Based on those findings, scientists are pursuing interventions that would bring more balance to the healing process after a heart attack.
In a series of studies, the researchers have identified the cellular events that lead to a call for reinforcements – an extra wave of the first responders – to the site of repair. This process leads to the release of proinflammatory proteins at a point when they aren’t needed, creating conditions that may threaten optimum healing of the heart.
The first-responder cells in question are neutrophils, the most abundant of all white blood cells whose job is to heal wounds and clear away infection. Researchers are exploring potential drugs or genetic techniques that could block the call for neutrophil backups or limit the release of proteins that drive up inflammation.
“We just want to prevent further damage that happens to the heart by toning down the neutrophil response,” said Prabhakara Nagareddy, associate professor of cardiac surgery in The Ohio State University College of Medicine. “The neutrophils are misguided and they overreact. How can we tame them? How can we bring that down?
“We started looking at the role of inflammation in scar formation to see if we could potentially alter that process.”
The most recent study on this work is published in the Jan. 4, 2022, issue of the journal Circulation.