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Published on: November 6, 2013
Oxidative stress and heart failure
N Singh1, A K Dhalla, C Seneviratne
1Division of Cardiovascular Sciences, St. Boniface General Hospital Research Centre, Unviersity of Manitoba, Winnipeg, Canada.
Insights
Heart hypertrophy increases antioxidant reserve, reducing oxidative stress. However, heart failure depletes this reserve, increasing oxidative stress and leading to myocardial dysfunction, highlighting the role of antioxidants in heart health.
Area of Science:
- Cardiology
- Biochemistry
- Pathophysiology
Background:
- The transition from cardiac hypertrophy to heart failure involves unknown mechanisms.
- Oxidative stress is increasingly recognized as a key factor in heart failure development.
Purpose of the Study:
- To investigate changes in antioxidant status during cardiac hypertrophy and heart failure.
- To elucidate the role of oxidative stress in the progression of heart disease.
Main Methods:
- Induction of cardiac hypertrophy in rats and guinea pigs via pressure overload.
- Assessment of antioxidant reserve and oxidative stress markers in hypertrophied and failing hearts.
- Evaluation of antioxidant treatment efficacy in experimental heart failure models.
Main Results:
- Cardiac hypertrophy was associated with increased antioxidant reserve and decreased oxidative stress.
- Hypertrophied hearts exhibited enhanced tolerance to oxidative challenges.
- Heart failure stages (acute and chronic) showed reduced antioxidant reserve and elevated oxidative stress.
- Antioxidant treatment demonstrated protective effects in both acute and chronic heart failure.
Conclusions:
- Adequate antioxidant reserve is crucial for maintaining myocardial function.
- Depletion of antioxidant reserve contributes to the development of heart failure.
- Targeting oxidative stress with antioxidants may be a viable therapeutic strategy for heart failure.
Abstract:
Various abnormalities have been implicated in the transition of hypertrophy to heart failure but the exact mechanism is still unknown. Thus heart failure subsequent to hypertrophy remains a major clinical problem. Recently, oxidative stress has been suggested to play a critical role in the pathogenesis of heart failure. Here we describe antioxidant changes as well as their significance during hypertrophy and heart failure stages. Heart hypertrophy in rats and guinea pigs, in response to pressure overload, is associated with an increase in 'antioxidant reserve' and a decrease in oxidative stress. Hypertrophied rat hearts show increased tolerance for different oxidative stress conditions such as those imposed by free radicals, hypoxia-reoxygenation and ischemia-reperfusion. On the other hand, heart failure under acute as well as chronic conditions is associated with reduced antioxidant reserve and increased oxidative stress. The latter may have a causal role as suggested by the protection seen with antioxidant treatment in acute as well as in chronic heart failure. It is becoming increasingly apparent that, anytime the available antioxidant reserve in the cell becomes inadequate, myocardial dysfunction is imminent.
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