Oudit Gavin Y, Trivieri Maria G, Khaper Neelam, Husain Taneya, Wilson Greg J, Liu Peter, Sole Michael J, Backx Peter H
Department of Physiology, Toronto General Hospital, University Health Network, Heart and Stroke/Richard Lewar Centre of Excellence, University of Toronto, Toronto, Ontario, Canada.
Circulation. 2004 Apr 20;109(15):1877-85. doi: 10.1161/01.CIR.0000124229.40424.80. Epub 2004 Mar 22.
Iron overload has an increasing worldwide prevalence and is associated with significant cardiovascular morbidity and mortality. Elevated iron levels in the myocardium lead to impaired systolic and diastolic function and elevated oxidative stress. Taurine accounts for 25% to 50% of the amino acid pool in myocardium, possesses antioxidant properties, and can inhibit L-type Ca2+ channels. Thus, we hypothesized that this agent would reduce the cardiovascular effects of iron overload.
Iron-overloaded mice were generated by intraperitoneal injection of iron either chronically (5 days per week for 13 weeks) or subacutely (5 days per week for 4 weeks). Iron overload causes increased mortality, elevated oxidative stress, systolic and diastolic dysfunction, hypotension, and bradycardia. Taurine supplementation increased myocardial taurine levels by 45% and led to reductions in mortality and improved cardiac function, heart rate, and blood pressure in iron-overloaded mice. Histological examination of the myocardium revealed reduced apoptosis and interstitial fibrosis in iron-overloaded mice supplemented with taurine. Taurine mediated reduced oxidative stress in iron-overloaded mice along with attenuation of myocardial lipid peroxidation and protection of reduced glutathione level.
These results demonstrate that treatment with taurine reduces iron-mediated myocardial oxidative stress, preserves cardiovascular function, and improves survival in iron-overloaded mice. The role of taurine in protecting reduced glutathione levels provides an important mechanism by which oxidative stress-induced myocardial damage can be curtailed. Taurine, as a dietary supplement, represents a potential new therapeutic agent to reduce the cardiovascular burden from iron-overload conditions.
铁过载在全球范围内的患病率呈上升趋势,且与显著的心血管疾病发病率和死亡率相关。心肌中铁水平升高会导致收缩和舒张功能受损以及氧化应激增加。牛磺酸占心肌氨基酸池的25%至50%,具有抗氧化特性,并能抑制L型钙通道。因此,我们推测这种物质会减轻铁过载对心血管的影响。
通过腹腔注射铁来构建铁过载小鼠模型,分为慢性注射(每周5天,共13周)或亚急性注射(每周5天,共4周)。铁过载会导致死亡率增加、氧化应激升高、收缩和舒张功能障碍、低血压及心动过缓。补充牛磺酸使心肌牛磺酸水平提高了45%,并降低了铁过载小鼠的死亡率,改善了心脏功能、心率和血压。对心肌进行组织学检查发现,补充牛磺酸的铁过载小鼠的细胞凋亡和间质纤维化减少。牛磺酸可减轻铁过载小鼠的氧化应激,同时减轻心肌脂质过氧化并保护还原型谷胱甘肽水平。
这些结果表明,牛磺酸治疗可减轻铁介导的心肌氧化应激,维持心血管功能,并提高铁过载小鼠的存活率。牛磺酸在保护还原型谷胱甘肽水平方面的作用提供了一种重要机制,通过该机制可减少氧化应激诱导的心肌损伤。牛磺酸作为一种膳食补充剂,是一种潜在的新型治疗药物,可减轻铁过载状况下的心血管负担。