Wu Jia-Ping, Hsieh Cheng-Hong, Ho Tsung-Jung, Kuo Wei-Wen, Yeh Yu-Lan, Lin Chien-Chung, Kuo Chia-Hua, Huang Chih-Yang
Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan.
BMC Cardiovasc Disord. 2014 Dec 19;14:195. doi: 10.1186/1471-2261-14-195.
Aging is associated with physiological or pathological left ventricular hypertrophy (LVH) cardiac changes. Secondhand smoke (SHS) exposure is associated with pathological LVH. The action mechanism in cardiac concentric hypertrophy from SHS exposure is understood, but the transition contributed from SHS exposure is not. To determine whether exposure to SHS has an impact on age-induced LVH we examined young and old hamsters that underwent SHS exposure in a chamber for 30 mins.
Morphological and histological studies were then conducted using hematoxylin and eosin (H&E) and Masson's trichrome staining. Echocardiographic analysis was used to determine left ventricular wall thickness and function. LVH related protein expression levels were detected by western blot analysis.
The results showed that both young and aged hamsters exposed to SHS exhibited increased heart weights and left ventricular weights, left ventricular posterior wall thickness and intraventricular septum systolic and diastolic pressure also increased. However, left ventricular function systolic and diastolic pressure deteriorated. H&E and Masson's trichrome staining results showed LV papillary muscles were ruptured, resulting in lower cardiac function at the myocardial level. LV muscle fiber arrangement was disordered and collagen accumulation occurred. Concentric LVH related protein molecular markers increased only in young hamsters exposed to SHS. However, this declined with hamster age. By contrast, eccentric LVH related proteins increased in aging hamsters exposed the SHS. Pro-inflammatory proteins, IL-6, TNF-α, JAK1, STAT3, and SIRTI expression increased in aging hamsters exposed to SHS.
We suggest that SHS exposure induces a pro-inflammatory response that results in concentric transition to aging eccentric LVH.
衰老与生理性或病理性左心室肥厚(LVH)心脏变化相关。接触二手烟(SHS)与病理性LVH相关。SHS暴露导致心脏向心性肥厚的作用机制已为人所知,但SHS暴露导致的转变机制尚不清楚。为了确定SHS暴露是否对年龄诱导的LVH有影响,我们检查了在一个舱内接受30分钟SHS暴露的年轻和老年仓鼠。
然后使用苏木精和伊红(H&E)以及Masson三色染色进行形态学和组织学研究。超声心动图分析用于确定左心室壁厚度和功能。通过蛋白质印迹分析检测LVH相关蛋白表达水平。
结果表明,暴露于SHS的年轻和老年仓鼠均表现出心脏重量和左心室重量增加,左心室后壁厚度以及室间隔收缩压和舒张压也增加。然而,左心室功能收缩压和舒张压恶化。H&E和Masson三色染色结果显示LV乳头肌破裂,导致心肌水平的心脏功能降低。LV肌纤维排列紊乱并发生胶原积累。仅在暴露于SHS的年轻仓鼠中,向心性LVH相关蛋白分子标志物增加。然而,随着仓鼠年龄的增长,这种情况会下降。相比之下,在暴露于SHS的衰老仓鼠中,离心性LVH相关蛋白增加。在暴露于SHS的衰老仓鼠中,促炎蛋白、IL-6、TNF-α、JAK1、STAT3和SIRTI表达增加。
我们认为,SHS暴露会引发促炎反应,导致向心性转变为衰老离心性LVH。