Wu Lianpin, Mei Liqin, Chong Lin, Huang Yinqing, Li Yuechun, Chu Maoping, Yang Xiangjun
Department of Cardiology, The Second Affiliated Hospital of Wenzhou Medical University, 109 Xueyuan Road, Wenzhou 325027, Zhejiang, China; Department of Cardiology, The First Affiliated Hospital of Suzhou University, 188 Shizi Road, Suzhou 215006, Jiangsu, China.
Department of Oral Prophylaxis and Hygiene, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou 325027, China.
Life Sci. 2016 Jan 15;145:121-6. doi: 10.1016/j.lfs.2015.12.034. Epub 2015 Dec 17.
Many studies have demonstrated the potent effects of ARB administration on heart failure. However, the mechanism of the potent effects of ARB on cardiac remodeling is less well understood. We investigated the role of Olmesartan on the fibrosis and hypertrophy in mouse heart.
We employed TAC surgery, a mouse model of chronic cardiac failure. All the mice were separated into three groups: the sham group, TAC group and TAC plus Olmesartan group (given Olmesartan treatment after TAC). We analyzed left ventricle remodeling, and function by echocardiography or pathology. We further detected the level of marker genes involved in fibrosis and hypertrophy and in cultured neonatal rat cardiac fibroblasts and myocytes infected by constitutively active TAK1 and p38MAPK. After TAC, all the mice developed hypertrophy, worse cardiac function and malignant remodeling in left ventricle.
Olmesartan improved heart remodeling and function without changing pressure of blood. Moreover, Olmesartan reduced the level of transforming growth factor β activated kinase-1 (TAK1) and phospho-p38MAPK. In neonatal rat cardiac fibroblast cells and cardiomyocytes, Olmesartan also decreased TAK1 and p38MAPK activation triggered by TGFβ1 or AngII. The inhibitory effect of Olmesartan was abrogated by overexpression of constitutively active TAK1 and p38MAPK by adenovirus system.
Our results suggest Olmesartan improves heart remodeling and function induced by pressure overload. P38MAPK inactivation attenuated by olmesartan via inhibition of TAK1 pathway plays an important role in the process.
许多研究已证明使用血管紧张素Ⅱ受体阻滞剂(ARB)对心力衰竭有显著疗效。然而,ARB对心脏重塑产生显著疗效的机制尚不清楚。我们研究了奥美沙坦在小鼠心脏纤维化和肥大中的作用。
我们采用了慢性心力衰竭小鼠模型——主动脉缩窄(TAC)手术。所有小鼠分为三组:假手术组、TAC组和TAC加奥美沙坦组(TAC术后给予奥美沙坦治疗)。我们通过超声心动图或病理学分析左心室重塑和功能。我们进一步检测了在组成型活性TAK1和p38丝裂原活化蛋白激酶(p38MAPK)感染的新生大鼠心脏成纤维细胞和心肌细胞中涉及纤维化和肥大的标记基因水平。TAC术后,所有小鼠均出现肥大、心脏功能恶化和左心室恶性重塑。
奥美沙坦在不改变血压的情况下改善了心脏重塑和功能。此外,奥美沙坦降低了转化生长因子β激活激酶-1(TAK1)和磷酸化p38MAPK的水平。在新生大鼠心脏成纤维细胞和心肌细胞中,奥美沙坦也降低了由转化生长因子β1(TGFβ1)或血管紧张素Ⅱ(AngII)触发的TAK1和p38MAPK活化。通过腺病毒系统过表达组成型活性TAK1和p38MAPK可消除奥美沙坦的抑制作用。
我们的结果表明,奥美沙坦改善了压力超负荷诱导的心脏重塑和功能。奥美沙坦通过抑制TAK1途径使p38MAPK失活,在这一过程中起重要作用。