Cited by 385Cardiac Fibrosis and RemodelingCytokine Signaling Pathways and InteractionsCongenital heart defects research

Signal transducer and activator of transcription 3 is required for myocardial capillary growth, control of interstitial matrix deposition, and heart protection from ischemic injury

Hilfiker-Kleiner, Denise, Hilfiker, Andres, Fuchs, Martin, Kaminski, Karol, Schaefer, Arnd, Schieffer, Bernhard, Hillmer, Anja, Schmiedl, Andreas +9 more·2004·Circulation Research

Abstract

The transcription factor signal transducer and activator of transcription 3 (STAT3) participates in a wide variety of physiological processes and directs seemingly contradictory responses such as proliferation and apoptosis. To elucidate its role in the heart, we generated mice harboring a cardiomyocyte-restricted knockout of STAT3 using Cre/loxP-mediated recombination. STAT3-deficient mice developed reduced myocardial capillary density and increased interstitial fibrosis within the first 4 postnatal months, followed by dilated cardiomyopathy with impaired cardiac function and premature death. Conditioned medium from STAT3-deficient cardiomyocytes inhibited endothelial cell proliferation and increased fibroblast proliferation, suggesting the presence of paracrine factors attenuating angiogenesis and promoting fibrosis in vitro. STAT3-deficient mice showed enhanced susceptibility to myocardial ischemia/reperfusion injury and infarction with increased cardiac apoptosis, increased infarct sizes, and reduced cardiac function and survival. Our study establishes a novel role for STAT3 in controlling paracrine circuits in the heart essential for postnatal capillary vasculature maintenance, interstitial matrix deposition balance, and protection from ischemic injury and heart failure.

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Crossref · 10.1161/01.res.0000134921.50377.61

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Authors
Hilfiker-Kleiner, D., Hilfiker, A., Fuchs, M., Kaminski, K., Schaefer, A., Schieffer, B., Hillmer, A., Schmiedl, A., Ding, Z., Podewski, E., Podewski, E., Poli, V., Schneider, M. D., Schulz, R., Park, J.-K., Wollert, K. C., & Drexler, H.
Affiliations
  • From the Departments of Cardiology and Angiology (D.H.-K., A. Hilfiker, M.F., K.K., A. Schaefer, B.S., A. Hillmer, Edith Podewski, Eva Podewski, K.C.W., H.D.), Anatomy (A. Schmiedl), and Nephrology (J.-K.P.), Medical School Hannover, Germany; Institute for Cardiovascular Physiology (Z.D.), University of Düsseldorf, Germany; Department of Genetics, Biology, and Biochemistry (V.P.), University of Turin, Italy; Department of Medicine (M.D.S.), Baylor College of Medicine, Houston, Tex; Department of...
  • Baylor College of Medicine (US)
Venue
Circulation Research
Published
2004-07-23
Volume
95
Issue
2
Pages
187-195
ISSN
  • 0009-7330 (ISSN-L)
  • 1524-4571
OpenAlex
W2113162775
Cited by
385
References
1
Citations by year
2026: 5 · 2025: 11 · 2024: 7 · 2023: 12 · 2022: 12 · 2021: 9 · 2020: 18 · 2019: 21 · 2018: 14 · 2017: 23 · 2016: 22 · 2015: 20 · 2014: 19 · 2013: 20 · 2012: 31
FWCI
11.31
Type
journal article
Language
en
Open access
closed
Locations
  • Circulation Research (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
  • Health Sciences › Medicine › Oncology › Cytokine Signaling Pathways and Interactions
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
Keywords
STAT3, myocardial angiogenesis, capillary density, myocardial fibrosis, dilated cardiomyopathy, myocardial ischemia-reperfusion injury, cardiomyocyte apoptosis, paracrine signaling, endothelial cell proliferation, fibroblast proliferation, heart failure
MeSH terms
Animals, Capillaries, Cardiomyopathy, Dilated, Cell Division, Coronary Vessels, DNA-Binding Proteins, Extracellular Matrix, Fibroblasts, Fibrosis, Heart Failure, Male, Myocardium, Myocardial Reperfusion Injury, Trans-Activators, Culture Media, Conditioned, Myocardial Ischemia, Mice, Knockout, Neovascularization, Physiologic, Paracrine Communication, Genetic Predisposition to Disease, Angiogenesis Inhibitors, Myocytes, Cardiac, Endothelial Cells, STAT3 Transcription Factor, Mice

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