Wang Hao, da Silva Jaqueline, Alencar Allan, Zapata-Sudo Gisele, Lin Marina R, Sun Xuming, Ahmad Sarfaraz, Ferrario Carlos M, Groban Leanne
*Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC;†Department of Internal Medicine, Section on Molecular Medicine, Wake Forest School of Medicine, Winston-Salem, NC;‡Institute of Biomedical Sciences, Drug Development Program, Federal University of Rio de Janeiro, Brazil;§Department of Surgery, Wake Forest School of Medicine, Winston-Salem, NC;¶Department of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC;‖Hypertension and Vascular Research Center, Wake Forest School of Medicine, Winston-Salem, NC; and**Sticht Center on Aging, Wake Forest School of Medicine, Winston-Salem, NC.
J Cardiovasc Pharmacol. 2016 Jul;68(1):49-57. doi: 10.1097/FJC.0000000000000385.
The incidence of left ventricular diastolic dysfunction (LVDD) increases in women after menopause, yet the mechanisms are unclear. Because mast cells participate in the pathological processes of various cardiac diseases, we hypothesized that mast cell inhibition would protect against estrogen loss-induced LVDD. The mast cell stabilizer, cromolyn sodium (30 mg·kg·d), or vehicle was administered subcutaneously by osmotic minipump to ovariectomized (OVX) female Fischer 344 × Brown Norway (F344BN) rats starting at 4 weeks after surgery. Eight weeks after OVX, systolic blood pressure increased by 20% in OVX versus sham rats, and this effect was attenuated after 4 weeks of cromolyn treatment. Also, cromolyn mitigated the adverse reductions in myocardial relaxation (e') and increases in left ventricle (LV) filling pressures (E/e'), LV mass, wall thicknesses, and interstitial fibrosis from OVX. Although cardiac mast cell number was increased after OVX, cardiac chymase activity was not overtly altered by estrogen status and tended to decrease by cromolyn. Contrariwise, Ang II content was greater in hearts of OVX versus sham rats, and cromolyn attenuated this effect. Taken together, mast cell inhibition with cromolyn attenuates LV remodeling and LVDD in OVX-Fischer 344 × Brown Norway rats possibly through actions on the heart level and/or through vasodilatory effects at the vascular level.
绝经后女性左心室舒张功能障碍(LVDD)的发生率会升高,但其机制尚不清楚。由于肥大细胞参与多种心脏疾病的病理过程,我们推测抑制肥大细胞可预防雌激素缺乏所致的LVDD。从术后4周开始,通过渗透微型泵给卵巢切除(OVX)的雌性Fischer 344×Brown Norway(F344BN)大鼠皮下注射肥大细胞稳定剂色甘酸钠(30 mg·kg·d)或赋形剂。OVX术后8周,OVX大鼠的收缩压比假手术大鼠升高了20%,色甘酸钠治疗4周后这种效应减弱。此外,色甘酸钠减轻了OVX所致的心肌舒张功能不良降低(e')以及左心室(LV)充盈压升高(E/e')、LV质量增加、室壁厚度增加和间质纤维化。虽然OVX后心脏肥大细胞数量增加,但心脏糜蛋白酶活性并未因雌激素状态而明显改变,色甘酸钠有使其降低的趋势。相反,OVX大鼠心脏中的血管紧张素II含量高于假手术大鼠,色甘酸钠减弱了这种效应。综上所述,色甘酸钠抑制肥大细胞可能通过在心脏水平的作用和/或在血管水平的血管舒张作用减轻OVX-Fischer 344×Brown Norway大鼠的LV重塑和LVDD。