Cardiac injury is followed by
fibrosis, characterized by myofibroblast activation. Excessive deposition of extracellular matrix (ECM) impairs the plasticity of myocardium and results in myocardial systolic and diastolic dysfunction.
Mangiferin is a xanthonoid derivative rich in plants mangoes and iris unguicularis, exhibiting the ability to ameliorate metabolic disorders. This study aims to investigate whether
mangiferin attenuates cardiac
fibrosis via redox regulation. The transverse aortic constriction (TAC) in mice induced cardiac
fibrosis with impaired heart function.
Oral administration of
mangiferin (50 mg/kg, 4 weeks) inhibited myofibroblast activation with reduced formation of ECM. The impaired left ventricular contractive function was also improved by
mangiferin. TGF-β1 stimulation increased glutaminolysis to fuel intracellular
glutamate pool for the increased demands of nutrients to support cardiac myofibroblast activation.
Mangiferin degraded Keap1 to promote Nrf2
protein accumulation by improving its stability, leading to Nrf2 activation. Nrf2 transcriptionally promotes the synthesis of
antioxidant proteins. By activating Nrf2,
mangiferin promoted the synthesis of
glutathione (GSH) in cardiac fibroblasts, likely due to the consumption of glutaminolysis-derived
glutamate as a source. Meanwhile,
mangiferin promoted the exchange of intracellular
glutamate for the import of extracellular
cystine to support GSH generation. As a result of redistribution, the reduced
glutamate availability failed to support myofibroblast activation. In support of this, the addition of extracellular
glutamate or α-ketoglutarate diminished the inhibitory effects of
mangiferin on cardiac myofibroblast proliferation and activation. Moreover, cardiac knockdown of Nrf2 attenuated the cardioprotective effects of
mangiferin in mice subjected to TAC. In conclusion, we demonstrated that activated myofibroblasts were sensitive to
glutamate availability.
Mangiferin activated Nrf2 and redistributed intracellular
glutamate for the synthesis of GSH, consequently impairing cardiac myofibroblast activation due to decreased
glutamate availability. These results address that pharmacological activation of Nrf2 could restrain cardiac
fibrosis via metabolic regulation.