Department of Internal Medicine, Botucatu Medical School, São Paulo State University (UNESP), Botucatu, São Paulo 18618687, Brazil.
Department of Morphology, Institute of Biosciences, São Paulo State University (UNESP), Botucatu, São Paulo 18618970, Brazil.
Life Sci. 2020 Jul 1;252:117650. doi: 10.1016/j.lfs.2020.117650. Epub 2020 Apr 12.
It has been described that the cardiac dysfunction in the obesity model is because of collagen imbalance and that angiotensin II (Ang II) contributes to myocardial fibrosis. However, it remains undefined if changes in collagen I and III metabolism in obesity is due to the renin-angiotensin system (RAS) dysregulation from myocardium or excessive adipose tissue.
This study aimed to verify whether the changes in myocardial collagen metabolism result from RAS deregulation of cardiac or adipose tissue in an obesity model.
Wistar rats were fed with control (CD) and high-fat (HFD) diets for 30 weeks. After the dietary intervention, animals were assigned to be treated with losartan at the 30 mg/kg/day dosage or kept untreated for an additional five weeks.
HFD induced obesity, comorbidities, and cardiac collagen overexpression. The HFD group presented an increase in Ang II levels in both adipose tissue and plasma, as well as AT1 receptor expression in cardiac tissue. Of note, the myocardial Ang II was not changed in the HFD group. Losartan administration reduced some obesity-induced comorbidities regardless of weight loss. The AT1 receptor blockade also decreased the release of Ang II from adipose tissue and myocardial AT1 receptor and collagen.
It was seen that excessive adipose tissue is responsible for the exacerbated circulating Ang II, which induced cardiac fibrosis development.
已经有人描述过肥胖模型中心律失常是由于胶原失衡,血管紧张素 II(Ang II)有助于心肌纤维化。然而,在肥胖症中,I 型和 III 型胶原代谢的变化是否是由于心肌或过多脂肪组织的肾素-血管紧张素系统(RAS)失调引起的,这一点仍未确定。
本研究旨在验证肥胖模型中心肌胶原代谢的变化是否是由于心脏或脂肪组织的 RAS 失调引起的。
Wistar 大鼠用对照(CD)和高脂肪(HFD)饮食喂养 30 周。饮食干预后,动物被分为接受氯沙坦(30mg/kg/天)治疗或不治疗 5 周。
HFD 诱导肥胖、合并症和心肌胶原过度表达。HFD 组在脂肪组织和血浆中均增加了 Ang II 水平,以及心脏组织中 AT1 受体表达。值得注意的是,HFD 组心肌中的 Ang II 没有变化。氯沙坦治疗减轻了一些肥胖引起的合并症,而不管体重减轻与否。AT1 受体阻断也减少了脂肪组织和心肌 AT1 受体和胶原中 Ang II 的释放。
可以看出,过多的脂肪组织是导致循环 Ang II 加剧的原因,而 Ang II 又引起了心肌纤维化的发展。