The effects of interleukin 17A on left stellate ganglion remodeling are mediated by neuroimmune communication in normal structural hearts

Int J Cardiol. 2019 Mar 15:279:64-71. doi: 10.1016/j.ijcard.2019.01.010. Epub 2019 Jan 4.

Abstract

Background: It is reported interleukin (IL)-17A, a classical proinflammatory cytokine, is implicated in neuroimmune-associated remodeling in neural plasticity and pathological conditions. However, the effect of IL-17A on left stellate ganglion (LSG) remodeling remains unclear.

Objective: This study was performed to determine whether exogenous IL-17A promotes LSG remodeling and destabilize ventricular electrophysiological properties (EPs) in normal canines.

Methods: 24 beagles were randomly allocated into three groups. In the first group, animals were subjected to 0.1 ml phosphate buffer saline (PBS) microinjection of into LSG (n = 8), an equivalent IL-17A was administrated in the second group (n = 8), and an equivalent anti-IL-17A mAb plus IL-17A was administrated in the third group (n = 8). The ventricular EPs, neural function and activity of the LSG were determined at baseline and 30 min after administration. In the end, LSG tissues were collected.

Results: Compared with the control group, the experimental group had a significantly shorter effective refractory period (ERP) and action potential duration (APD)90, an increased ERP, APD90, Smax dispersion, and APD alternans cycle length; and steepened APD restitution curves. In addition, IL-17A enhanced the neural function and activity of the LSG, upregulated the expressions of neuropeptides and proinflammatory cytokines and cells. And all these effects were attenuated by anti-IL-17A mAb. Importantly, IL-17 receptor A (IL-17R-A) was detected in sympathetic neurons in the LSG.

Conclusion: IL-17A promoted LSG remodeling by regulating the neural inflammation response. It did so by binding to IL-17R-A, resulting in unstable ventricular electrophysiology in normal structural hearts.

Keywords: Cardiac autonomic nerves system; Interleukin-17A; Left stellate ganglion; Neuroimmune.

MeSH terms

  • Animals
  • Dogs
  • Interleukin-17 / administration & dosage*
  • Interleukin-17 / metabolism
  • Microinjections / methods
  • Neuroimmunomodulation / drug effects*
  • Neuroimmunomodulation / physiology
  • Stellate Ganglion / drug effects*
  • Stellate Ganglion / immunology
  • Stellate Ganglion / metabolism
  • Tachycardia, Ventricular / drug therapy
  • Tachycardia, Ventricular / immunology
  • Tachycardia, Ventricular / metabolism
  • Vascular Remodeling / drug effects*
  • Vascular Remodeling / physiology

Substances

  • Interleukin-17