Jones Steven P, Greer James J M, Ware Paul D, Yang Jiang, Walsh Kenneth, Lefer David J
Division of Cardiology, Department of Medicine, University of Louisville School of Medicine, Kentucky, USA.
Am J Physiol Heart Circ Physiol. 2005 Jan;288(1):H365-70. doi: 10.1152/ajpheart.00245.2004. Epub 2004 Aug 19.
Inducible nitric oxide synthase (iNOS) has been implicated in the pathophysiology of congestive heart failure (CHF). Given the extensive evidence supporting this concept, we hypothesized that iNOS deficiency (iNOS(-/-)) would attenuate the severity of CHF in mice. Mice were subjected to permanent occlusion [myocardial infarction (MI)] of the proximal left anterior descending coronary artery to produce CHF. Cardiac function was assessed in vivo using echocardiography and ultraminiature ventricular pressure catheters. Sham wild-type (n = 17), sham iNOS(-/-) (n = 8), MI wild-type (n = 56), and MI iNOS(-/-) (n = 48) mice were subjected to MI (or sham MI) and followed for 1 mo. Deficiency of iNOS did not alter survival during CHF compared with wild type (35% vs. 32%, P = not significant). Furthermore, fractional shortening and cardiac output were not significantly different between wild-type (9.6 +/- 2.0% and 441 +/- 20 microl.min(-1).g(-1)) and iNOS(-/-) (9.8 +/- 1.3% and 471 +/- 26 microl.min(-1).g(-1)) mice. The extent of cardiac hypertrophy and pulmonary edema was also similar between wild-type and iNOS(-/-) mice. None of the indexes demonstrated any significant differences between iNOS(-/-) and wild-type mice subjected to MI. These findings indicate that deficiency of iNOS does not significantly affect severe CHF in mice after MI.
诱导型一氧化氮合酶(iNOS)与充血性心力衰竭(CHF)的病理生理学有关。鉴于有大量证据支持这一概念,我们推测iNOS缺陷(iNOS-/-)会减轻小鼠CHF的严重程度。将小鼠的左冠状动脉前降支近端进行永久性闭塞[心肌梗死(MI)]以诱发CHF。使用超声心动图和超微型心室压力导管在体内评估心脏功能。对假手术野生型(n = 17)、假手术iNOS-/-(n = 8)、MI野生型(n = 56)和MI iNOS-/-(n = 48)小鼠进行MI(或假手术MI)并随访1个月。与野生型相比,iNOS缺陷并未改变CHF期间的生存率(35%对32%,P = 无显著性差异)。此外,野生型(9.6±2.0%和441±20μl·min-1·g-1)和iNOS-/-(9.8±1.3%和471±26μl·min-1·g-1)小鼠之间的缩短分数和心输出量无显著差异。野生型和iNOS-/-小鼠之间的心脏肥大程度和肺水肿程度也相似。在接受MI的iNOS-/-和野生型小鼠之间,没有任何指标显示出显著差异。这些发现表明,iNOS缺陷对MI后小鼠的严重CHF没有显著影响。