BAMBI (BMP and activin membrane-bound inhibitor) protects the murine heart from pressure-overload biomechanical stress by restraining TGF-ß signaling

Left ventricular (LV) pressure overload is a major cause of heart failure. Transforming growth factors-beta (TGF-betas) promote LV remodeling under biomechanical stress. BAMBI (BMP and activin membrane-bound inhibitor) is a pseudoreceptor that negatively modulates TGF-beta signaling. The present stu...

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Bibliographic Details
Authors: Villar Ramos, Ana Victoria, García López, Raquel, Llano, Miguel, Cobo, Manuel, Merino, David, Lantero, Aquilino, Tramullas Fernández, Mónica, Hurlé González, Juan M.|||0000-0002-4685-025X, Hurlé González, María Amor, Nistal Herrera, Juan Francisco|||0000-0002-4152-7621
Format: article
Publication Date:2013
Country:España
Institution:Universidad de Cantabria (UC)
Repository:UCrea Repositorio Abierto de la Universidad de Cantabria
Language:English
OAI Identifier:oai:repositorio.unican.es:10902/34953
Online Access:https://hdl.handle.net/10902/34953
Access Level:Open access
Keyword:Myocardial remodeling
Aortic valve stenosis
Pressure overload
TGF-β
BAMBI
miR-21
Description
Summary:Left ventricular (LV) pressure overload is a major cause of heart failure. Transforming growth factors-beta (TGF-betas) promote LV remodeling under biomechanical stress. BAMBI (BMP and activin membrane-bound inhibitor) is a pseudoreceptor that negatively modulates TGF-beta signaling. The present study tests the hypothesis that BAMBI plays a protective role during the adverse LV remodeling under pressure overload. The subjects of the study were BAMBI knockout mice (BAMBI(-/-)) undergoing transverse aortic constriction (TAC) and patients with severe aortic stenosis (AS). We examined LV gene and protein expression of remodeling-related elements, histological fibrosis, and heart morphology and function. LV expression of BAMBI was increased in AS patients and TAC-mice and correlated directly with TGF-beta. BAMBI deletion led to a gain of myocardial TGF-beta signaling through canonical (Smads) and non-canonical (TAK1-p38 and TAK1-JNK) pathways. As a consequence, the remodeling response to pressure overload in BAMBI(-/-) mice was exacerbated in terms of hypertrophy, chamber dilation, deterioration of long-axis LV systolic function and diastolic dysfunction. Functional remodeling associated transcriptional activation of fibrosis-related TGF-beta targets, up-regulation of the profibrotic micro-RNA-21, histological fibrosis and increased metalloproteinase-2 activity. Histological remodeling in BAMBI(-/-) mice involved TGF-betas. BAMBI deletion in primary cardiac fibroblasts exacerbated TGF-beta-induced profibrotic responses while BAMBI overexpression in NIH-3T3 fibroblasts attenuated them. Our findings identify BAMBI as a critical negative modulator of myocardial remodeling under pressure overload. We suggest that BAMBI is involved in negative feedback loops that restrain the TGF-beta remodeling signals to protect the pressure-overloaded myocardium from uncontrolled extracellular matrix deposition in humans and mice.