Coronary disease & ACS

Periodontitis-related myocardial fibrosis by expansion of collagen-producing SiglecF+ neutrophils

Eur Heart JPublished Mechanistic study

Authors' conclusion

This study demonstrated that long-lasting PD-aggravated MI prognosis by expanding scar-associated SiglecF+ neutrophils into the heart

Study context

Population
Patients with myocardial infarction (MI) with or without periodontitis (3 prospective cohorts) and PD + MI mouse model3 prospective cohorts
Comparison
Periodontitis vs no periodontitis in MI prognosis
Methodological details3 prospective cohorts, PD + MI mouse model
  • 3 prospective cohorts
  • PD + MI mouse model

Main finding

As reported in the abstract

  • Persisting but not short-term PD worsened MI prognosis (cardiac fibrosis and function) in humans and mice
  • Bone marrow neutrophils in PD intrinsically skewed toward longer-lived SiglecF+ neutrophil differentiation, converted by GMCSF or TGFβ in a PPARγ-dependent manner
  • SiglecF+ neutrophils expanded in infarcted PD heart, depositing collagen and activating fibroblasts to cause excessive fibrosis
  • SiglecF+ neutrophil depletion mitigated fibrosis

Original publication

Periodontitis-related myocardial fibrosis by expansion of collagen-producing SiglecF+ neutrophils. Eur Heart J. Published 19 February 2025. doi:10.1093/eurheartj/ehaf049

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