Time-dependent changes of myocardial and systemic oxidative stress are dissociated after myocardial infarction

Takahiro Inoue1, Tomomi Ide, Mayumi Yamato

  • 1Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.

Free Radical Research
|December 3, 2008
PubMed

Insights

Following myocardial infarction (MI), cardiac reactive oxygen species (ROS) increase, but systemic markers in blood and urine do not reflect this. Myocardial ROS production is confirmed during cardiac remodelling and failure.

Area of Science:

  • Cardiovascular Research
  • Oxidative Stress Biology

Background:

  • Reactive oxygen species (ROS) are implicated in cardiac remodelling post-myocardial infarction (MI).
  • Limited longitudinal data exists on systemic oxidative stress correlating with myocardial ROS in heart failure.

Purpose of the Study:

  • To investigate systemic and myocardial oxidative stress markers during post-MI cardiac remodelling.
  • To determine if systemic ROS markers reflect myocardial ROS production in failing hearts.

Main Methods:

  • Mice underwent permanent left coronary artery occlusion to model MI.
  • Simultaneous sampling of urine, blood, and myocardium for ROS markers.
  • In vivo Electron Spin Resonance (ESR) used to measure cardiac ROS.

Main Results:

  • Systemic oxidative markers peaked early post-MI and normalized later.
  • Increased TBARS and 4-hexanoyl-Lys staining observed in non-infarct myocardium at day 28.
  • Enhanced ESR signal decay correlated with left ventricle dilatation and dysfunction.
  • Myocardial ROS production increased during cardiac remodelling and failure.

Conclusions:

  • Direct evidence confirms redox alterations and ROS production in the myocardium during cardiac remodelling and failure.
  • Systemic ROS markers in blood and urine are unreliable indicators of myocardial ROS production in heart failure.

Related Concept Videos

Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
Pathophysiology of Cardiac Performance01:29

Pathophysiology of Cardiac Performance

Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...