Treg Cells Attenuate Pulmonary Venous Remodeling in PH-LHD via NLRC3 Signaling | Circulation Research

BACKGROUND: Pulmonary venous remodeling is a key pathological feature of pulmonary hypertension associated with left heart disease (PH-LHD). This study aims to investigate the role of regulatory T (Treg) cells in this process. METHODS: We used mouse models with transverse aortic constriction and cell depletion of Foxp3-DTR/tdTomato mice to examine Treg cells’ function around pulmonary veins in PH-LHD in vivo. To confirm the effect of Nlrc3−/− Treg cells on PH-LHD, we utilized 3 mouse models: Nlrc3 knockout mice, athymic mice, and endothelial cell lineage tracing Cdh5CreERT2+/−-mT/mG+/− mice. The interaction proteins and signaling pathways of Treg cells during endothelial-to-mesenchymal transition were elucidated by protein docking prediction, coimmunoprecipitation and cocultivation of Treg cells with venous endothelial cells. RESULTS: Treg cells were abundant around pulmonary veins of transverse aortic constriction–induced PH-LHD and were essential for promoting inflammation resolution

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