The cardiac microenvironment includes cardiomyocytes, fibroblasts and macrophages, which regulate remodeling after myocardial infarction (MI). Targeting this microenvironment is a novel therapeutic approach for MI. We found that the natural compound derivative, BIO ((2'Z, 3'E)-6-Bromoindirubin-3'-oxime) modulated the cardiac microenvironment to exert a therapeutic effect on MI. Using a series of co-culture studies, BIO induced proliferation in cardiomyocytes and inhibited proliferation in cardiac fibroblasts. BIO produced multiple anti-fibrotic effects in cardiac fibroblasts. In macrophages, BIO inhibited the expression of pro-inflammatory factors. Significantly, BIO modulated the molecular crosstalk between cardiac fibroblasts and differentiating macrophages to induce polarization to the anti-inflammatory M2 phenotype. In the optically transparent zebrafish-based heart failure model, BIO induced cardiomyocyte proliferation and completely recovered survival rate. BIO is a known glycogen synthase kinase-3 beta inhibitor, but these effects could not be recapitulated using the classical inhibitor, lithium chloride; indicating novel therapeutic effects of BIO. We identified the mechanism of BIO as differential modulation of p27 protein expression and potent induction of anti-inflammatory interleukin-10. In a rat MI model, BIO reduced fibrosis and improved cardiac performance. Histological analysis revealed modulation of the cardiac microenvironment by BIO, with increased presence of anti-inflammatory M2 macrophages. Our results demonstrate that BIO produces unique effects in the cardiac microenvironment to promote recovery post-MI.
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Karolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Zdunek, Sofia
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Barnabe-Heider, Fanie
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Karolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Barnabe-Heider, Fanie
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Walsh, Stuart
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Lund Univ, Lund Strateg Res Ctr Stem Cell Biol & Cell Therap, SE-22184 Lund, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Walsh, Stuart
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Zupicich, Joel
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Alkass, Kanar
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Karolinska Inst, Dept Forens Med, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Alkass, Kanar
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Buchholz, Bruce A.
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Lawrence Livermore Natl Lab, Ctr Accelerator Mass Spectrometry, Livermore, CA 94551 USAKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Buchholz, Bruce A.
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Druid, Henrik
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Karolinska Inst, Dept Forens Med, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Druid, Henrik
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Jovinge, Stefan
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Frisen, Jonas
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Karolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
机构:
Karolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Zdunek, Sofia
;
Barnabe-Heider, Fanie
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Barnabe-Heider, Fanie
;
Walsh, Stuart
论文数: 0引用数: 0
h-index: 0
机构:
Lund Univ, Lund Strateg Res Ctr Stem Cell Biol & Cell Therap, SE-22184 Lund, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Walsh, Stuart
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Zupicich, Joel
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Alkass, Kanar
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Forens Med, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Alkass, Kanar
;
Buchholz, Bruce A.
论文数: 0引用数: 0
h-index: 0
机构:
Lawrence Livermore Natl Lab, Ctr Accelerator Mass Spectrometry, Livermore, CA 94551 USAKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Buchholz, Bruce A.
;
Druid, Henrik
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Forens Med, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden
Druid, Henrik
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机构:
Jovinge, Stefan
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Frisen, Jonas
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, SwedenKarolinska Inst, Dept Cell & Mol Biol, SE-17177 Stockholm, Sweden