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Caspase-3 Activity in the Rat Amygdala Measured by Spectrofluorometry After Myocardial Infarction
Published on: January 12, 2016
Vitamins C and E attenuate apoptosis, beta-adrenergic receptor desensitization, and sarcoplasmic reticular Ca2+
Fuzhong Qin1, Chen Yan, Ravish Patel
1Cardiology Unit, Department of Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA. fqin@bu.edu
Insights
Antioxidant vitamins C and E reduced oxidative stress, myocyte apoptosis, and improved heart function in rabbits with heart failure after myocardial infarction. This suggests antioxidant therapy may benefit heart failure patients.
Area of Science:
- Cardiology
- Biochemistry
- Molecular Biology
Background:
- Oxidative stress is implicated in heart failure (HF) pathogenesis, contributing to ventricular remodeling and dysfunction.
- The precise mechanisms by which oxidative stress affects HF progression remain incompletely understood.
- Key cellular processes affected include myocyte apoptosis, beta-adrenergic receptor signaling, and calcium handling.
Purpose of the Study:
- To investigate if combined antioxidant vitamins (C and E) can mitigate myocyte apoptosis, beta-adrenergic receptor desensitization, and sarcoplasmic reticular (SR) Ca2+ ATPase downregulation in HF post-myocardial infarction (MI).
- To determine if these cellular effects correlate with improved left ventricular (LV) remodeling and function.
- To assess the therapeutic potential of antioxidant vitamins in HF.
Main Methods:
- Rabbits underwent myocardial infarction (MI) or sham operation, followed by 11 weeks of treatment with vitamin C (300 mg) and vitamin E (300 mg) or placebo.
- Left ventricular (LV) function was assessed using fractional shortening and maximal rate of pressure rise (dP/dt).
- Oxidative stress markers, apoptotic markers (Bcl-2, Bax, caspases), beta-adrenergic receptor sensitivity, and SR Ca2+ ATPase levels were quantified.
Main Results:
- MI rabbits showed cardiac dilation, LV dysfunction, elevated oxidative stress, increased myocyte apoptosis, and impaired beta-adrenergic receptor and SR Ca2+ ATPase function.
- Combined vitamin C and E treatment significantly reduced oxidative stress and myocyte apoptosis.
- Antioxidant therapy normalized beta-adrenergic receptor sensitivity and SR Ca2+ ATPase function, attenuating LV remodeling and dysfunction.
Conclusions:
- Combined antioxidant vitamin therapy effectively reduces oxidative stress and myocyte apoptosis in a rabbit model of heart failure post-MI.
- This therapeutic approach preserves beta-adrenergic receptor sensitivity and SR Ca2+ ATPase function, leading to improved cardiac structure and function.
- Antioxidant therapy represents a promising strategy for managing heart failure.
Abstract:
Oxidative stress plays an important role in mediating ventricular remodeling and dysfunction in heart failure (HF), but its mechanism of action has not been fully elucidated. In this study we determined whether a combination of antioxidant vitamins reduced myocyte apoptosis, beta-adrenergic receptor desensitization, and sarcoplasmic reticular (SR) Ca2+ ATPase downregulation in HF after myocardial infarction (MI) and whether these effects were associated with amelioration of left ventricular (LV) remodeling and dysfunction. Vitamins (vitamin C 300 mg and vitamin E 300 mg) were administered to rabbits 1 week after MI or sham operation for 11 weeks. The results showed that MI rabbits exhibited cardiac dilation and LV dysfunction measured by fractional shortening and the maximal rate of pressure rise (dP/dt), an index of contractility. These changes were associated with elevation of oxidative stress, decreases of mitochondrial Bcl-2 and cytochrome c proteins, increases of cytosolic Bax and cytochrome c proteins, caspase 9 and caspase 3 activities and myocyte apoptosis, and downregulation of beta-adrenergic receptor sensitivity and SR Ca2+ ATPase. Combined treatment with vitamins C and E diminished oxidative stress, increased mitochondrial Bcl-2 protein, decreased cytosolic Bax, prevented cytochrome c release from mitochondria to cytosol, reduced caspase 9 and caspase 3 activities and myocyte apoptosis, blocked beta-adrenergic receptor desensitization and SR Ca2+ ATPase downregulation, and attenuated LV dilation and dysfunction in HF after MI. The results suggest that antioxidant therapy may be beneficial in HF.
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