Abstract
Multiple in vitro and in vivo studies have shown that the signal transducer and activator of transcription 3 (STAT3) protein regulates key mechanisms in cardiac physiology (exercise, pregnancy) and pathophysiology (pressure overload, ischemia/reperfusion, myocardial infarction (MI), myocarditis, and cardiotoxic agents). STAT3 is activated in various cardiac cell types including cardiomyocytes, endothelial cells, fibroblasts, and cardiac progenitor cells by a multitude of factors including cytokines, growth factors, neurohormones, mechanical load, and ischemia. It acts as a signaling molecule, a transcription factor, and a mitochondrial protein involved in energy production, and it controls autocrine and paracrine pathways. While the majority of data imply rather beneficial roles of STAT3 in the heart, newer studies implicate that this is mainly the case when the expression and activation of STAT3 is precisely regulated. In contrast, continuous uncontrolled activation of STAT3 in cardiomyocytes seems to promote adverse cardiac remodeling processes especially after MI. Here, we provide an overview on STAT3 signaling and summarize the current understanding of the role of STAT3 for cardiac inflammation, metabolism, remodeling, and regeneration based on experimental and clinical studies. Finally, we highlight the consequences of targeting STAT3 for future therapeutic approaches in the setting of cardiac remodeling.
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Abbreviations
- ADMA:
-
Asymmetric dimethylarginine
- Bcl-3:
-
B cell lymphoma 3
- CCL2:
-
Chemokine ligand 2
- CCR2:
-
Chemokine ligand receptor 2
- CLC:
-
Cardiotrophin-like cytokine
- CNTF:
-
Ciliary neurotrophic factor
- CT-1:
-
Cardiotrophin 1
- CTGF:
-
Connective tissue growth factor
- CVF:
-
Cobra venom factor
- ECM:
-
Extracellular matrix
- eNOS:
-
Endothelial nitric oxide synthase
- EPO:
-
Erythropoietin
- ERK:
-
Extracellular signal-regulated kinase
- ETC:
-
Electron transport chain
- G-CSF:
-
Granulocyte colony-stimulating factor
- GM-CSF:
-
Granulocyte-macrophage colony-stimulating factor
- gp130:
-
Glycoprotein-130
- HK2:
-
Hexokinase 2
- IL:
-
Interleukin
- JAK:
-
Janus kinase
- LIF:
-
Leukemia inhibitory factor
- LPS:
-
Lipopolysaccharide
- LV:
-
Left ventricle
- MBL:
-
Mannose-binding lectin
- MHC:
-
Myosin heavy chain
- MI:
-
Myocardial infarction
- MMP:
-
Matrix metalloproteinase
- OSM:
-
Oncostatin M
- miRNA:
-
microRNA
- NF-κB:
-
Nuclear factor-κB
- PAI-1:
-
Plasminogen activator-1
- PFKFB3:
-
6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 3
- PKB:
-
Protein kinase B, also known as AKT
- PPAR:
-
Peroxisome proliferator-activated receptor
- PPCM:
-
Peripartum cardiomyopathy
- PIAS:
-
Protein inhibitors of activated STAT
- PTPRT:
-
Protein tyrosine phosphatase receptor T
- ROS:
-
Reactive oxygen species
- SH2:
-
Src homology 2 domain
- SHP2:
-
SH2 domain-containing cytoplasmatic protein
- SOCS:
-
Suppressor of cytokine signaling
- STAT3:
-
Signal transducer and activator of transcription 3
- STAT3-KO:
-
STAT3-knockout
- TAC:
-
Transverse aortic constriction
- TIMP-1:
-
Tissue inhibitor of metalloproteinase-1
- TNC:
-
Tenascin C
- TNF-α:
-
Tumor necrosis factor-α
- TSP-1:
-
Thrombospondin-1
- Ube:
-
Ubiquitin-conjugating enzyme
- UPS:
-
Ubiquitin–proteasome system
- VEGF:
-
Vascular endothelial growth factor
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We thank the DFG for supporting this work.
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Ricke-Hoch, M., Stapel, B., Gorst, I., Haghikia, A., Hilfiker-Kleiner, D. (2013). The STAT3 Pathway and Downstream Mechanisms in Cardiac Remodeling: Friend or Foe. In: Jugdutt, B., Dhalla, N. (eds) Cardiac Remodeling. Advances in Biochemistry in Health and Disease, vol 5. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5930-9_20
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