeh R, Maleki SN, Mokhtari B, Nikougoftar M (2019) Conditioned medium obtained from human amniotic mesenchymal stem cells attenuates focal cerebral ischemia/reperfusion injury in rats by targeting mTOR pathway. J Chem Neuroanat 102:101707
Nazarinia D, Dolatshahi M, Faezi M, Maleki SN, Aboutaleb N (2021) TLR4/NF-κB and JAK2/STAT3 signaling pathways: Cellular signaling pathways targeted by cell-conditioned medium therapy in protection against ischemic stroke. J Chem Neuroanat 113:101938
Razavi Tousi SMT, Sharifi M, Naseroleslami M, Azizi Y, Aboutaleb N (2022) Mesenchymal stem cells derived from human amniotic membrane increase VEGF and extenuate fibrosis in heart failure rats. Iran J Sci Technol Trans A Sci 46:781–791
Rona G (1985) Catecholamine cardiotoxicity. J Mol Cell Cardiol 17:291–306
Suchal K, Malik S, Gamad N, Malhotra RK, Goyal SN, Ojha S et al (2016) Mangiferin protect myocardial insults through modulation of MAPK/TGF-β pathways. Eur J Pharmacol 776:34–43
Tang X, Fan X, Xu T, He Y, Chi Q, Li Z et al (2022) Polystyrene nanoplastics exacerbated lipopolysaccharide‐induced necroptosis and inflammation via the ROS/MAPK pathway in mice spleen. Environ Toxicol
Timmers L, Lim SK, Hoefer IE, Arslan F, Lai RC, van Oorschot AA et al (2011) Human mesenchymal stem cell-conditioned medium improves cardiac function following myocardial infarction. Stem Cell Res 6:206–214
Tousi SMTR, Amirizadeh N, Nasirinezhad F, Nikougoftar M, Ganjibakhsh M, Aboutaleb N (2017) A rapid and cost-effective protocol for isolating mesenchymal stem cells from the human amniotic membrane. Galen Med J 6:217–225
van Laake LW, Passier R, den Ouden K, Schreurs C, Monshouwer-Kloots J, Ward-van Oostwaard D et al (2009) Improvement of mouse cardiac function by hESC-derived cardiomyocytes correlates with vascularity but not graft size. Stem Cell Res 3:106–112
Verma VK, Malik S, Narayanan SP, Mutneja E, Sahu AK, Bhatia J et al (2019) Role of MAPK/NF-κB pathway in cardioprotective effect of Morin in isoproterenol induced myocardial injury in rats. Mol Biol Rep 46:1139–1148
Wei Y, Meng T, Sun C (2018) Protective effect of diltiazem on myocardial ischemic rats induced by isoproterenol. Mol Med Rep 17:495–501
Wu H, Ye M, Yang J, Ding J (2016) Endoplasmic reticulum stress-induced apoptosis: a possible role in myocardial ischemia–reperfusion injury. Int J Cardiol 208:65–66
Yan M, Zhao J, Kang Y, Liu L, He W, Xie Y et al (2023) Effect and mechanism of safranal on ISO-induced myocardial injury based on network pharmacology. J Ethnopharmacol 305:116103
Yang Y, Ding Z, Zhong R, Xia T, Wang W, Zhao H et al (2020) Cardioprotective effects of a Fructus Aurantii polysaccharide in isoproterenol-induced myocardial ischemic rats. Int J Biol Macromol 155:995–1002
Zhang Z, Tang J, Cui X, Qin B, Zhang J, Zhang L et al (2021) New insights and novel therapeutic potentials for macrophages in myocardial infarction. Inflammation 44:1696–1712
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The research and publication of this article were supported by physiology research center of Iran University of Medical Sciences.
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N.A participated in the design and interpretation of the study, data analysis, and the review of the manuscript. M.N conducted the experiment and collected the tissue and was responsible for the data analysis. N.A performed histopathological and immunochemical analyses. N.A and M.N wrote the manuscript, and all authors reviewed, read, and approved the article.
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Naseroleslami, M., Aboutaleb, N. Conditioned Medium Reduces Isoproterenol-Induced Myocardial Damage Via MAPK/NF-κB Pathway. Iran J Sci 47, 1115–1124 (2023). https://doi.org/10.1007/s40995-023-01504-9
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DOI: https://doi.org/10.1007/s40995-023-01504-9