Chanzyme TRPM7 protects against cardiovascular inflammation and fibrosis.

Aims Transient Receptor Potential Melastatin 7 (TRPM7) cation channel is a chanzyme (channel + kinase) that influences cellular Mg2+ homeostasis and vascular signalling. However, the pathophysiological significance of TRPM7 in the cardiovascular system is unclear. The aim of this study was to investigate the role of this chanzyme in the cardiovascular system focusing on inflammation and fibrosis. Methods and results TRPM7-deficient mice with deletion of the kinase domain (TRPM7(+/Delta kinase)) were studied and molecular mechanisms investigated in TRPM7(+/Delta kinase) bone marrow-derived macrophages (BMDM) and co-culture systems with cardiac fibroblasts. TRPM7-deficient mice had significant cardiac hypertrophy, fibrosis, and inflammation. Cardiac collagen and fibronectin content, expression of pro-inflammatory mediators (SMAD3, TGF beta) and cytokines [interleukin (IL)-6, IL-10, IL-12, tumour necrosis factor-alpha] and phosphorylation of the pro-inflammatory signalling molecule Stat1, were increased in TRPM7(+/Delta kinase) mice. These processes were associated with infiltration of inflammatory cells (F4/80(+)CD206(+) cardiac macrophages) and increased galectin-3 expression. Cardiac [Mg2+](i), but not [Ca2+](i), was reduced in TRPM7(+/Delta kinase) mice. Calpain, a downstream TRPM7 target, was upregulated (increased expression and activation) in TRPM7(+/Delta kinase) hearts. Vascular functional and inflammatory responses, assessed in vivo by intra-vital microscopy, demonstrated impaired neutrophil rolling, increased neutrophil: endothelial attachment and transmigration of leucocytes in TRPM7(+/Delta kinase) mice. TRPM7(+/Delta kinase) BMDMs had increased levels of galectin-3, IL-10, and IL-6. In co-culture systems, TRPM7(+/Delta kinase) macrophages increased expression of fibronectin, proliferating cell nuclear antigen, and TGF beta in cardiac fibroblasts from wild-type mice, effects ameliorated by MgCl2 treatment. Conclusions We identify a novel anti-inflammatory and anti-fibrotic role for TRPM7 and suggest that its protective effects are mediated, in part, through Mg2+-sensitive processes.