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Implantation of an Isoproterenol Mini-Pump to Induce Heart Failure in Mice
Published on: October 3, 2019
Testosterone improves cardiac function and alters angiotensin II receptors in isoproterenol-induced heart failure
Ning-Ning Kang1, Lu Fu, Jin Xu
1Department of Cardiovascular Medicine, First Affiliated Hospital, Harbin Medical University, China.
Insights
Testosterone therapy may benefit heart failure by reducing cardiomyocyte apoptosis and fibrosis. Castration worsened heart failure, while testosterone replacement improved cardiac function and Bcl-2 protein expression.
Area of Science:
- Cardiovascular Research
- Endocrinology
- Molecular Biology
Background:
- The renin-angiotensin-aldosterone system is implicated in heart failure pathophysiology.
- Testosterone's benefits in heart failure are reported, but mechanisms need elucidation.
Purpose of the Study:
- To investigate the impact of castration and testosterone on cardiac function and angiotensin II receptor activity in a rat model of heart failure.
Main Methods:
- Rats with isoproterenol-induced heart failure underwent castration, testosterone replacement, or sham procedures.
- Cardiac function was assessed via echocardiography and hemodynamics.
- Apoptosis, fibrosis, AT1/AT2 receptor mRNA, and Bcl-2 protein levels were quantified.
Main Results:
- Castration exacerbated isoproterenol-induced cardiomyocyte apoptosis and fibrosis.
- Testosterone replacement in castrated rats increased Bcl-2 protein and modulated AT2 receptor mRNA expression.
Conclusions:
- Androgen therapy shows potential in managing heart failure pathophysiology.
- Testosterone replacement may offer beneficial effects for heart failure treatment.
Background:
The renin-angiotensin-aldosterone system is known to play an important role in the pathophysiology and development of heart failure. Several studies have reported the benefits of testosterone in heart failure. However, the mechanisms of testosterone-induced effects on heart failure require further study.
Aims:
To determine the effects of castration and testosterone administration on cardiac function and angiotensin II receptor function in rats with isoproterenol-induced heart failure.
Methods:
Wistar rats were divided randomly into control and heart failure groups. The heart failure groups were further divided into the following groups: castration; castration+testosterone replacement; and sham castration. Echocardiography and haemodynamic measurements were used to evaluate cardiac function. Cardiocyte apoptosis and fibrosis were determined using terminal deoxyribonucleotide transferase-mediated dUTP nick-end labelling (TUNEL) staining and Masson's Trichrome staining, respectively. Angiotensin II receptor (AT1 and AT2) messenger ribonucleic acid (mRNA) expression levels were assayed using real-time reverse transcriptase-polymerase chain reactions, while Western immunoblotting was used to estimate Bcl-2 protein expression levels.
Results:
Castration significantly increased cardiomyocyte apoptosis and fibrosis that was normally induced by isoproterenol (P<0.05). AT2 receptor mRNA expression in the castration group was increased and Bcl-2 protein expression was decreased compared with the castration+testosterone replacement group (P<0.05).
Conclusion:
These data suggest that androgen therapy could play an important role in pathophysiological changes in heart failure and have beneficial effects for its treatment.
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