Abstract
Research of the last decades has established that the cardiac extracellular matrix (ECM) is not a static but rather a dynamic environment in which the cellular and acellular components of the heart communicate and function. Remodeling after myocardial infarction (MI) associates with cardiac rupture or maladaptive left ventricular remodeling resulting in cardiac dilatation, dysfunction, and increased mortality. The dynamic synthesis and breakdown of the cardiac ECM-related proteins and the formation of a well-organized collagen scar play a major role in the structural and functional recovery of the infarcted heart. Secreted protein acidic and rich in cysteine (SPARC) is a prototypical collagen-binding matricellular protein and has been proven to coordinate procollagen processing and facilitate collagen fibril assembly in the pericellular environment. SPARC is vastly upregulated in response to cardiac stress, including MI. The lack of SPARC resulted in a fourfold higher incidence of mortality following MI, due to increased rates of cardiac rupture and heart failure, which was associated with a highly impaired and immature collagen scar. In contrast, adenoviral overexpression of SPARC improved collagen maturation in the infarct scar, associated with increased transforming growth factor (TGF)-β signaling, and prevented cardiac dilatation and dysfunction after MI. Therefore, this chapter focuses on (1) the role of SPARC during cardiac remodeling after MI and (2) the potential mechanisms involved in SPARC-mediated extracellular post-synthetic procollagen processing in the infarcted heart.
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Acknowledgments
S.H. received a Vidi grant from the Netherlands Organization for Scientific Research (NWO, 91796338) and research grants from the Netherlands Heart Foundation (2008B011), Fund of Scientific Research Flanders (FWO-Vlaanderen, G074009N), European Union, FP7-HEALTH-2010, MEDIA, large-scale integrating project, and European Union, FP7-HEALTH-2011, EU-Mascara. D.V. is supported by a fellowship of the Fund of Scientific Research Flanders (FWO-Vlaanderen, Belgium, 1208910N).
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Vanhoutte, D., Heymans, S. (2013). Role of SPARC in Cardiac Extracellular Matrix Remodeling After Myocardial Infarction. In: Jugdutt, B., Dhalla, N. (eds) Cardiac Remodeling. Advances in Biochemistry in Health and Disease, vol 5. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-5930-9_24
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DOI: https://doi.org/10.1007/978-1-4614-5930-9_24
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