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Published on: April 8, 2013
Guanylyl cyclase activator ataciguat improves vascular function and reduces platelet activation in heart failure
Andreas Schäfer1, Daniela Fraccarollo, Lennart Werner
1Medizinische Klinik und Poliklinik I, Universitätsklinikum Würzburg, Bayerische Julius-Maximilians-Universität Würzburg, Germany. a.schaefer@medizin.uni-wuerzburg.de
Insights
Activating soluble guanylyl cyclase (sGC) with ataciguat improved blood vessel function and reduced platelet activation in rats with heart failure. This suggests a potential therapeutic strategy for cardiovascular conditions.
Area of Science:
- Cardiovascular Science
- Pharmacology
- Physiology
Background:
- Congestive heart failure (CHF) is characterized by endothelial dysfunction and platelet activation.
- Impaired nitric oxide (NO) signaling contributes to these cardiovascular issues in CHF.
Purpose of the Study:
- To investigate the effects of chronic soluble guanylyl cyclase (sGC) activation on vascular function and platelet activation in experimental CHF.
- To assess whether the sGC activator ataciguat could beneficially modulate these parameters.
Main Methods:
- Myocardial infarction was induced in rats to create a CHF model.
- Animals were treated with either placebo or the sGC activator ataciguat.
- Hemodynamics, vasomotor function, NO bioavailability (VASP phosphorylation), and platelet activation (P-selectin) were assessed.
Main Results:
- Ataciguat normalized impaired endothelium-dependent vasorelaxation and vascular sensitivity to NO in CHF rats.
- Treatment with ataciguat restored NO bioavailability, indicated by normalized VASP phosphorylation in platelets.
- Ataciguat significantly reduced platelet activation in CHF rats.
Conclusions:
- Chronic activation of sGC with ataciguat improved vasomotor function in experimental CHF.
- sGC activation effectively reduced platelet activation in this CHF model.
Introduction:
Endothelial dysfunction and platelet activation due to impaired endogenous platelet inhibition by nitric oxide (NO) are part of the cardiovascular phenotype in congestive heart failure (CHF). We investigated whether chronic activation of the NO target enzyme soluble guanylyl cyclase (sGC) would beneficially modulate vascular function and platelet activation in experimental CHF.
Materials And Methods:
Chronic myocardial infarction was induced by coronary ligation in male Wistar rats. Animals were either treated with placebo or the sGC activator ataciguat (10 mg/kg/twice daily by gavage). After 10 weeks, hemodynamic assessment was performed and only animals with impaired left-ventricular end-diastolic pressures of more than 15 mmHg were included in the analysis. Vasomotor function was determined in organ bath studies. NO bioavailability was assessed by in vivo platelet vasodilator-stimulated phosphoprotein (VASP) phosphorylation. P-selectin was determined as a marker of platelet degranulation.
Results:
Endothelium-dependent, NO-mediated vasorelaxation as well as vascular sensitivity to exogenous NO were significantly impaired in aortic rings from CHF rats and normalised by ataciguat. In parallel, in vivo VASP phosphorylation reflecting NO bioavailability was significantly attenuated in platelets from CHF rats and normalised by ataciguat. Platelet activation, which was increased in CHF, was reduced by treatment with ataciguat.
Conclusion:
Chronic sGC activation improved vasomotor function and reduced platelet activation in CHF rats.
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