RT Journal Article T1 Follistatin-Like 3 Mediates Paracrine Fibroblast Activation by Cardiomyocytes A1 Panse, Kalyani D. A1 Felkin, Leanne E. A1 López-Olañeta, Marina M. A1 Gómez-Salinero, Jesús A1 Muñoz, Lucía A1 Nakamura, Kazuto A1 Shimano, Masayuki A1 Walsh, Kenneth A1 Barton, Paul J. R. A1 Rosenthal, Nadia A1 Lara-Pezzi, Enrique A1 Villalba Orero, María AB Follistatins are extracellular inhibitors of the TGF-beta family ligands including activin A, myostatin and bone morphogenetic proteins. Follistatin-like 3 (FSTL3) is a potent inhibitor of activin signalling and antagonises the cardioprotective role of activin A in the heart. FSTL3 expression is elevated in patients with heart failure and is upregulated in cardiomyocytes by hypertrophic stimuli, but its role in cardiac remodelling is largely unknown. Here, we show that the production of FSTL3 by cardiomyocytes contributes to the paracrine activation of cardiac fibroblasts, inducing changes in cell adhesion, promoting proliferation and increasing collagen production. We found that FSTL3 is necessary for this response and for the induction of cardiac fibrosis. However, full activation requires additional factors, and we identify connective tissue growth factor as a FSTL3 binding partner in this process. Together, our data unveil a novel mechanism of paracrine communication between cardiomyocytes and fibroblasts that may provide potential as a therapeutic target in heart remodelling. PB Springer SN 1937-5387 SN 1937-5395 YR 2012 FD 2012-08-23 LK https://hdl.handle.net/20.500.14352/95605 UL https://hdl.handle.net/20.500.14352/95605 LA eng NO British Heart Foundation NO Unión Europea NO Ministerio de Ciencia e Innovación NO Comunidad de Madrid DS Docta Complutense RD 21 abr 2025