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Global Translational Medicine                                 ECM receptor pathway in endotheliocytes after MI




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            Figure 8. Western blot validation. (A) Western blot representative map. (B) Statistical analysis of the Western blots.

                                                               diseases, specifically cardiac fibrosis post-MI, has been
                                                               a research gap. In our study, we identified up-regulated
                                                               proteins in this pathway, including Col6α2, Col6α1,
                                                               Vtn, Itga2b, and Itgβ3. Verification through Western blot
                                                               confirmed increased content of Col6α2, Vtn, and Itgβ3
                                                               (Figure 8). Col6α2-chain, a constituent of type VI collagen
                                                               and one of its three components has been identified in
                                                               various  musculoskeletal  tissues.  However,  its  functional
                                                               role in bone has only become a subject of study . The
                                                                                                       [18]
                                                               implications of Col6α2 in cardiovascular disease remain a
                                                               knowledge gap. The potential impact of the ECM-receptor
                                                               interaction pathway on cardiac fibrosis requires further
                                                               exploration. Integrin  β3, a product of the Itgβ3 gene, is
                                                               composed of α and β chains, constituting a complete cell
            Figure  9. Following a myocardial infarction, there is a widespread   surface protein. Integrins play a pivotal role in cell adhesion
            alteration in the expression of proteins within the cardiac endothelial   and cell surface-mediated signal transduction. Operating
            cells, with a corresponding elevation in the levels of Itgβ3, Col6α2 and   as transmembrane receptors, they serve as a bridge
            Vtn. These alterations in protein levels are principally associated with the   connecting cells to ECM and, in certain cases, facilitate
            extracellular matrix receptor pathways and exert an influence upon the
            heart, modulating processes such as cardiac remodeling in the aftermath   interactions between cells. Therefore, one of their main
            of the infarction.                                 functions is to link the ECM with the cytoskeleton. Most
                                                               importantly, during sustained myocardial contraction,
            fibrosis (Figure  7). Diverging from other endothelial-  integrins are considered mechanical transducers [19-21] .
            related studies,  this study  aims  to  explore  how  changes   Their involvement extends to the development of fibrosis
            in endothelial protein secretion interact with other cells,   across multiple organs, with a particular emphasis on the
            thereby affecting the occurrence and development of   heart . Vitronectin is present in both serum and tissues,
                                                                   [22]
            cardiac fibrosis.                                  representing a secreted protein. Its signal transduction
                                                               pathways are hypothesized to be interconnected with those
              Based on the aforementioned results, the ECM-receptor
            interaction pathway has emerged as a focal point of   of growth factors, necessitating further exploration of their
                                                                                               [23]
            investigation. Although extensively studied in various   association with cardiovascular diseases .
            diseases,  its  exploration  in  cardiovascular  diseases,   In this study, we identified three up-regulated target
            especially in the context of cardiac fibrosis post-MI, remains   proteins, namely Col6α2, Vtn, and Itgβ3, in primary
            limited. In the following discussion, we will provide a   ECs derived from the mouse heart. To elucidate the
            brief analysis of the proteins associated with this pathway.   specific molecular mechanisms associated with these
            Previous studies have highlighted the role of extracellular   target  proteins,  further  verification  and analysis  are
            matrix receptor interaction pathways in cancer, gastric   imperative. Our further study  will  involve conducting
            cancer , atrial fibrillation , diabetic nephropathy ,   in vitro verification experiments. Specifically, we plan
                 [14]
                                  [15]
                                                        [16]
            and wound healing . However, its role in cardiovascular   to  select  human  cardiac  microvascular  ECs  for  protein
                           [17]
            Volume 2 Issue 4 (2023)                         10                       https://doi.org/10.36922/gtm.2217
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