ALDH2 Activation Inhibited Cardiac Fibroblast-to-Myofibroblast Transformation Via the TGF-β1/Smad Signaling Pathway

J Cardiovasc Pharmacol. 2019 Apr;73(4):248-256. doi: 10.1097/FJC.0000000000000655.

Abstract

Pathological stimulus-triggered differentiation of cardiac fibroblasts plays a major role in the development of myocardial fibrosis. Aldehyde dehydrogenase 2 (ALDH2) was reported to exert a protective role in cardiovascular disease, and whether ALDH2 is involved in cardiac fibroblast differentiation remains unclear. In this study, we used transforming growth factor-β1 (TGF-β1) to induce the differentiation of human cardiac fibroblasts (HCFs) and adopted ALDH2 activator Alda-1 to verify the influence of ALDH2 on HCF differentiation. Results showed that ALDH2 activity was obviously impaired when treating HCFs with TGF-β1. Activation of ALDH2 with Alda-1 inhibited the transformation of HCFs into myofibroblasts, demonstrated by the decreased smooth muscle actin (α-actin) and periostin expression, reduced HCF-derived myofibroblast proliferation, collagen production, and contractility. Moreover, application of Smad2/3 inhibitor alleviated TGF-β1-induced HCF differentiation and improved ALDH2 activity, which was reversed by the application of ALDH2 inhibitor daidzin. Finally, Alda-1-induced HCF alterations alleviated neonatal rat cardiomyocyte hypertrophy, supported by the immunostaining of α-actin. To summarize, activation of ALDH2 enzymatic activity inhibited the differentiation of cardiac fibroblasts via the TGF-β1/Smad signaling pathway, which might be a promising strategy to relieve myocardial fibrosis of various causes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aldehyde Dehydrogenase, Mitochondrial / metabolism*
  • Animals
  • Animals, Newborn
  • Benzamides / pharmacology*
  • Benzodioxoles / pharmacology*
  • Cardiomegaly / enzymology
  • Cardiomegaly / pathology
  • Cardiomegaly / prevention & control
  • Cell Plasticity / drug effects*
  • Cell Proliferation / drug effects
  • Cells, Cultured
  • Collagen / metabolism
  • Enzyme Activation
  • Enzyme Activators / pharmacology*
  • Fibrosis
  • Heart Ventricles / drug effects*
  • Heart Ventricles / enzymology
  • Heart Ventricles / pathology
  • Humans
  • Myocytes, Cardiac / drug effects
  • Myocytes, Cardiac / enzymology
  • Myocytes, Cardiac / pathology
  • Myofibroblasts / drug effects*
  • Myofibroblasts / enzymology
  • Myofibroblasts / pathology
  • Paracrine Communication
  • Phenotype
  • Phosphorylation
  • Rats
  • Signal Transduction
  • Smad2 Protein / metabolism*
  • Smad3 Protein / metabolism*
  • Transforming Growth Factor beta1 / pharmacology*

Substances

  • Benzamides
  • Benzodioxoles
  • Enzyme Activators
  • N-(1,3-benzodioxol-5-ylmethyl)-2,6-dichlorobenzamide
  • SMAD2 protein, human
  • SMAD3 protein, human
  • Smad2 Protein
  • Smad3 Protein
  • Transforming Growth Factor beta1
  • Collagen
  • ALDH2 protein, human
  • Aldehyde Dehydrogenase, Mitochondrial