Liver-heart cross-talk mediated by coagulation factor XI protects against heart failure

Science. 2022 Sep 23;377(6613):1399-1406. doi: 10.1126/science.abn0910. Epub 2022 Sep 22.

Abstract

Tissue-tissue communication by endocrine factors is a vital mechanism for physiologic homeostasis. A systems genetics analysis of transcriptomic and functional data from a cohort of diverse, inbred strains of mice predicted that coagulation factor XI (FXI), a liver-derived protein, protects against diastolic dysfunction, a key trait of heart failure with preserved ejection fraction. This was confirmed using gain- and loss-of-function studies, and FXI was found to activate the bone morphogenetic protein (BMP)-SMAD1/5 pathway in the heart. The proteolytic activity of FXI is required for the cleavage and activation of extracellular matrix-associated BMP7 in the heart, thus inhibiting genes involved in inflammation and fibrosis. Our results reveal a protective role of FXI in heart injury that is distinct from its role in coagulation.

MeSH terms

  • Animals
  • Bone Morphogenetic Protein 7* / metabolism
  • Factor XI* / genetics
  • Factor XI* / metabolism
  • Fibrosis
  • Heart Failure* / genetics
  • Heart Failure* / metabolism
  • Humans
  • Inflammation / genetics
  • Liver* / enzymology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Myocardium* / metabolism
  • Myocardium* / pathology
  • Proteolysis

Substances

  • Bone Morphogenetic Protein 7
  • Factor XI