TY - JOUR A1 - Zechendorf, Elisabeth A1 - Vaßen, Phillip A1 - Zhang, Jieyi A1 - Hallawa, Ahmed A1 - Martincuks, Antons A1 - Krenkel, Oliver A1 - Müller-Newen, Gerhard A1 - Schuerholz, Tobias A1 - Simon, Tim-Philipp A1 - Marx, Gernot A1 - Ascheid, Gerd A1 - Schmeink, Anke A1 - Dartmann, Guido A1 - Thiemermann, Christoph A1 - Martin, Lukas T1 - Heparan sulfate induces necroptosis in murine cardiomyocytes: A medical-in silico approach combining in vitro experiments and machine learning T2 - Frontiers in Immunology N2 - Life-threatening cardiomyopathy is a severe, but common, complication associated with severe trauma or sepsis. Several signaling pathways involved in apoptosis and necroptosis are linked to trauma- or sepsis-associated cardiomyopathy. However, the underling causative factors are still debatable. Heparan sulfate (HS) fragments belong to the class of danger/damage-associated molecular patterns liberated from endothelial-bound proteoglycans by heparanase during tissue injury associated with trauma or sepsis. We hypothesized that HS induces apoptosis or necroptosis in murine cardiomyocytes. By using a novel Medical-In silico approach that combines conventional cell culture experiments with machine learning algorithms, we aimed to reduce a significant part of the expensive and time-consuming cell culture experiments and data generation by using computational intelligence (refinement and replacement). Cardiomyocytes exposed to HS showed an activation of the intrinsic apoptosis signal pathway via cytochrome C and the activation of caspase 3 (both p < 0.001). Notably, the exposure of HS resulted in the induction of necroptosis by tumor necrosis factor α and receptor interaction protein 3 (p < 0.05; p < 0.01) and, hence, an increased level of necrotic cardiomyocytes. In conclusion, using this novel Medical-In silico approach, our data suggest (i) that HS induces necroptosis in cardiomyocytes by phosphorylation (activation) of receptor-interacting protein 3, (ii) that HS is a therapeutic target in trauma- or sepsis-associated cardiomyopathy, and (iii) indicate that this proof-of-concept is a first step toward simulating the extent of activated components in the pro-apoptotic pathway induced by HS with only a small data set gained from the in vitro experiments by using machine learning algorithms. KW - septic cardiomyopathy KW - necroptosis KW - apoptosis KW - Petri nets KW - modeling KW - optimization KW - small data KW - Herzmuskelkrankheit KW - Apoptosis KW - Maschinelles Lernen Y1 - 2018 UR - https://hst.opus.hbz-nrw.de/frontdoor/index/index/docId/90 UR - https://nbn-resolving.org/urn:nbn:de:hbz:tr5-904 VL - 9 SP - 1 EP - 12 PB - Frontiers Media ER -