Cardiac fibroblast activation during myocardial infarction wound healing: Fibroblast polarization after MI

Matrix Biol. 2020 Sep:91-92:109-116. doi: 10.1016/j.matbio.2020.03.010. Epub 2020 May 21.

Abstract

Cardiac wound healing after myocardial infarction (MI) evolves from pro-inflammatory to anti-inflammatory to reparative responses, and the cardiac fibroblast is a central player during the entire transition. The fibroblast mirrors changes seen in the left ventricle infarct by undergoing a continuum of polarization phenotypes that follow pro-inflammatory, anti-inflammatory, and pro-scar producing profiles. The development of each phenotype transition is contingent upon the MI environment into which the fibroblast enters. In this mini-review, we summarize our current knowledge regarding cardiac fibroblast activation during MI and highlight key areas where gaps remain.

Keywords: fibroblast; inflammation; myocardial infarction; scar formation; wound healing.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Animals
  • Cell Differentiation
  • Cell Lineage / genetics
  • Cytokines / genetics
  • Cytokines / metabolism
  • Extracellular Matrix / chemistry
  • Extracellular Matrix / metabolism*
  • Extracellular Matrix / pathology
  • Extracellular Matrix Proteins / genetics*
  • Extracellular Matrix Proteins / metabolism
  • Fibroblasts / classification
  • Fibroblasts / metabolism*
  • Fibroblasts / pathology
  • Gene Expression Regulation
  • Humans
  • Mice
  • Myocardial Infarction / genetics
  • Myocardial Infarction / metabolism*
  • Myocardial Infarction / pathology
  • Myocardial Infarction / rehabilitation
  • Myocardium / metabolism
  • Myocardium / pathology
  • Recovery of Function / genetics*
  • Signal Transduction
  • Transforming Growth Factor beta / genetics
  • Transforming Growth Factor beta / metabolism
  • Vascular Endothelial Growth Factor A / genetics
  • Vascular Endothelial Growth Factor A / metabolism
  • Wound Healing / physiology

Substances

  • Cytokines
  • Extracellular Matrix Proteins
  • Transforming Growth Factor beta
  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A