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Gene Transfer for Ischemic Heart Failure in a Preclinical Model
Published on: May 15, 2011
Tocotrienols confer resistance to ischemia in hypercholesterolemic hearts: insight with genomics
Somak Das1, Subhendu Mukherjee, Istvan Lekli
1Cardiovascular Research Center, University of Connecticut School of Medicine, Farmington, CT 06030-1110, USA.
Abstract:
Most clinical trials with vitamin E could not lower cholesterol and thus, have been deemed unsuccessful. Recently, tocotrienols, isomers of vitamin E have been found to lower LDL levels. To explore if tocotrienols could be the drug target for vitamin E, rabbits were kept on cholesterol diet for 60 days supplemented with tocotrienol-α, tocotrienol-δ, and tocotrienol-γ for the last 30 days. The serum cholesterol levels (in mmol/l) were 24.4 (tocotrienol-α), 34.9 (tocotrienol-δ), 19.8 (tocotrienol-γ) vs. 39.7 (control). Left ventricular function including aortic flow and developed pressure exhibited significantly improved recovery with tocotrienol-γ and -α, but not with tocotrienol-δ. The myocardial infarct size showed a similar pattern: 33% (tocotrienol-α), 23% (tocotrienol-γ), and 47% (tocotrienol-δ). To examine the molecular mechanisms of cardioprotective effects, gene expression profile was determined using Atlas 1.2/1.2II followed by determination of gene profiles using PedQuest 8.3 software. Based on genomic profiles, the following cholesterol-related proteins were examined: FABP, TGF-β (cholesterol suppresses TGF-β), ET-1 (increased by hypercholesterolemia), SPOT 14 (linked with hypercholesterolemia), and matrix metalloproteinase (MMP) 2 and MMP9 (cholesterol regulates MMP2 and MMP9 expression) in the heart. Consistent with the cardioprotective effects of tocotrienol-α and -γ, these two isomers reduced ET-1, decreased MMP2 and MM9, increased TGF-β and reduced SPOT 14, while tocotrienol-δ had no effects. The results of the present study demonstrate that the two isomers of tocotrienols, α and γ, render the hypercholesterolemic hearts resistant to ischemic reperfusion injury by lowering several hypercholesterolemic proteins including MMP2, MMP9, ET-1, and SPOT 14 and upregulating TGF-β.
Insights
Tocotrienols, vitamin E isomers, show promise in protecting hearts from cholesterol damage. Tocotrienol-gamma and -alpha significantly lowered cholesterol and improved heart function in rabbits, unlike tocotrienol-delta.
Area of Science:
- Cardiovascular Research
- Nutritional Biochemistry
- Molecular Medicine
Background:
- Vitamin E clinical trials often fail to lower cholesterol.
- Tocotrienols, isomers of vitamin E, have demonstrated LDL-lowering capabilities.
- Hypercholesterolemia significantly impacts cardiovascular health and cardiac function.
Purpose of the Study:
- To investigate the potential of tocotrienols as a therapeutic target for vitamin E in managing hypercholesterolemia.
- To evaluate the cardioprotective effects of different tocotrienol isomers (alpha, gamma, delta) in a rabbit model of hypercholesterolemia.
- To elucidate the molecular mechanisms underlying the cardioprotective effects of tocotrienols.
Main Methods:
- Rabbits were fed a cholesterol-rich diet for 60 days, with tocotrienol supplementation during the final 30 days.
- Serum cholesterol levels, left ventricular function (aortic flow, developed pressure), and myocardial infarct size were assessed.
- Gene expression profiling was performed to analyze molecular mechanisms, focusing on cholesterol-related proteins (FABP, TGF-β, ET-1, SPOT 14, MMP2, MMP9).
Main Results:
- Tocotrienol-gamma and -alpha significantly reduced serum cholesterol levels compared to the control group.
- Left ventricular function and recovery were significantly improved by tocotrienol-gamma and -alpha.
- Tocotrienol-gamma and -alpha reduced myocardial infarct size and modulated key proteins (ET-1, MMP2, MMP9, TGF-β, SPOT 14) associated with hypercholesterolemia and cardiac protection.
- Tocotrienol-delta did not show significant cardioprotective effects or impact cholesterol levels.
Conclusions:
- Tocotrienol-alpha and -gamma isomers demonstrate significant cardioprotective effects against ischemic reperfusion injury in hypercholesterolemic hearts.
- These protective effects are mediated by the reduction of hypercholesterolemia-related proteins (MMP2, MMP9, ET-1, SPOT 14) and the upregulation of TGF-β.
- Tocotrienols, specifically alpha and gamma isomers, represent a promising therapeutic strategy for managing cardiovascular complications associated with hypercholesterolemia.
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