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Published on: May 26, 2022
(Pro)renin Receptor Blockade Ameliorates Cardiac Injury and Remodeling and Improves Function After
Leigh J Ellmers1, Miriam T Rademaker1, Christopher J Charles1
1Department of Medicine, Christchurch Heart Institute, University of Otago, Christchurch, New Zealand.
Background:
The (pro)renin receptor [(P)RR] is implicated in the pathogenesis of cardiovascular disease. We investigated the effects of (P)RR blockade after myocardial infarction (MI) in a mouse coronary-ligation model.
Methods And Results:
Mice underwent sham control surgeries (n = 8) or induction of MI followed by 28 days' treatment with a vehicle control (n = 8) or (P)RR antagonist (n = 8). Compared with sham control subjects, MI + vehicle mice demonstrated reduced left ventricular (LV) ejection fraction (LVEF: P < .001) and fractional shortening (P < .001), and increased LV end-systolic and -diastolic volumes (LVESV: P < .001; LVEDV: P < .001) 28 days after MI. In addition, MI decreased LV posterior wall and septal diameters (both P < .001), increased heart weight-body weight ratios (P < .05), LV collagen deposition, and cardiomyocyte diameter (both P < .001), and up-regulated collagen 1 (P < .01) and β-myosin heavy chain (β-MHC: P < .05) mRNA. Compared with MI + vehicle mice, (P)RR antagonism after MI reduced infarct size (P < .01), improved LVEF (P < .001), fractional shortening (P < .001), and stroke volume (P < .05), and decreased LVESV (P < .001) and LVEDV (P < .001). (P)RR antagonism also reversed MI-induced transmural thinning (P < .001) and reduced LV fibrosis (P < .01), cardiomyocyte size (P < .001), and ventricular collagen 1 (P < .01), β-MHC (P = .06), transforming growth factor β1 (P < .01), and angiotensin-converting enzyme (P < .05) expression.
Conclusions:
The present study found that (P)RR blockade after MI in mice ameliorates infarct size, cardiac fibrosis/hypertrophy, and cardiac dysfunction and identifies the receptor as a potential therapeutic target in this setting.
Insights
Blocking the (pro)renin receptor [(P)RR] after myocardial infarction (MI) in mice significantly improved cardiac function and reduced infarct size. This suggests (P)RR is a promising therapeutic target for treating heart damage post-MI.
Area of Science:
- Cardiovascular Research
- Molecular Cardiology
- Pharmacology
Background:
- The (pro)renin receptor [(P)RR] plays a role in cardiovascular disease.
- Investigating (P)RR blockade's effects post-myocardial infarction (MI) is crucial.
Purpose of the Study:
- To evaluate the therapeutic potential of (P)RR blockade in a mouse model of MI.
- To determine if inhibiting (P)RR can mitigate cardiac dysfunction and damage after MI.
Main Methods:
- Myocardial infarction (MI) was induced in mice via coronary ligation.
- Mice received either vehicle control or a (P)RR antagonist for 28 days post-MI.
- Cardiac function, infarct size, fibrosis, and gene expression were assessed.
Main Results:
- MI significantly reduced left ventricular ejection fraction and fractional shortening, while increasing cardiac volumes and fibrosis.
- (P)RR antagonism post-MI improved cardiac function (LVEF, fractional shortening, stroke volume).
- (P)RR blockade reduced infarct size, cardiac fibrosis, cardiomyocyte diameter, and expression of pro-fibrotic and hypertrophic markers.
Conclusions:
- (P)RR blockade effectively ameliorates cardiac dysfunction and pathological remodeling following MI in mice.
- The (pro)renin receptor represents a potential therapeutic target for managing myocardial infarction.
- Targeting (P)RR may offer a novel strategy to improve outcomes after heart attack.
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