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Sympathetic Nervous System Mediates Cardiac Remodeling After Myocardial Infarction in a Circadian Disruption Model.

作者信息

Wang Yuhong, Jiang Wanli, Chen Hu, Zhou Huixin, Liu Zhihao, Liu Zihan, Liu Zhihao, Zhou Yuyang, Zhou Xiaoya, Yu Lilei, Jiang Hong

机构信息

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.

Cardiac Autonomic Nervous Research Center, Wuhan University, Wuhan, China.

出版信息

Front Cardiovasc Med. 2021 Mar 26;8:668387. doi: 10.3389/fcvm.2021.668387. eCollection 2021.


DOI:10.3389/fcvm.2021.668387
PMID:33842566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8032890/
Abstract

Circadian rhythms have a considerable impact on the daily physiology of the heart, and their disruption causes pathology. Several studies have revealed that circadian disruption impaired cardiac remodeling after myocardial infarction (MI); however, the underlying brain-heart mechanisms remain unknown. We aim to discuss whether circadian disruption facilitates cardiac remodeling after MI by activating sympathetic nervous system. Rats were randomly divided into three groups: Sham group (Sham), MI group (MI), and MI+ circadian disruption group (MI+Dis); rats were treated with pseudorabies virus (PRV) injections for trans-synaptic retrograde tracing; rats were randomly divided into two groups: MI+ circadian disruption + Empty Vector+ clozapine N-oxide (CNO) (Empty Vector), and MI+ circadian disruption + hM4D(Gi)+ CNO [hM4D(Gi)]. Circadian disruption significantly facilitated cardiac remodeling after MI with lower systolic function, larger left ventricular volume, and aggravated cardiac fibrosis. Cardiac sympathetic remodeling makers and serum norepinephrine levels were also significantly increased by circadian disruption. PRV virus-labeled neurons were identified in the superior cervical ganglion (SCG), paraventricular nucleus (PVN), and suprachiasmatic nucleus (SCN) regions. Ganglionic blockade via designer receptors exclusively activated by designer drugs (DREADD) technique suppressed the activity of sympathetic nervous system and significantly alleviated the disruption-related cardiac dysfunction. Circadian disruption adversely affected cardiac remodeling after MI possibly by activating sympathetic nervous system, and suppressing sympathetic activity can attenuate this disruption-related cardiac dysfunction.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/88959477840c/fcvm-08-668387-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/e3855c3477f1/fcvm-08-668387-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/f8257b4f3d68/fcvm-08-668387-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/9bfb282f245d/fcvm-08-668387-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/73541f18f293/fcvm-08-668387-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/a217a5023ac8/fcvm-08-668387-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/88959477840c/fcvm-08-668387-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/e3855c3477f1/fcvm-08-668387-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/f8257b4f3d68/fcvm-08-668387-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/9bfb282f245d/fcvm-08-668387-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/73541f18f293/fcvm-08-668387-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/a217a5023ac8/fcvm-08-668387-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb9/8032890/88959477840c/fcvm-08-668387-g0006.jpg

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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
The frequency spectrum of sympathetic nerve activity and arrhythmogenicity in ambulatory dogs.

Heart Rhythm. 2021-3

[2]
Ablation of Neuroaxial in Patients with Ventricular Tachycardia.

Card Electrophysiol Clin. 2019-12

[3]
The role of low-level vagus nerve stimulation in cardiac therapy.

Expert Rev Med Devices. 2019-7-19

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Designer receptor technology for the treatment of epilepsy.

EBioMedicine. 2019-5-9

[5]
The DNA Methylation Status of Wnt and Tgfβ Signals Is a Key Factor on Functional Regulation of Skeletal Muscle Satellite Cell Development.

Front Genet. 2019-3-21

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The effects of interleukin 17A on left stellate ganglion remodeling are mediated by neuroimmune communication in normal structural hearts.

Int J Cardiol. 2019-1-4

[7]
Circadian rhythm of cardiac electrophysiology, arrhythmogenesis, and the underlying mechanisms.

Heart Rhythm. 2018-8-29

[8]
Mast cells modulate the pathogenesis of leptin-induced left stellate ganglion activation in canines.

Int J Cardiol. 2018-7-25

[9]
Chronic Intermittent Low-Level Stimulation of Tragus Reduces Cardiac Autonomic Remodeling and Ventricular Arrhythmia Inducibility in a Post-Infarction Canine Model.

JACC Clin Electrophysiol. 2016-6

[10]
Leptin injection into the left stellate ganglion augments ischemia-related ventricular arrhythmias via sympathetic nerve activation.

Heart Rhythm. 2017-12-8

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