Wnt1/βcatenin injury response activates the epicardium and cardiac fibroblasts to promote cardiac repair

J Duan, C Gherghe, D Liu, E Hamlett, L Srikantha… - The EMBO …, 2012 - embopress.org
J Duan, C Gherghe, D Liu, E Hamlett, L Srikantha, L Rodgers, JN Regan, M Rojas, M Willis
The EMBO journal, 2012embopress.org
Wnts are required for cardiogenesis but the role of specific Wnts in cardiac repair remains
unknown. In this report, we show that a dynamic Wnt1/βcatenin injury response activates the
epicardium and cardiac fibroblasts to promote cardiac repair. Acute ischaemic cardiac injury
upregulates Wnt1 that is initially expressed in the epicardium and subsequently by cardiac
fibroblasts in the region of injury. Following cardiac injury, the epicardium is activated organ‐
wide in a Wnt‐dependent manner, expands, undergoes epithelial–mesenchymal transition …
Wnts are required for cardiogenesis but the role of specific Wnts in cardiac repair remains unknown. In this report, we show that a dynamic Wnt1/βcatenin injury response activates the epicardium and cardiac fibroblasts to promote cardiac repair. Acute ischaemic cardiac injury upregulates Wnt1 that is initially expressed in the epicardium and subsequently by cardiac fibroblasts in the region of injury. Following cardiac injury, the epicardium is activated organ‐wide in a Wnt‐dependent manner, expands, undergoes epithelial–mesenchymal transition (EMT) to generate cardiac fibroblasts, which localize in the subepicardial space. The injured regions in the heart are Wnt responsive as well and Wnt1 induces cardiac fibroblasts to proliferate and express pro‐fibrotic genes. Disruption of downstream Wnt signalling in epicardial cells decreases epicardial expansion, EMT and leads to impaired cardiac function and ventricular dilatation after cardiac injury. Furthermore, disruption of Wnt/βcatenin signalling in cardiac fibroblasts impairs wound healing and decreases cardiac performance as well. These findings reveal that a pro‐fibrotic Wnt1/βcatenin injury response is critically required for preserving cardiac function after acute ischaemic cardiac injury.
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